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From the 11/12/2021 release of VAERS data:

Found 3,116 cases where Patient Died and Vaccination Date from '2007-08-01' to '2020-11-30'

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Case Details

This is page 21 out of 312

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VAERS ID: 336785 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Illinois  
Vaccinated:2008-12-18
Onset:2008-12-19
   Days after vaccination:1
Submitted: 2009-01-07
   Days after onset:19
Entered: 2009-01-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2792CA / 1 RL / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB319AB / 1 RL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1083X / 1 LL / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1317X / 1 LL / UN

Administered by: Public       Purchased by: Public
Symptoms: Death, 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: 2008-12-19
   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: None
Current Illness: None, healthy
Preexisting Conditions: Extra digit both hands at birth - tied; H/O drugs use in, child was in D 2/17/09-records received-sickle cell anemia trait
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient seen on 12/18/08, received immunizations, had low grade fever next day and then was brought to ER lifeless. 2/17/09-records received COB bacterial sepsis. Other significant conditions contributing to death but not related to terminal conditions:sickle cell anemia trait. krk


VAERS ID: 336841 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Wisconsin  
Vaccinated:2008-11-18
Onset:2008-12-04
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2009-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2956AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF515AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0836 / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68309 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0641X / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-04
   Days after onset: 0
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 except runny nose
Preexisting Conditions: Prematurity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient found unresponsive in crib by parents. No symptoms prior - autopsy revealed intussusception. Pronounced dead at ER. 1/23/09 Autopsy report states COD as complications of intussusception. Also states: six areas of IS of small intestine; changes of distant intestine present; early pneumonia; inflammation of lung tissue & small airways. Patient had been found unresponsive in crib after recent history of cold like symptoms with fever.


VAERS ID: 337130 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Texas  
Vaccinated:2008-12-23
Onset:2008-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2009-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B204BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF517AB / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D16279 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1169X / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-24
   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: 33 week premature twin PMH: 33 week preemie twin, NICU x 3 weeks Family hx: parents w/hypothyroidism & psoriasis; others w/protein S factor deficiency, DM, HTN, asthma
Allergies:
Diagnostic Lab Data: Autopsy - report not available.
CDC Split Type:

Write-up: Pt. examined and vaccinated on 12/23/08 for well visit - normal exam. Pt found by parent in crib morning of 12/24 apneic - SIDS is preliminary cause of death - coroner''s report not available. 2/2/09 Received Autopsy Report which states COD as sudden unexplained death in an infant & manner of death as undetermined. 2/2/09 Autopsy report also states patient experienced cold s/s. Last seen by PCP on 12/23/08 for vaccinations, had been given Tylenol x 3 doses. Was fed & had been placed in crib face down w/head turned to side & 2 blankets on. 2/4/09 Received PCP office & vaccine records. Records reveal patient in good health on 12/23/08 w/only dry patchy areas on legs & back & left eye turning intermittently.


VAERS ID: 337242 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2008-01-14
Onset:2008-11-15
   Days after vaccination:306
Submitted: 2009-01-09
   Days after onset:55
Entered: 2009-01-14
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 2 RA / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-11-15
   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: No medical problems-- no allergies -- No drug use, alcohol or smoking. Had all her medical check ups!!!
Allergies:
Diagnostic Lab Data: 1/29/09-records received-COD-undetermined. krk 6/23/09-pathology report received: autopsy tissues without evidence of an infectious process. 6/26/09 Medical records received DOS 10/29/07 to 1/14/08. LABS and DIAGNOSTICS: PAP Tests (-).
CDC Split Type:

Write-up: My daughter had her 3rd GARDASIL vaccine in Sept. She was a very healthy young lady, she went to take a shower and died. Autopsy report states undermined death. There was no sign of trauma to the body to indicate a fall. She had pointed the shower head away from her and she got down on her knees and put her head on the edge of the tub and passed away. This has been a living nightmare for her family. She is not the only one to have had problems and death from this vaccine. Please I beg you to please take it off until it can be further tested. -not tested long enough to begin with- There will be others that will die if the cause is not found. 1/29/09-records received-COD-undetermined. 6/26/09 Medical records received DOS 10/29/07 to 1/14/08. Assessment: Immunizations and Contraceptive Management. HPV#1 10/29/07 LA Merck Lot# 1062U


