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From the 6/11/2021 release of VAERS data:

Found 2,769 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 17 out of 277

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VAERS ID: 432687 (history)  
Form: Version 1.0  
Age: 0.36  
Sex: Male  
Location: California  
Vaccinated:2011-07-25
Onset:0000-00-00
Submitted: 2011-09-01
Entered: 2011-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3931AA / UNK - / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0491AA / 2 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 916598 / UNK - / -

Administered by: Unknown       Purchased by: Other
Symptoms: Pyrexia, Retinal haemorrhage, Subdural haematoma, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Retinal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: baby Tylenol, baby Orajel
Current Illness: Cold
Preexisting Conditions: Zithromax
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: fever, vomiting, subdural hematoma, retinal hemorrhage


VAERS ID: 432984 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Male  
Location: Missouri  
Vaccinated:2011-08-23
Onset:2011-09-01
   Days after vaccination:9
Submitted: 2011-09-03
   Days after onset:2
Entered: 2011-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC004AA / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-09-01
   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: NO
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: EMPLOYEE RECEIVED HEP B ON 8/23/2011. DONOR PASSED ON 9/1/2011. UNKNOWN IF SHOT ASSOCIATED WITH DEATH.


VAERS ID: 434581 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Female  
Location: California  
Vaccinated:2010-09-29
Onset:2010-10-01
   Days after vaccination:2
Submitted: 2011-09-16
   Days after onset:350
Entered: 2011-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U3082CA / UNK RA / UN

Administered by: Private       Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Electromyogram abnormal, Muscle contractions involuntary
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LAMICTAL; Estradiol; Prometrium, IMITREX
Current Illness: Partial complex SZ
Preexisting Conditions: Partial complex SZ
Allergies:
Diagnostic Lab Data: Abnormal EMG; Exam
CDC Split Type:

Write-up: ADACEL vaccine administered 7/29/10 Occ Health. Fasiculations developed 2 weeks later. Diagnosed with ALS 11/10. Expired Sept 2011.


VAERS ID: 435007 (history)  
Form: Version 1.0  
Age: 0.76  
Sex: Male  
Location: California  
Vaccinated:2011-08-02
Onset:2011-08-07
   Days after vaccination:5
Submitted: 2011-09-20
   Days after onset:44
Entered: 2011-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E23421 / 2 RL / IM

Administered by: Unknown       Purchased by: Other
Symptoms: Brain oedema, Computerised tomogram abnormal, Computerised tomogram head, Death, Hypotonia, Multi-organ failure, Pallor, Posturing
SMQs:, Peripheral neuropathy (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), Dystonia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-08
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: His body was limp and pale rush to Hospital where his body was posturing and Cat scan showed swelling of the brain. Organs started to shut down and he died the next day.


VAERS ID: 435682 (history)  
Form: Version 1.0  
Age: 0.02  
Sex: Male  
Location: New Hampshire  
Vaccinated:2011-05-16
Onset:2011-05-28
   Days after vaccination:12
Submitted: 2011-09-12
   Days after onset:107
Entered: 2011-09-22
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 8482Z / 1 UN / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-05-28
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 08121114

Write-up: Death.


VAERS ID: 435354 (history)  
Form: Version 1.0  
Age: 54.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2011-08-31
Onset:2011-09-07
   Days after vaccination:7
Submitted: 2011-09-23
   Days after onset:16
Entered: 2011-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 1100201 / 1 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Autopsy, Death, Livedo reticularis, Peripheral coldness, Pulse absent, Respiratory arrest, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-09-07
   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: no c/o illness by patient
Preexisting Conditions: Hypertension Type 1 diabetes
Allergies:
Diagnostic Lab Data: I dont have results of postmortum as of today. Still pending.
CDC Split Type:

Write-up: At 12:30 PM patient laid down for a nap he offered no co at that time, at 2 PM I (wife) found patient unresponsive no pulse no respiratory effort. His skin was cold and moteled I dailed 911 and began chest compressions as instructed by 911 operator. I never got a pulse first responders and also worked on patient and transfered him to hospital he was pronounced dead at 2:08 pm on 09/07/2011.


VAERS ID: 435707 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Washington  
Vaccinated:2011-09-22
Onset:2011-09-25
   Days after vaccination:3
Submitted: 2011-09-26
   Days after onset:1
Entered: 2011-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 501096P / 3 NS / IN

Administered by: Military       Purchased by: Military
Symptoms: Chest pain, Death, Malaise, Resuscitation, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-09-25
   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: None noted
Allergies:
Diagnostic Lab Data: Autopsy has been ordered
CDC Split Type:

Write-up: Member was given the Flumist on 09/22/2011. On 09/25/2011, member was feeling chest pain and not feeling well after dinner and going to the Club. Mamber was found down face in vomit by his friends. CPR was started and 911 activated. Paramedics arrived and continued CPR en route to Hospital where CPR was continued unsuccesfully. Member was pronounced dead at 0215 by Dr.


VAERS ID: 435760 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Male  
Location: Nebraska  
Vaccinated:2011-08-30
Onset:2011-09-09
   Days after vaccination:10
Submitted: 2011-09-26
   Days after onset:17
Entered: 2011-09-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3841AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E79665 / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0776AA / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Rotavirus infection, Rotavirus test positive, Sudden death, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-09-14
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: autopsy, positive for rotavirus
CDC Split Type: WAES1109USA01863

Write-up: Information has been received from a physician concerning a 19 week old male patient who on 30-AUG-2011 was vaccinated with his second dose of ROTATEQ (dose two lot # 669764/0776AA) (date of dose #1 unavailable) and died suddenly two weeks later. No problems were reported to the office after administration, child was not symptomatic. On 09-SEP-2011, the child was discovered "unresponsive, at daycare". The child was life-flighted to hospital. On 14-SEP-2011, the child died. Autopsy revealed child was positive for rotavirus. Death certificate stated "positive for rotavirus". "Unresponsive, at daycare" and "positive for rotavirus" and "died suddenly" were considered to be immediately life-threatening. Follow-up information has been received from the physician concerning the patient received concomitantly on 30-AUG-2011 the following vaccinations: PENTACEL and PREVNAR 13. The physician also stated that he had not spoken with the patient''s parents. The patient had been taken from day care to the hospital. He indicated he would send any additional information that he receives concerning the patient. A lot check has been initiated. Additional information has been requested.


VAERS ID: 436253 (history)  
Form: Version 1.0  
Age: 5.0  
Sex: Female  
Location: Maryland  
Vaccinated:2011-08-26
Onset:2011-08-26
   Days after vaccination:0
Submitted: 2011-09-29
   Days after onset:34
Entered: 2011-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3944AA / 5 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH476AC / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR G1083 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1644Z / 2 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1046AA / 2 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-26
   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: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was found dead in bathroom after no obvious reaction.


VAERS ID: 436743 (history)  
Form: Version 1.0  
Age: 1.06  
Sex: Male  
Location: Minnesota  
Vaccinated:2011-09-22
Onset:2011-09-23
   Days after vaccination:1
Submitted: 2011-10-04
   Days after onset:11
Entered: 2011-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT4176BA / UNK RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0404AA / 1 RL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 916598 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0819AA / 1 LL / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cyanosis, Death, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-09-23
   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: Cold/URI/ear infection
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Parents found patient blue and not breathing at home. Code Blue to hospital.


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