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From the 11/26/2021 release of VAERS data:

Found 3,123 cases where Patient Died and Vaccination Date from '2007-08-01' to '2020-11-30'

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Case Details

This is page 18 out of 313

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VAERS ID: 327331 (history)  
Form: Version 1.0  
Age: 1.1  
Sex: Male  
Location: New York  
Vaccinated:2008-10-01
Onset:2008-10-02
   Days after vaccination:1
Submitted: 2008-10-03
   Days after onset:1
Entered: 2008-10-07
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0428U / 1 UN / SC

Administered by: Private       Purchased by: Public
Symptoms: Computerised tomogram abnormal, Death, Haemorrhage intracranial, Respiratory arrest, Resuscitation, Scan brain, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Haemorrhagic central nervous system vascular conditions (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: 2008-10-03
   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: Polyvitamins with fluoride
Current Illness: No
Preexisting Conditions: Ex 31 wk preemie, patent foramen ovale
Allergies:
Diagnostic Lab Data: Intracranial bleed on head CT
CDC Split Type:

Write-up: Pt found unresponsive & not breathing after nap. Resuscitated by EMS & in ER, never regained consciousness & later died in PICU at hospital. Intracranial bleed on head CT. 10/9/2008 Forensic Autopsy Summary Sheet received, COD pending further studies. Infant found unresponsive and transported to ER & dx with subdural hematoma. Transferred to higher level of care. Despite resuscitation efforts, infant pronounced dead. Autopsy findings of 2 small abraded contusions to L side of head, subdural hematoma overlying the L temporal lobe. Marked brain edema and pulmonary edema. Otherwise unremarkable


VAERS ID: 327500 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Montana  
Vaccinated:2008-07-30
Onset:2008-08-05
   Days after vaccination:6
Submitted: 2008-10-08
   Days after onset:64
Entered: 2008-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2952AA / 2 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF439AA / 2 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0491 / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65046 / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0305X / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-05
   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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: As per hospital death on 8-5-08. 10/15/08-autopsy report received-cause of death:Sudden Infant Death Syndrome.


VAERS ID: 328396 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: New York  
Vaccinated:2008-08-18
Onset:2008-10-02
   Days after vaccination:45
Submitted: 2008-10-13
   Days after onset:11
Entered: 2008-10-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2958AA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF461AA / 2 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR AC0491 / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C69255 / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0413X / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-03
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown 10/30/08-records received-Pathology report acute abdomen, abdominal compartment syndrome. Omental tissue with foci of acute inflammation and fibrinous exudate. CAT scan no evidence of intussusception.
CDC Split Type: WAES0810USA01805

Write-up: Information has been received from a physician concerning a patient younger than 6 months who was vaccinated with a dose of oral ROTATEQ. There was no concomitant medication. Subsequently, the patient died after receiving a dose of ROTATEQ. The cause of death has not been reported. Unspecified medical attention was sought. No product quality complaint involved. Additional information has been requested. 10/30/08-records received for DOS 10/2-10/3/08-presented with fever 103 and lethargy, developed abdominal distention and occult blood positive stool. Decreased urine output. Exploratory laparotomy, drainage of peritoneal fluid, omentectomy, appendectomy. Intubation and ventilation and resuscitation. Profound metabolic acidosis. Right pleural effusion. Necrotic omentum. Acute renal failure. 12/1/08-provisional autopsy report received-Provisional clinical diagnosis: suspected abdominal compartment syndrome. Emergency laparotomy with appendectomy, omentectomy and placement of peritoneal drain. Postoperatively developed severe thrombocytopenia and prolong APTT and INR. Hypotensive secondary to suspected ventricular fibrillation. Resuscitation unsuccessful. Pathologic examination of appendix revealed suppurative acute appendicitis with focal transmural necrosis and extensive periappendicitis. 4/6/09-final autopsy report received. Clinical Diagnosis:fever and lethargy. Abdominal distention and hem positive stool with currant jelly appearance. Acute passive hepatic congestion. Congestive splenomegaly. Bilateral renal medullary congestion. Hypotension due to suspected ventricular fibrillation. Postoperative severe thrombocytopenia and abnormal coagulation profile. krk


VAERS ID: 328445 (history)  
Form: Version 1.0  
Age: 89.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2008-10-03
Onset:2008-10-04
   Days after vaccination:1
Submitted: 2008-10-14
   Days after onset:10
Entered: 2008-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS - / 1 UN / UN