VAERS ID: 337243 (history)  
Form: Version 1.0  
Age: 0.44  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2008-12-11
Onset:2008-12-16
   Days after vaccination:5
Submitted: 2009-01-09
   Days after onset:24
Entered: 2009-01-14
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2957AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF4U5AA / 2 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0836 / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D01074 / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0217X / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Encephalopathy, Shock haemorrhagic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypovolaemic shock conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-18
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: None. PMH: none.
Allergies:
Diagnostic Lab Data: See attached. Labs and Diagnostics: CBC with 43K WBCs with 20% atypical lymphs. CT brain scan (+) cerebral edema and probable ischemic infarcts. CSF (+) for few PMNs, CSF glucose 105, CSF protein 62. CSF cx (-). EEG abnormal. Rotavirus (+), likely due to shedding. ALT 938-9,480. AST 1,974-12,822. Blood cx (-). UC (-). Hgb 9.2. Platelets WNL on admission down to 105K. Lactate 5.3 on adm up to 10.2. PT 36.3-49.5. INR 3.54-5.22. PTT 42-56. Fibrinogen dropped from 153-137. D-dimer $g 20. CXR (+) for atelectasis. K+ 6.1. CO2 12. Cl- 110. Glucose 55.
CDC Split Type:

Write-up: Patient developed hemorrhagic shock w/ encephalopathy syndrome 5 days after vaccine administration and died. 1/27/2009 MR received for DOS 12/16-18/2008 which was the Date of death. Principal DX: Multisystem organ failure 2'' to Hemorrhagic Shock and Encephalopathy Syndrome (HSES). Pt initially presented with new onset seizures and diarrhea. Pt in usual state of good health a.m. of 1/16/09 except for some recent mild congestion. Later noted to be sweaty and did not respond while parent was changing clothes. Later noted to be eye rolling and making unusual movements. In status epilepticus and metabolic acidosis on arrivial in local ED. Intubated and medicated for seizures and transferred to higher level of care. Cool and mottled on arrival. LFTs elevated. Issues with hypoglycemia, abnormal coags and electrolyte fluctuations with little response to tx. Parents elected to withdraw life support follwing notification of fatal status of illness. 2/12/09 Death Cert received. COD- Multiorgan Failure. Hemorrhagic Shock and Encephalopathy Syndrome.


VAERS ID: 337670 (history)  
Form: Version 1.0  
Age: 0.13  
Sex: Male  
Location: Alabama  
Vaccinated:2009-01-08
Onset:2009-01-10
   Days after vaccination:2
Submitted: 2009-01-12
   Days after onset:2
Entered: 2009-01-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B77CA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF496AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D05882 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1358X / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Autopsy, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-01-10
   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: None
Current Illness: None
Preexisting Conditions: Heart murmur
Allergies:
Diagnostic Lab Data: Autopsy pending
CDC Split Type:

Write-up: Found by father not breathing approximately 0500 on 1/10. Attempted resuscitation at home via police then EMS. To hospital with resuscitation efforts for approximately 1 hr with no results.


VAERS ID: 337671 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Arkansas  
Vaccinated:2009-01-13
Onset:0000-00-00
Submitted: 2009-01-16
Entered: 2009-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR SPC3230AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D0107S / 3 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-01-14
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: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was administered vaccines on 013109. Pt was found deceased on 011409. 10/28/09 Autopsy report received. DOD 11/14/09 Cause of Death: Sudden Unexplained Infant Death. Additional information extracted: Suddent Infant Death Syndrome.


VAERS ID: 337669 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Michigan  
Vaccinated:2008-11-17
Onset:2008-11-24
   Days after vaccination:7
Submitted: 2009-01-19
   Days after onset:56
Entered: 2009-01-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2788FA / 1 RL / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB213AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF222AA / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0807U / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C50457 / 4 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1517U / 1 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Death, Dyspnoea, Hypotonia, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-11-24
   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 - normal
Preexisting Conditions: ? slight allergy 6-10-08; Hx otitis media . PMH: PCP records reveal normal childhood illnesses (OM, URI, bronchits) in 1st yr of life. Excessive wt gain noted at 3 months.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: CXR (+) for R pneumpthorax, pneumomediastinum, and probable L pneumothorax.
CDC Split Type:

