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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 21 out of 182

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VAERS ID: 115910 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Male  
Location: Virginia  
Vaccinated:1998-10-29
Onset:1998-10-29
   Days after vaccination:0
Submitted: 1998-11-04
   Days after onset:6
Entered: 1998-11-06
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0981790 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cardiac arrest
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: 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: chronic renal failure
Allergies:
Diagnostic Lab Data:
CDC Split Type: U199800766

Write-up: pt recv vax 29OCT98 & died post cardiac arrest;pt had no allergic or anaphylactic rxn immed to the vax;


VAERS ID: 115912 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: Ohio  
Vaccinated:1998-10-28
Onset:1998-10-28
   Days after vaccination:0
Submitted: 1998-10-30
   Days after onset:2
Entered: 1998-11-06
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKDALE PHARMACEUTICALS 02298P / UNK RA / -

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Cardiac arrest, Chest pain
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 (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-29
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk~ ()~~~In patient
Other Medications:
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: FLU89161098

Write-up: pt recv vax 28OCT98 4PM;taken to Er @ approx 6Pm w/sudden onset of chest discomfort;


VAERS ID: 115913 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Female  
Location: Missouri  
Vaccinated:1998-10-28
Onset:1998-10-28
   Days after vaccination:0
Submitted: 1998-10-30
   Days after onset:2
Entered: 1998-11-06
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUOGEN) / PARKDALE PHARMACEUTICALS 021198P / 2 - / IM

Administered by: Other       Purchased by: Private
Symptoms: Apnoea, Malaise, Myocarditis, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-29
   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:
Current Illness: unk
Preexisting Conditions: allergic to PCN
Allergies:
Diagnostic Lab Data: drug toxicology drawn in ER;
CDC Split Type: FLU89171098

Write-up: pt recv vax 6-8AM & on 28OCT98 pt vomited 10min later felt bad;went home & cont c/o not feeling well next day;drove husband to work & when arrived in parking lot lost consciousness & stopped breathing;


VAERS ID: 116127 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Male  
Location: New York  
Vaccinated:1998-09-29
Onset:1998-09-30
   Days after vaccination:1
Submitted: 1998-11-06
   Days after onset:37
Entered: 1998-11-10
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4988207 / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Blood amylase increased, Infection, Laboratory test abnormal, Pancreatitis haemorrhagic, Somnolence, Stupor, Vomiting
SMQs:, Acute pancreatitis (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-01
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Stavudine;Videx liquid
Current Illness:
Preexisting Conditions: cogenital HIV+ from mother @ birth;never developed AIDS fefining illness;NKDA;followed by immunologist;
Allergies:
Diagnostic Lab Data: SEP98 CD4 count 1400 & viral load test of approx 8000;amylase 2125;blood lipase $g8000;autopsy included extensive microscopic studies;tissue stains yielded no organisms;brain examined by neuropathologist & found to be free of any AIDS;
CDC Split Type:

Write-up: 30SEP98 exp malaise, abd complaints, sleepiness;taken to ER dx benign rxn to flu vax;taken home later devel vomiting;mom found child unresponsive taken back to ER;child pronounced in ER;autopsy had acute hemorrhagic pancreatitis;


VAERS ID: 116465 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Male  
Location: Ohio  
Vaccinated:1998-10-16
Onset:1998-10-25
   Days after vaccination:9
Submitted: 1998-11-12
   Days after onset:18
Entered: 1998-11-18
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E20228KC / 1 - / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 455382 / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Accolate, Aerobid, albuterol, Isonizid, Zoloft, Pyridoxine, Ritalin, Theophyline;
Current Illness: COPD, ASHD, CHF, HTN, resp failure, PRD
Preexisting Conditions: NKA;COPD, ASHD, CHF, HTN, resp failure, PRD
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: no immed rxn, no adverse rxn @ site;no elevated pulse, temp;


VAERS ID: 116466 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Male  
Location: Ohio  
Vaccinated:1998-10-14
Onset:1998-10-20
   Days after vaccination:6
Submitted: 1998-11-12
   Days after onset:23
Entered: 1998-11-18
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E20228KC / 1 - / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 454382 / 1 - / IM

Administered by: Other       Purchased by: Public
Symptoms: Cardiac arrest, Hypotension
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (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), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zestril, Norvasc, Lasix, Ritalin, Pepcid, ensure per tube
Current Illness: CVA, CHF, NIDDM, ASHD, HTN, VHD, CAF, PVD, renal insufficiency, COPD
Preexisting Conditions: PCN, cephalosporins;CVA, NIDDM, ASHD, HTN, VHD, CAF, PVD, renal insufficiency, COPD
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: no immediate rxn, no adverse rxn @ site, no acute distress resident found w/no BP, no pulse initiated CPR;


VAERS ID: 116744 (history)  
Form: Version 1.0  
Age: 47.0  
Sex: Male  
Location: Texas  
Vaccinated:1998-10-20
Onset:0000-00-00
Submitted: 1998-10-27
Entered: 1998-11-24
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0975790 / UNK RA / IM
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0924000 / UNK LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Stupor, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-20
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk~ ()~~~In patient
Other Medications: unk
Current Illness: NONE
Preexisting Conditions: schizophrenia;pt brother states pt stated had been advised to have heart surgery;
Allergies:
Diagnostic Lab Data:
CDC Split Type: TX98164

Write-up: arrived @ ER via ambulance CPR in progress reported unconscious, unresponsive by family who called ambulance;CPR discontinued 815AM;no post mortem exam done;


VAERS ID: 116801 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1998-10-16
Onset:1998-10-17
   Days after vaccination:1
Submitted: 1998-11-09
   Days after onset:23
Entered: 1998-11-25
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0978660 / UNK LA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0871H / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Coronary artery disease, Diabetes mellitus, Unevaluable event
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Other ischaemic heart disease (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-10-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Vasotec, lanoxin, coumadin, immodium PRN;insulin
Current Illness: NONE
Preexisting Conditions: CAD/diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type: NJ9827

Write-up: pt expired w/in 24h of vax;no apparent allergic response;


VAERS ID: 117068 (history)  
Form: Version 1.0  
Age: 87.0  
Sex: Male  
Location: California  
Vaccinated:1998-11-13
Onset:1998-11-14
   Days after vaccination:1
Submitted: 1998-11-16
   Days after onset:2
Entered: 1998-12-04
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 7+ - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-11-16
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE frail-depressed
Preexisting Conditions: 18OCT98 resp infect-sx free 28OCT98
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: COPD w/exacerbation;resp distress;expired 15NOV98 @ hosp;adm to hosp 14NOV98;


VAERS ID: 117527 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:1998-09-11
Onset:1998-09-24
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 1998-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cachexia, Condition aggravated, Diarrhoea, Dyspepsia, Dyspnoea, Hypotension, Hypothermia, Lung disorder, Tachycardia
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Accidents and injuries (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-11-20
   Days after onset: 57
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Theodur;Pred;Xanas;Azmacort;Synthroid;Aldactone;Lasix;KDUR;albuterol;atrovent;loxanol;
Current Illness: no acute illness afeb;end state COPD;
Preexisting Conditions: End Stage COPD; corpulmonale;HTN;Heart Failure
Allergies:
Diagnostic Lab Data: BP 104/70;T97.9;pulse 96;resp 20;
CDC Split Type:

Write-up: pt exp diarrhea 24SEp;8hr later upset stomach;7hr later dyspnea;


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