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From the 11/12/2021 release of VAERS data:

Found 2,947 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'

Government Disclaimer on use of this data



Case Details

This is page 16 out of 295

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VAERS ID: 428370 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Georgia  
Vaccinated:2011-06-13
Onset:2011-06-20
   Days after vaccination:7
Submitted: 2011-07-29
   Days after onset:39
Entered: 2011-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB509AA / 2 LL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1643Z / 2 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Death, Irritability, Pyrexia, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-06-21
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever & fussy 6/20/11. Fever 6/21/11. Found unresponsive after taking a nap.


VAERS ID: 428488 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Male  
Location: Minnesota  
Vaccinated:2011-07-25
Onset:2011-07-29
   Days after vaccination:4
Submitted: 2011-08-01
   Days after onset:3
Entered: 2011-08-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3755AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB972DA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F13779 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0259AA / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram abnormal, Death, Electroencephalogram abnormal, Hypoxic-ischaemic encephalopathy, Pallor, Resuscitation, Unresponsive to stimuli, Withdrawal of life support
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-07-31
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No - Colicky
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Put down for nap and found by mother 1 hr later - face down. Pale, cold & non-responsive. CPR initiated. 911. Perfusing rhythm re-established in ED at 11:18. Never required any function. EEG - no electrical activity x 2. CT scan - compatible with hypoxic injury. Removed from life support on 7/31/11 at 14:40.


VAERS ID: 428554 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: New Hampshire  
Vaccinated:2011-03-24
Onset:0000-00-00
Submitted: 2011-08-01
Entered: 2011-08-02
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 04827 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-03-26
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH08011110

Write-up: None stated.


VAERS ID: 429045 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Guam  
Vaccinated:2011-07-18
Onset:0000-00-00
Submitted: 2011-07-28
Entered: 2011-08-08
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1699Z / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-07-20
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride varnish of teeth done. (DURAFLOR Lt # 32209)
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: See autopsy report.


VAERS ID: 429528 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Female  
Location: Georgia  
Vaccinated:2011-07-27
Onset:2011-08-06
   Days after vaccination:10
Submitted: 2011-08-11
   Days after onset:5
Entered: 2011-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1643Z / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1705Z / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Acidosis, Autopsy, Blood gases abnormal, Death, Laboratory test, Pyrexia, Respiratory arrest, Resuscitation
SMQs:, Anaphylactic reaction (broad), Lactic acidosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-08
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Ex-27wk preemie. RSV requiring hospitalization - 11/10.
Allergies:
Diagnostic Lab Data: ABG at ER showed acidosis. No other testing done at ER due to rapidity of clinical decline. Autopsy inconclusive. Further testing of tissue samples being done by state lab. Results pending.
CDC Split Type:

Write-up: Onset of fever on 8-6-11 up to 102 degrees. Playful when afebrile. Seen in doctor''s office on 8/8. Presented later to ER where resp. arrest occurred during evaluation. CPR and defibrillation with aggressive IV inotropes unsuccessful. (intermittent fever present 8/6-8/8).


VAERS ID: 430811 (history)  
Form: Version 1.0  
Age: 0.63  
Sex: Male  
Location: New York  
Vaccinated:2011-08-16
Onset:2011-08-16
   Days after vaccination:0
Submitted: 2011-08-19
   Days after onset:3
Entered: 2011-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3753AA / 3 RL / ID
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1199Z / 3 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Autopsy, Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: GERD
Allergies:
Diagnostic Lab Data: Autopsy all organs normal except heart which was not seen by Medical Examiner because it was harvested for valve donation
CDC Split Type:

Write-up: Sudden infant death. Patient received vaccine in the morning. Found dead at around 9pm after he was put in bed at 7pm.


VAERS ID: 430641 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-09-16
Onset:2010-12-02
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2011-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS ENGE10DI14 / 1 LG / UN

Administered by: Private       Purchased by: Public
Symptoms: Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH08221113

Write-up: SIDS baby.


VAERS ID: 430780 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: California  
Vaccinated:2011-03-28
Onset:2011-04-11
   Days after vaccination:14
Submitted: 2011-08-23
   Days after onset:134
Entered: 2011-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3741AA / 1 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0565Z / 3 LA / UN

Administered by: Public       Purchased by: Public
Symptoms: Arrhythmia, Autopsy, Blood culture positive, Body fluid analysis, Cardiac failure, Cardiomyopathy, Death, Drug screen negative, Microscopy, Streptococcus test positive, Sudden cardiac death
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Arrhythmia related investigations, signs and symptoms (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Infective pneumonia (broad), Sepsis (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-04-11
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Mildly overweight; concern for idiopathic scoliosis
Allergies:
Diagnostic Lab Data: Autopsy, including microscopy slides. Heart blood culture showed alpha streptococcus (not Strep. pneumoniae, not enterococcus sp., not Strep. bovis). Femoral blood and vitreous humor samples showed no drugs on complete drug screen. Vitreous panel (Glucose - 32 mg/dL, Sodium - 137 mmol/L, Potassium - 15.2 mmol/L, Chloride - 124 mmol/L, Urea Nitrogen 13 mg/dL and Creatinine - 1.3 mg/dL)
CDC Split Type:

Write-up: Found dead in bed in a.m. by family. Pathologist stated cause of death as consistent with cardiac insufficiency, due to cardiac arrhythmia, due to probable early cardiomyopathy. Child Death Review Team felt this death was consistent with a diagnosis of sudden cardiac death.


VAERS ID: 432209 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2011-08-25
Onset:0000-00-00
Submitted: 2011-08-30
Entered: 2011-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0103AA / 2 LA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-27
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. wife reports pt. died.


VAERS ID: 432455 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Maryland  
Vaccinated:2011-08-11
Onset:2011-08-22
   Days after vaccination:11
Submitted: 2011-08-26
   Days after onset:4
Entered: 2011-08-30
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3853AA / UNK LA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E63642 / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Endotracheal intubation, Muscle rigidity, Respiratory failure
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Parkinson-like events (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-11-09
   Days after onset: 79
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 17 days
   Extended hospital stay? No
Previous Vaccinations: Death/respiratory failure~Vaccine not specified (no brand name)~UN~0.00~Patient
Other Medications: None
Current Illness:
Preexisting Conditions: Ex-36 weeks s/p NICU stay x 2 wks for feeding intolerance.
Allergies:
Diagnostic Lab Data: See attached lab reports
CDC Split Type:

Write-up: Respiratory failure requiring intubation with high flow oscillator due to severe muscle rigidity.


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