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From the 9/17/2021 release of VAERS data:

Found 3,093 cases where Patient Died and Vaccination Date from '2007-08-01' to '2020-11-30'



Case Details

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VAERS ID: 290673 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Missouri  
Vaccinated:2007-08-28
Onset:0000-00-00
Submitted: 2007-09-07
Entered: 2007-09-17
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF169AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z1009 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B26510K / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0972U / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Sudden infant death syndrome, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-02
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
Preexisting Conditions: None PMH: Nasal congestion. Birth Hx: c-section. Mother smoker & diabetic.
Allergies:
Diagnostic Lab Data: Autopsy report pending
CDC Split Type:

Write-up: Sudden infant death. Family visiting relatives found baby unresponsive in crib. 6/13/08 Autopsy report states COD as SIDS. Report states patient traveled with family out of state over holiday w/e. Placed in portable crib for nap. Found unresponsive & cool approx 3 hrs later. CPR started & EMS called but no pulse or respirations.


VAERS ID: 290781 (history)  
Form: Version 1.0  
Age: 0.36  
Sex: Male  
Location: Idaho  
Vaccinated:2007-08-21
Onset:2007-09-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2007-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B133AA / 2 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVA066AA / 3 UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0079U / 2 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR KO772 / 2 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B540076 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0941U / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-04
   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: None
Current Illness: No
Preexisting Conditions: (L) finger hemangioma PMH: umiblical hernia, GERD, hemangioma on finger, vomiting & pyloric stenosis ruled out by abd sonogram WNL, thrush Birth Hx: 39 wk c-section. 7 lbs 6 oz. Family Hx: eczema, migraines, asthma.
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None stated. 9/18/07 T/C to reporter/provider to clarify reported death. Box 7 blank on form. Message left for return call. 9/20/07 T/C to reporter. Message left. 9/25/07 T/C to reporter. Stated patient did expire. Autopsy requested. Preliminary COD is pending but coroner indicated to MD that is probably SIDS. Reporter stated patient had no health problems or birth complications. Letter faxed to request vax record./ss 9/28/07 Linked w/291475. 10/9/07 Reviewed pcp medical records which reveal patient experienced good health on day of vax. Vax records indicate RO dose & lot # correct as reported but other vax corrections made in VAERS database. 11/6/07 Reviewed Autopsy report which states COD as sudden unexplained death in infancy. Had been placed in crib face up & then found unresponsive when later checked.


VAERS ID: 290946 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:2007-09-19
Onset:2007-09-20
   Days after vaccination:1
Submitted: 2007-09-20
   Days after onset:0
Entered: 2007-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B110A / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0076U / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08679E / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0669U / 1 MO / PO

Administered by: Other       Purchased by: Public
Symptoms: Cyanosis, Death, Irritability
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-20
   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
Allergies:
Diagnostic Lab Data: 2 month complete physical exam - WNL
CDC Split Type:

Write-up: On 9/19/07 between 11:30-12N child received 4 vaccinations (see below). Dr saw infant 3 hrs later and he appeared well. Parents state between 6p-8p infant fussy. In AM of 9/20/07 child found "blue" 911 called but infant died.


VAERS ID: 291338 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Alabama  
Vaccinated:2007-08-09
Onset:0000-00-00
Submitted: 2007-09-25
Entered: 2007-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B070AA / UNK - / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0065U / UNK - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08679D / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-08-10
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:

Write-up: Cause of death undetermined at this time. Reported from a doctor with a mother who refused vaccine due to 2 deaths she heard about after children received vaccines. Only information available at this time. 2/21/08 Reviewed autopsy report which states COD as sudden unexplained & unexpected death in infancy. Manner of death as undetermined (co-sleeping). 2/29/08 Reviewed vax record & database updated w/same.


