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Found 1,814 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUA3 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1 or FLUA4) and Patient Died

Case Details

This is page 20 out of 182

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VAERS ID: 106323 (history)  
Form: Version 1.0  
Age: 44.0  
Sex: Male  
Location: Ohio  
Vaccinated:1997-11-02
Onset:1997-11-06
   Days after vaccination:4
Submitted: 1998-01-07
   Days after onset:62
Entered: 1998-01-13
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Guillain-Barre syndrome, Hypoxia, Paralysis
SMQs:, Asthma/bronchospasm (broad), Peripheral neuropathy (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Respiratory failure (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Dilantin, decadron 9started in JUL post op brain surg)
Current Illness: glioblastoma
Preexisting Conditions: before dx glioblasma, excellent health before & ater;
Allergies:
Diagnostic Lab Data: several CT scans, MRI, blood work, etc;refused to test for GBS;
CDC Split Type:

Write-up: quadriplegia & 100% vent assisted;pt too weakened to cont w/chemotherapy;prognosis is less than 2mo;


VAERS ID: 106403 (history)  
Form: Version 1.0  
Age: 90.0  
Sex: Male  
Location: Unknown  
Vaccinated:1997-10-13
Onset:1997-10-13
   Days after vaccination:0
Submitted: 1997-10-20
   Days after onset:7
Entered: 1998-01-15
   Days after submission:87
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81816 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-10-13
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lanoxin;lasix;K-Dur;Allopurinol;
Current Illness: metastatic melanoma;
Preexisting Conditions: hx of CHF;metastatic melanoma;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt followed for metastatic melanoma recv flu vax & apparently had sudden death approx 45min later;no prev rxn to flu vax;


VAERS ID: 107361 (history)  
Form: Version 1.0  
Age: 40.0  
Sex: Male  
Location: Louisiana  
Vaccinated:1996-10-31
Onset:1996-11-05
   Days after vaccination:5
Submitted: 1998-01-26
   Days after onset:447
Entered: 1998-02-10
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKE-DAVIS - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Coma, Diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-11-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: no hx of diabetes
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: 0010150980002

Write-up: pt recv vax 31OCT96 & exp diabetic coma on 5NOV96 & died that day;pt had no hx of diabetes;


VAERS ID: 107856 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Michigan  
Vaccinated:1997-10-15
Onset:1997-10-16
   Days after vaccination:1
Submitted: 1998-02-21
   Days after onset:128
Entered: 1998-02-27
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 7F81816 / UNK LA / -

Administered by: Private       Purchased by: Unknown
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 39 days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Insulin (Humulin);Dyazide;Cardizem;Xanax;
Current Illness: NONE
Preexisting Conditions: diabetes, chronic lymphocytic leukemia, HTN
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: dx w/GBS (principal) secondary: adverse effect viral vaccine;


VAERS ID: 108923 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1997-10-06
Onset:1997-10-22
   Days after vaccination:16
Submitted: 1997-11-12
   Days after onset:21
Entered: 1998-03-26
   Days after submission:134
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4978172 / 2 RA / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 444071 / 1 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Chills, Condition aggravated, Constipation, Cough, Diarrhoea, Dizziness, Dyspepsia, Dyspnoea, Fatigue, Feeling cold, Headache, Influenza, Influenza like illness, Myalgia, Nausea, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-10-31
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Dyazide-water pill
Current Illness: NONE
Preexisting Conditions: HTN, dizziness;
Allergies:
Diagnostic Lab Data: 2wk later on 22OCT97 felt resp diff breathing merthiolate, thimerosal rxn;
CDC Split Type:

Write-up: extreme fatigue, muscles/joint pain, h/a, gastrointestinal upset, constipation, diarrhea, chills-feeling cold, dry cough, fever;22OCT97 exp extreme diff breathing & dizziness;pt felt had the flu;. All these symptoms started on Oct 6, 1997 when the influenza, pneumococcal vaccines were administered. Her health continued to deteriorate and on Oct 22, 1997 in the evening she experienced extreme difficulty breathing and then later dizziness. At this point she was taken to the Emergency room of hospital. Felt nauseated at home- threw up at hospital. Asthenia, headache, diarrhea, no dyspnea, myalgia, dyspepsia, chills fever, flu symd, arthralgia, constipation, cough inc, reaction aggrav.


VAERS ID: 115054 (history)  
Form: Version 1.0  
Age: 83.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:1998-10-08
Onset:1998-10-08
   Days after vaccination:0
Submitted: 1998-10-14
   Days after onset:6
Entered: 1998-10-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0975790 / UNK - / IM A

Administered by: Public       Purchased by: Public
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: NKDA or other allergies;
Allergies:
Diagnostic Lab Data:
CDC Split Type: U199800624

Write-up: pt recv vax & approx 30min post vax pt collapsed @ home brought to hosp & pronounced DOA;


VAERS ID: 115255 (history)  
Form: Version 1.0  
Age: 83.0  
Sex: Male  
Location: Kentucky  
Vaccinated:1998-10-13
Onset:1998-10-14
   Days after vaccination:1
Submitted: 1998-10-20
   Days after onset:6
Entered: 1998-10-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0981800 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: U199800667

Write-up: pt recv vax 13OCT98 & 14OCT98 pt committed suicide gun shot wound to head;


VAERS ID: 115260 (history)  
Form: Version 1.0  
Age: 77.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:1998-10-21
Onset:1998-10-22
   Days after vaccination:1
Submitted: 1998-10-23
   Days after onset:1
Entered: 1998-10-26
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0975790 / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: ESRD, HTN
Allergies:
Diagnostic Lab Data: T102.4;
CDC Split Type:

Write-up: c/o vague sx of not feeling well;T102.4;


VAERS ID: 115514 (history)  
Form: Version 1.0  
Age: 86.0  
Sex: Female  
Location: Mississippi  
Vaccinated:1998-10-19
Onset:1998-10-19
   Days after vaccination:0
Submitted: 1998-10-21
   Days after onset:2
Entered: 1998-11-02
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E20158HG / 6 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Arteriosclerosis, Cardiovascular disorder
SMQs:, Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: when asked if sick of feeling bad;pt did not report any problems
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: MS98022

Write-up: pt recv vax approx 830AM & pt pronounced dead on front steps of home;between 1:00 & 2PM 19OCT98 by medical examiner;


VAERS ID: 115695 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1998-10-01
Onset:1998-10-01
   Days after vaccination:0
Submitted: 1998-11-01
   Days after onset:31
Entered: 1998-11-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E20188HE / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: ?cardiac disorder
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MPI981933

Write-up: pt recv vax & died 10hr post vax;date of vax not specified, but batch number quoted is a current season''s batch;


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