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From the 4/30/2021 release of VAERS data:

Found 2,600 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 2 out of 260

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VAERS ID: 380328 (history)  
Form: Version 1.0  
Age: 93.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2010-01-06
Onset:2010-01-14
   Days after vaccination:8
Submitted: 2010-02-05
   Days after onset:22
Entered: 2010-02-15
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (CSL)) / CSL LIMITED 102123P1 / UNK LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Confusional state, Death, Decreased appetite, Laboratory test normal, Lethargy, Rhinorrhoea
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-18
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Excess uric acid feet
Preexisting Conditions: Cardio/Artery disease; Hypertension
Allergies:
Diagnostic Lab Data: Negative
CDC Split Type:

Write-up: Loss of appetite, confusion, lethargy, excessive mucus. Patient did not want to be hospitalized. Jan 14 thru Jan 18, 4 AM.


VAERS ID: 381128 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: New York  
Vaccinated:2010-02-22
Onset:2010-02-23
   Days after vaccination:1
Submitted: 2010-02-23
   Days after onset:0
Entered: 2010-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR 104044P1A / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-23
   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:
Current Illness: None
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt died suddenly within 24 hrs of administration. Clinically suspect unrelated.


VAERS ID: 381178 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2010-02-10
Onset:2010-02-11
   Days after vaccination:1
Submitted: 2010-02-18
   Days after onset:7
Entered: 2010-02-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3260AA / 2 RL / IM
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)) / MEDIMMUNE VACCINES, INC. 500824P / 1 NS / IN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB349AA / 2 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Cough, Croup infectious, Death
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-11
   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: Dexamethasone one dose
Current Illness: Viral croup
Preexisting Conditions: 30 weeks gestation at birth --$g respiratory distress
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 28 month old (ex - 30 week preemie) male was seen in pediatric clinic for outpatient evaluation of croup. Examining attending physician described barking cough but no stridor at rest. Given dexamethasone 9 mg and vaccines. Child put to bed "fine". Found dead next morning. Unsuccessful resuscitation.


VAERS ID: 381218 (history)  
Form: Version 1.0  
Age: 0.46  
Sex: Male  
Location: Arkansas  
Vaccinated:2010-02-17
Onset:2010-02-19
   Days after vaccination:2
Submitted: 2010-02-22
   Days after onset:3
Entered: 2010-02-24
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3554AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D94433 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA817 / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-19
   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: AR1004

Write-up: 2-19-2010 Notified by coroner that child had died today requesting copy of immunization record. No other information available.


VAERS ID: 381726 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Female  
Location: Florida  
Vaccinated:2010-03-02
Onset:2010-03-02
   Days after vaccination:0
Submitted: 2010-03-03
   Days after onset:1
Entered: 2010-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3565AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1022Y / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D93211 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1212Y / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-03
   Days after onset: 1
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: Cleft Palate; Maternal substance abuse (methadone/benzo)
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found dead at home per dad in phone call. No ER note available yet.


VAERS ID: 381784 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-01-14
Onset:2010-01-14
   Days after vaccination:0
Submitted: 2010-02-11
   Days after onset:28
Entered: 2010-03-03
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP062AA / UNK UN / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Abdominal discomfort, Condition aggravated, Grip strength decreased, Pain in extremity, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-10
   Days after onset: 27
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant medications included unspecified medications for neurological problems. Concomitant medications included Ketamine and other unspecified medications
Current Illness:
Preexisting Conditions: The patient had no illness at the time of vaccination. Her medical history included an allergy to morphine and reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data:
CDC Split Type: 201000788

Write-up: Initial case received on 28 January 2010 from a healthcare professional and also from a non-healthcare professional. A healthcare professional reported a 64 year old female patient received an 0.5 ml intramuscular injection (site not reported) of H1N1 (lot number UP062AA) on 14 January 2010. The patient experienced an unspecified fever and hives (site not specified) on 15 January 2010 and non-specified stomach problems on 27 January 2010. Her medical history included neurological problems of hands . A non-healthcare professional reported the patient''s medical history included reflex sympathetic dystrophy and an unspecified allergy to morphine. Since 14 January 2010 (date of vaccination), the patient experienced "increased hand pain" and her grip not being as good in both hands. The reporters both stated that the patient had no illness at the time of vaccination. She had contacted, but was not seen by her physician. It was unknown if the patient recovered from the adverse events. Documents held by sender: None.