VAERS ID: 291476 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Idaho  
Vaccinated:2007-09-12
Onset:2007-09-15
   Days after vaccination:3
Submitted: 2007-09-26
   Days after onset:11
Entered: 2007-09-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124B / 2 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007C / 2 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0968U / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Peripheral coldness, Sudden infant death syndrome, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2007-09-15
   Days after onset: 0
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown PMH: circumcised but buried penis in adhesions. right parietal cephalohematoma, 2 cm in diameter. Birth Hx: 41 wk emergent c-section for failure to dilate, 7 lbs 14 oz. jaundice.
Allergies:
Diagnostic Lab Data: autopsy - pending
CDC Split Type: WAES0709USA03810

Write-up: Information has been received from a physician concerning a 17-week-old male who on 12-Sep-2007 was vaccinated with a dose of Rotateq (lot# 656838/0968U). Suspect vaccination included PedvaxHib (manufacturer unknown). Concomitant vaccinations included Pediarix and Prevnar (it was noted that the patient did not receive MMR II and Varivax). On 14-Sep-2007, the parents put the infant to sleep on his back. The infant had a pacifier and no blankets in the crib. At midnight, when the parents checked on him, he was fine. When the parents checked on him at 6am on 15-Sep-2007, he was unresponsive and cold. 911 was called and the baby was coded. The infant was dead on arrival to the hospital. The cause of death was sudden infant death syndrome. No product quality complaint was involved. This is one of several reports from the same reporter. Sudden infant death syndrome was considered to be disabling and life threatening. Autopsy results will provided when they become available. Additional information has been requested. 10/9/07 Reviewed pcp medical records which reveal patient was in good health on day of vax. Vax records reveal RO lot # correct as reported & was Dose #2. Other vax updated in VAERS database. 11/16/07 Received autopsy report which states COD as sudden unexplained death during infancy.


VAERS ID: 291677 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: North Carolina  
Vaccinated:2007-09-11
Onset:2007-09-12
   Days after vaccination:1
Submitted: 2007-09-18
   Days after onset:6
Entered: 2007-10-01
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B110AB / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0255U / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08690D / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-12
   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
Allergies:
Diagnostic Lab Data:
CDC Split Type: NC07097

Write-up: Pt died within 24 hrs of receiving vaccine. 1/4/08 Reviewed autopsy report which states COD as SIDS. Findings at autopsy included severe congestion in lungs, petechial hemorrhages of thymus gland & probe patent foramen ovale.


VAERS ID: 291678 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Connecticut  
Vaccinated:2007-09-24
Onset:2007-09-25
   Days after vaccination:1
Submitted: 2007-10-01
   Days after onset:6
Entered: 2007-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B056CA / 4 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2456BA / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0700F / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0823U / 1 RA / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: mild febrile rxn~Vaccine not specified (no brand name)~UN~0.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Febrile seizure 3/07 - nl EEG 5/07
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Healthy 18 mo male with history of febrile seizure in 3/07 given MMR II, VZV, DTaP & Flu vaccine on 9/24/07. Child discovered by mother deceased in bed approx 9/25/07. 11/30/07 Reviewed autopsy report which states COD as undetermined & manner of death undetermined. Anatomic diagnoses: pulmonary congestion & edema, sudden of unknown etiology. Patient was found unresponsive face down on mattress in crib.


VAERS ID: 291803 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: California  
Vaccinated:2007-09-21
Onset:2007-09-22
   Days after vaccination:1
Submitted: 2007-09-27
   Days after onset:5
Entered: 2007-10-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS SKBAC21B129AC / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. MSD0072U / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH WAL608700A / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. MSD0876U / 1 MO / PO

Administered by: Unknown       Purchased by: Public
Symptoms: Chest X-ray abnormal
SMQs:, Cardiomyopathy (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-23
   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: Seborrhea
Preexisting Conditions: Prematurity - 33 weeks BW 4 lbs 0 oz. PMH: 33 wk preemie. 14 days in NICU.
Allergies:
Diagnostic Lab Data: CXR from 9/20/07 with enlarged ht/ enlarged left ventricular prominent/ distended abdomen
CDC Split Type:

Write-up: Child received vaccines on 9/21/07 child brought to ER in full arrest 9/22 late /9/23 early am ---$g died report of autopsy pending. 12/18/07 Reviewed autopsy report which reveals COD as SIDS. Patient co-sleeping w/parent in twin size bed. Found unresponsive w/blood in nose when parent awoke.