Write-up: Pt given HIB #4; PREVNAR #4; Hepatitis A #1; MMR #1; Varicella #1 and Influenza #1 on 11-17-08. Pt presented one week later "barely breathing"; flacid and unresponsive to verbal-painful stimuli at 1755-transferred-died at local hospital a couple of hours later. 2/12/09 PCP and hospital records received from FDA. Pt with mild fever 11/24/08 put down to nap. Ptfound to be diaphoretic, limp, minimally breathing and non-interactive in crib. Upon arrival of EMS pt noted to be unresponsive to stim, satring with no blink response, pulse 160, RR 32 with rhonchi bilaterally R$gL. Dx with severe croup at local hospital with transport planned to higher level of care. In ER unresponsive in severe respiratory distress, skin mottled, O2 sats 80s-90s on pale toes. Arrived to transfer hospital unresposive to pain, lethargic, initially flaccid then posturing, (+) cervical lymphadenopathy, resp distress with stridor and rhonchi- intubated. Impression- Respiratory Failure. Cardiac arrest. CPR unsuccesful. 3/25/09 Autopsy report received with COD: Community Acquired Pneumonia. Manner of Death: natural. Final DX: 1) Acute hemorrhage pneumonia, multifocal, community acquired- a) Diffusely firm, edematous and hemorrhagic lungs, bilaterally. b) Histologic exam confirms purulent multifocal pneumonia. 2) Moderate Cerebral Edema. 3) Serous Pleural and Peritoneal Effusions.


VAERS ID: 338667 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2009-01-27
Onset:2009-01-28
   Days after vaccination:1
Submitted: 2009-01-28
   Days after onset:0
Entered: 2009-01-30
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2810AA / 2 RL / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB274AD / 1 RL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1369X / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 021052 / 4 RL / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1406X / 1 LL / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-01-28
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Autopsy is being performed
CDC Split Type:

Write-up: Sudden death at home morning of 1/28/09. 6/1/09 Autopsy report states COD as sudden unexpected infant death & manner of death as natural. Report also states patient found dead in crib, tox screens & cultures all neg.


VAERS ID: 338821 (history)  
Form: Version 1.0  
Age: 1.01  
Sex: Female  
Location: Washington  
Vaccinated:2009-01-21
Onset:2009-01-22
   Days after vaccination:1
Submitted: 2009-02-02
   Days after onset:11
Entered: 2009-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB258AA / UNK RL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1120X / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D05879 / UNK UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1389X / UNK UN / UN

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

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2009-01-22
   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: Unknown
Preexisting Conditions: No concomitant medications were noted in chart by parents. No relevant medical history. No noted adverse events following previous vaccinations. PMH: none
Allergies:
Diagnostic Lab Data: UNK. Labs: Tox screen (-). Blood cx (+) for Strep salivarius (contaminant). Lower respiratory cx (+) for moderate growth of Strep pneumoniae and heavy growth routine resp flora.
CDC Split Type: A0766166A

Write-up: This case was reported by a healthcare professional and described the occurrence of death nos in a 12-month-old female subject who was vaccinated with HAVRIX (GlaxoSmithKline), MMR II (strain not specified), VARIVAX and PREVNAR. On 21 January 2009 at 07:43, the subject received unspecified dose of HAVRIX (.5 ml, unknown, right thigh), unspecified dose of MMR II (unknown), unspecified dose of VARIVAX (unknown), and unspecified dose of PREVNAR (unknown). On 22 January 2009, 1 day after vaccination with HAVRIX, after vaccination with MMR II, PREVNAR, and VARIVAX, the subject experienced death nos. The healthcare professional considered the event was disabling, life threatening and clinically significant (or requiring intervention). The subject died on 22 January 2009 from death nos. It was unknown whether an autopsy was performed. It was reported the subject had "no history of illness or medical problems. Not on medications at time of death. Medical examiner stated undetermined cause of death on death certificate". 3/5/09 Autopsy report received with COD: Undetermined. Manner of Death: Undetermined. Child had presented to PCP earlier on the DOD with fever and URI sx. 4 vax given taht day. Child remained cranky and put down to nap. Approx 1 hour later found face down without pulse or respirations. Resuscitation unsuccessful.


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