Administered by: Other       Purchased by: Private
Symptoms: Cold sweat, Heart rate increased, Hypotension
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2008-10-04
   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: Lorazepam; Fluoxetine hydrochloride; Lortab; Omeprazole; Sucralfate
Current Illness: Atrial fibrillation, CVA, Dementia
Preexisting Conditions: The subject has no known drug or food allergies. She has previously received flu vaccines and has no history of reactions following previous flu or other vaccines.
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A0751873A

Write-up: This case was reported by a healthcare professional and described the occurrence of death-unknown cause in a 89-year-old female subject who was vaccinated with FLULAVAL (GlaxoSmithKline). Concurrent medical conditions included atrial fibrillation, cva and dementia. Concurrent medications included ATIVAN, PROZAC, LORTAB, PRILOSEC and CARAFATE. On 3 October 2008 at 17:15 the subject received a dose of FLULAVAL at 0.5 ml in the right arm. On 4 October 2008, approximately 21 hours after vaccination with FLULAVAL, the subject felt cool and clammy, had increased pulse and low blood pressure. Within 5 minutes, the subject experienced death-unknown cause. She was DNR (do not resuscitate). The healthcare professional considered the events were life threatening. The subject died on 4 October 2008, cause of death was not reported. It was unknown whether an autopsy was performed. 1/6/09-records received-Cause of Death-Sudden Cardiac Death. Cerebrovascular Disease. No autopsy performed.


VAERS ID: 328577 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Texas  
Vaccinated:2008-10-13
Onset:2008-10-13
   Days after vaccination:0
Submitted: 2008-10-15
   Days after onset:2
Entered: 2008-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2802AA / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-13
   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: Post Knee replacement
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was vaccinated on 10/13/2008 in the AM. He ate lunch then went to Physical Therapy for rehabilitation following knee replacement surgery. He died during his PT appointment. 5/5/09-death certificate received-Final COD cardio pulmonary arrest.


VAERS ID: 329869 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:2008-04-22
Onset:2008-04-22
   Days after vaccination:0
Submitted: 2008-10-20
   Days after onset:181
Entered: 2008-10-24
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B139AA / UNK LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF330AA / UNK LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45893 / UNK RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1371U / UNK MO / PO

Administered by: Public       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-22
   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: None
Preexisting Conditions: PMH: uncomplicated term delivery, 40wk gestation. Normal growth, no congenital anomalies.
Allergies:
Diagnostic Lab Data: LABS: bacterial & viral c/s neg. Metabolic screening neg. Acetaminophen (H). Vitreous creatinine(H).
CDC Split Type:

Write-up: 2 month old died following routine vaccinations. Medical examiner was Dr. 10/28/08 Autopsy report states COD & manner of death as undetermined. 10/28 Autopsy report also states patient found lying on side unresponsive in adult bed 2 hrs s/p laid down for nap. Had fever s/p vaccination & received tylenol. Findings at autopsy included viscous bronchial mucus & chronic cystitis.


VAERS ID: 330032 (history)  
Form: Version 1.0  
Age: 87.0  
Sex: Male  
Location: California  
Vaccinated:2008-10-10
Onset:2008-10-10
   Days after vaccination:0
Submitted: 2008-10-17
   Days after onset:7
Entered: 2008-10-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Dyspnoea, Pneumonia, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-13
   Days after onset: 3
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: PMH: atherosclerosis; chronic kidney disese; allergic rhinitis; temporal arteritis syndrome, giant cell arteritis, chronic renal insufficiency, osteoporosis, HTN, nephrolithiasis, B12 deficiency due to pernicious anemia; peripheral neuropathy, GERD, remote oral cancer, psoriasis. Allergy: penicillin & quinine. Ex-smoker.
Allergies:
Diagnostic Lab Data: LABS: ESR peak 137 down to 51 on 10/10. CT chest revealed ground glass opacification. Echocardiogram revealed bicuspid aortic valve, mitral aortic insufficiency, LVH & normal ejection fraction. ABG: pO2 62(L), pCO2 38, pH 7.35. ECG abnormal. WBC 8.8, H/H 8.7/26(L), plts 86K. Sodium 132(L), BUN/creatinine 30/2.2. Troponin 0.12.
CDC Split Type:

Write-up: Friday 10/10/2008: Patient was in good shape when I took him to MD - for a review of his blood test results. He was advised to get a flu shot. They were available in the lobby with a paper from the Dr. He got the flu vaccines shot. Saturday 10/11/2008: He sounds as if he has a hard time breathing. -7 P.M. - Saturday 10/11/2008: Patient goes to hospital via ambulance. 911. Sunday 10/12/2008: Patient called me to advise me that he is in the hospital. Monday 10/13/2008: I visit patient in hospital and he is non-responsive and barely alive. Monday 10/13/2008: Patient died from pneumonia. Prior to the flu vaccine he was in good health. I believe the vaccine should not have been advised as it killed him. 10/28/08 Death certificate states COD as respiratory failure w/pneumonia & myelodysplasia as contributing causes. 10/28/08 Reviewed hospital medical records of 10/12-10/13/2008. FINAL DX: CHF; A-fib w/RVR; acute respiratory failure; acute exacerbation of COPD; acute exacerbation of chronic renal insufficiency & failure; malnutrition. Records reveal patient experienced SOB, bilateral leg edema, atrial fibrillation w/rapid ventricular response. Cardioverted & admitted to ICU. Developed acute respiratory failure, agitation, confusion worsened & placed on BiPAP. Tx w/IV antibiotics. Pt was DNR, no intubation. 11/25/08 Reviewed PCP medical records Office record of 8/20/08 reveals pt disoriented s/p ER visit for visual disturbance, HA & temporal arteritis. Had been started on steroids. RTC 9/19/08 s/p ER visit after fall w/o sequelae. RTC 9/29 w/fatigue. RTC 10/10 stating felt better. No record of flu shot, was given by unknown company in lobby of physician office building.


VAERS ID: 330055 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Arkansas  
Vaccinated:2008-10-20
Onset:2008-10-20
   Days after vaccination:0
Submitted: 2008-10-21
   Days after onset:1
Entered: 2008-10-27
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B192BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF450AB / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C71571 / 2 LL / IM

Administered by: Public       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-20
   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: None - Started Prosobee at mom''s request.
Allergies:
Diagnostic Lab Data:
CDC Split Type: AR0841

Write-up: Received call from nurse at medical center that infant had died at ER around 4 PM the date of vaccination. The infant appeared well and healthy at the time of vaccination. 6/16/09 6/16/09 Autopsy report states COD as undetermined & manner of death as undetermined. Autopsy report also states pt given antipyretic & put down for nap after vaccination. Found lying face down. Examination revealed mild chronic inflammatory cell infiltration of lungs & no evidence of anaphylaxis.


VAERS ID: 330148 (history)  
Form: Version 1.0  
Age: 0.8  
Sex: Male  
Location: Colorado  
Vaccinated:2008-10-21
Onset:2008-10-22
   Days after vaccination:1
Submitted: 2008-10-27
   Days after onset:5
Entered: 2008-10-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UA2828AA / 1 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Laboratory test
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-22
   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: None noted at well child check done at time of visit.
Preexisting Conditions: Previous UTI, VCUG done with normal results, and hernia (resolved)
Allergies:
Diagnostic Lab Data: Per pathologist unsure of cause of death at this time, lab work being done ? SIDs, also noted no erythemia or swelling at injection site.
CDC Split Type:

Write-up: Patient received Fluzone on Monday 10.21.08, and died on Tuesday pm on 10.22.08 12/18/08 Autopsy report states COD as sudden unexplained infant death. Manner of death is undetermined. Report also states patient getting over cold w/runny nose & cough, no fever, on day of vaccination. Had been put to sleep on back & found on stomach in crib.


VAERS ID: 330396 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: Maryland  
Vaccinated:2007-09-19
Onset:2008-09-13
   Days after vaccination:360
Submitted: 2008-10-28
   Days after onset:45
Entered: 2008-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-13
   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: COPD
Preexisting Conditions: PMH: COPD, bipolar disorder.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Subject in pneumococcal vaccine trial, with severe COPD, died at patient''s fathers home on 9/13/28. Vaccination took place on 9/19/07 and death took place on 9/13/08. According to the physician, the relationship to treatment is ''None''. We would be happy to forward the Study''s SAE Report Form upon request Subject ID A100099. 6/1/09 Death certificate states COD as acute respiratory failure & severe COPD & hyperlipidemia as contributing factors. 11/4/08 Reviewed SAE form which reveals patient experienced multiple exacerbations of COPD during study participation making death most likely COPD related. No autopsy was done & there was no hospitalization. Patient died at home.


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