VAERS ID: 382341 (history)  
Form: Version 1.0  
Age: 1.51  
Sex: Female  
Location: Washington  
Vaccinated:2010-03-09
Onset:2010-03-10
   Days after vaccination:1
Submitted: 2010-03-10
   Days after onset:0
Entered: 2010-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3191AA / 4 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3352AA / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Cyanosis, Death, Pyrexia, Unresponsive to stimuli, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: 2010-03-10
   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: 03/02/2010:AMOXICILLIN 400 MG/5ML suspension 1 tsp by mouth twice daily x 7 days for BOM, URI
Current Illness: Child was happy and healthy at time of visit
Preexisting Conditions: febrile seizures, developmental delay, hx URI, hx otitis media.
Allergies:
Diagnostic Lab Data: none currently available at this time
CDC Split Type:

Write-up: reported child developed a fever early this am with possible febrile seizure. Child was placed down for afternoon nap mother went in room to check on child realized something wrong/ not moving/responding turned child over and discovered child was blue. Coroner did note child had had an emesis.


VAERS ID: 382444 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Utah  
Vaccinated:2010-02-09
Onset:2010-02-17
   Days after vaccination:8
Submitted: 2010-03-11
   Days after onset:22
Entered: 2010-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3191AA / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1274Y / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF816AB / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0480 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E20366 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1473Y / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-17
   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: He was put to bed but did not awaken at the usual time (about 2 AM) for feeding. It was then that mother found him in his bed,child was transported to the hospital.


VAERS ID: 382602 (history)  
Form: Version 1.0  
Age: 1.26  
Sex: Female  
Location: Oklahoma  
Vaccinated:2010-01-05
Onset:2010-01-06
   Days after vaccination:1
Submitted: 2010-03-14
   Days after onset:67
Entered: 2010-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0950Y / 1 LG / IJ
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0824Y / 1 LG / IJ
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1006Y / 1 LG / IJ

Administered by: Private       Purchased by: Other
Symptoms: Abasia, Abdominal distension, Aphasia, Condition aggravated, Decreased appetite, Dehydration, Lethargy, Somnolence, Staring, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-04-04
   Days after onset: 87
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: Severe Vomiting and spasm of body~Hep B (no brand name)~1~0.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions: Had previously been to the hospital for dehydration and vomiting about 2 weeks earlier...allergies suspected, but doctors could not find any other problem.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vomiting (up to 8 days later), lethargic, no appetite, dehydration, had to go back to the hospital for hydration. Stopped walking and talking and interacting with us. Stared into space, very droggy, wanted to sleep all the time; started losing weight and got a very distended abdomen, and loss of appetite. This has lasted for almost 3 full months, now.


VAERS ID: 383127 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Texas  
Vaccinated:2010-03-19
Onset:2010-03-19
   Days after vaccination:0
Submitted: 2010-03-21
   Days after onset:2
Entered: 2010-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP081AA / UNK RA / UN

Administered by: Other       Purchased by: Other
Symptoms: Aortic rupture, Chest pain, Death
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-20
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none known
Current Illness: No
Preexisting Conditions: none known
Allergies:
Diagnostic Lab Data: His aorta ruptured after being released from E.R causing his death at 12:00 am
CDC Split Type:

Write-up: He recieved the H1N1 vaccine around 9:00 am. At he at 12:00 Complaining of chest pain. No Diagnosis, then released from hospital. He Died at midnight (12:00 am) from a ruptured aorta.


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