VAERS ID: 292395 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Male  
Location: Utah  
Vaccinated:2007-09-27
Onset:2007-09-29
   Days after vaccination:2
Submitted: 2007-10-03
   Days after onset:4
Entered: 2007-10-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0740U / 1 LA / SC

Administered by: Private       Purchased by: Other
Symptoms: Cardiac arrest, Death
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-29
   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: Hypertension
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: vaccine given 9/27/07 died in sleep 9/29/07 presumed cardiac arrest by autopsy. 1/15/08 Reviewed autopsy report which states COD as occlusive coronary artery disease with HTN & sleep apnea as contributing factors. Findings at autopsy included: RCA 70% occluded; LAD 80-90% occluded; LCA 70% occluded; microscopic evidence of ischemic heart disease w/increased fibrosis in tissue; fatty infiltration into RV wall of heart; and chronic HTN. Patient died in his sleep after recently c/o being tired.


VAERS ID: 292942 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:2007-10-05
Onset:0000-00-00
Submitted: 2007-10-12
Entered: 2007-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS AFLUA302BA / 1 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest X-ray normal, Cyanosis neonatal, Death, Dehydration, Infantile apnoeic attack, Jaundice neonatal, Lethargy, Sepsis, Wrong drug administered
SMQs:, Congenital, familial, neonatal and genetic disorders of the liver (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Acute central respiratory depression (narrow), Congenital biliary disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Medication errors (narrow), Hypoglycaemia (broad), Dehydration (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-10-10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: As in narrative.
Current Illness: newborn, rule out sepsis.
Preexisting Conditions: Birth Hx: 35 wk, c-section due to maternal pain. Nuchal cord at birth & vacuum extraction. Apgar scores were 3/6/8 at 1/5/10 minutes. Patient cyanotic & lethargic at birth.
Allergies:
Diagnostic Lab Data: 10/8 CXR negative LABS: echocardiogram. EKG revealed SVT. Troponin 36.8.Liver enzymes (H). Bilirubin 12.2. H/H 9.7/27.8. D-dimer (+). Transfused w/PRBCs & FFP.
CDC Split Type:

Write-up: This is a newborn (10/3/07) WF by emergency C-section that received a single dose of Fluarix (lot AFLUA302BA exp 6/30/08) on 10/5 instead of Engerix B (the syringes look alike). The error was discovered on 10/9. The patient was treated with IV genatmicin and ampicillin from days one through three to rule out sepsis. Blood cultures were negative and the patient was discharged on 10/6. The patient was brought in for a baby check on 10/8/07. She appeared lethargic, jaundiced and dehydrated. She had bouts of apnea with cyanosis. She was given fluids and electrolytes and transferred to Children''s Medical Center. The patient expired on 10/10/07. The initial impression is enteral viral sepsis without a definitive cause at this point. Cause from the flu vaccine is doubtful but unknown. 10/16/07 T/C to reporter who provided patient demographics. 10/18 Linked w/293414./ss 10/26/07 Hospital medical records including vax record reviewed which reveal lot number correct as reported. D/C to home 10/6 with f/u scheduled for 10/8. 11/13/07 Received hospital medical records which reveal patient experienced poor feeding & apnea/cyanosis events at home. Lethargic w/multiple apneic events at pcp office on 10/8/07. WBC 16.8, platelets 20,000 in pcp poffice. Pcp placed on O2 & called EMS. Blood c/s done & IV antibiotics given. Admitted 10/8-10/10/2007. Admit exam revealed overriding sutures, irritable with minimal suck & response to pain. Had multiple apneic & bradycardic episodes & was intubated. Unable to convert SVT, blood pressure dropped, expired. 11/13/07 Received autopsy report with hospital records which states COD as myocarditis; massive acute hemorrhage, liver; meningitis; extensive lung hemorrhages, bilateral pneumonia & pleural effusions.


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