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

Found 2,947 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'

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Case Details

This is page 22 out of 295

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VAERS ID: 446850 (history)  
Form: Version 1.0  
Age: 0.56  
Sex: Female  
Location: New York  
Vaccinated:2011-10-31
Onset:2011-11-01
   Days after vaccination:1
Submitted: 2011-12-20
   Days after onset:49
Entered: 2012-01-05
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT4176BA / 1 RL / IM

Administered by: Military       Purchased by: Public
Symptoms: Death, Laboratory test, Pyrexia, X-ray
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-11-03
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nebulizers; Diuretics; Antireflux meds; Pain mgmt
Current Illness: Vent dependent; BPD
Preexisting Conditions: Former 24 week premature infant - in hospital NICU throughout her life.
Allergies:
Diagnostic Lab Data: All radiographic/laboratory data unable to explain fever or death
CDC Split Type:

Write-up: Infant developed very high fever (sepsis ruled out) hours after vaccine. Despite maximal medical support, infant died. No explanation for fever could be found.


VAERS ID: 447716 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2012-01-19
Onset:2012-01-20
   Days after vaccination:1
Submitted: 2012-01-20
   Days after onset:0
Entered: 2012-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4000AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 916974 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1393AA / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Bed sharing, Cardiac arrest, Death, Dyspnoea
SMQs:, Torsade de pointes/QT prolongation (broad), 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 (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-20
   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: Infant TYLENOL; Simply Saline
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Jan 20 2011 5 pm Call from hosp/med ctr. Mother accompanied infant to ER. Resp difficulty infant had cardiac arrest. Expired. Infant had been sleeping in parent bed with his father.


VAERS ID: 448161 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Female  
Location: California  
Vaccinated:2011-09-23
Onset:2011-10-01
   Days after vaccination:8
Submitted: 2012-01-26
   Days after onset:117
Entered: 2012-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621AA / UNK - / SC

Administered by: Other       Purchased by: Private
Symptoms: Blister, Burning sensation, Herpes zoster, Oropharyngeal pain, Rash, Urinary tract infection
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-04
   Days after onset: 95
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lyrica, Ramipril, Norco, Methotrexate, Carvedilol, Amlodipine, Omeprazole, Ferrous Sulfate, Crestor, Furosemide, Clotrimozole, Humera
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Contracted Shingles, Urinary Tract Infection
CDC Split Type:

Write-up: Sore throat, blisters on scalp, burning sensation, rash.


VAERS ID: 448347 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Indiana  
Vaccinated:2012-01-26
Onset:2012-01-29
   Days after vaccination:3
Submitted: 2012-01-30
   Days after onset:1
Entered: 2012-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3892BA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0894AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F56177 / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB200A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-29
   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: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received report from hospital that patient had died from SIDS.


VAERS ID: 448544 (history)  
Form: Version 1.0  
Age: 0.97  
Sex: Male  
Location: West Virginia  
Vaccinated:2012-01-25
Onset:2012-01-27
   Days after vaccination:2
Submitted: 2012-02-01
   Days after onset:5
Entered: 2012-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U4231BB / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-27
   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: amoxicillin-potassium clavulanate 600 mg-42.9 mg/5 mL Oral Susp, 1/2 Teaspoon(s), PO, BID, 10 days, for a total of 50, start on January 18, 2012 and end on January 27, 2012.
Current Illness: NASAL CONGESTION
Preexisting Conditions: ATRIAL SEPTAL DEFECT AT BIRTH PLANNED TO RECHECK AT 1 YEAR OF AGE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: UNKNOWN- ADVERSE EVENT ONSET TIME IS UNKNOWN.


VAERS ID: 448732 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Texas  
Vaccinated:2010-04-07
Onset:2010-04-07
   Days after vaccination:0
Submitted: 2012-02-03
   Days after onset:667
Entered: 2012-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3500AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. D890Y / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E01563 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 MO / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Crying, Decreased appetite, Emotional distress, Hypotonia, Muscular weakness, Posture abnormal, Screaming
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-09
   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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lazy, limp, screaming, inconsolable, couldn''t hold himself up on his legs, hung his head and could hold it up for a few seconds like he could before, wouldn''t eat much, tried but cried instead.


VAERS ID: 448750 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: New Hampshire  
Vaccinated:2011-11-25
Onset:2012-01-09
   Days after vaccination:45
Submitted: 2012-02-03
   Days after onset:25
Entered: 2012-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3866AA / 2 UN / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVR982BB / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 916617 / 2 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0677AA / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-09
   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: NH0103201201

Write-up: None stated.


VAERS ID: 449283 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: Texas  
Vaccinated:2011-10-04
Onset:2011-10-11
   Days after vaccination:7
Submitted: 2012-01-23
   Days after onset:104
Entered: 2012-02-09
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR IU465AA / 2 RA / UN

Administered by: Other       Purchased by: Other
Symptoms: Alanine aminotransferase increased, Anion gap increased, Aspartate aminotransferase increased, Basophil percentage decreased, Bilirubin conjugated, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased, Blood creatinine increased, Blood glucose increased, Blood magnesium decreased, Blood phosphorus, Blood potassium decreased, Blood sodium decreased, Blood urea increased, Blood urea nitrogen/creatinine ratio, Carbon dioxide decreased, Death, Eosinophil percentage decreased, Feeling cold, Globulins increased, Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immunoglobulins, Laboratory test, Livedo reticularis, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased, Mean platelet volume increased, Monocyte percentage, Platelet count decreased, Protein total decreased, Protein total normal, Pulse absent, Red blood cell count normal, Red cell distribution width increased, Respiratory arrest, Resuscitation, White blood cell count increased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Haematopoietic thrombocytopenia (narrow), Lactic acidosis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hyponatraemia/SIADH (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-10-11
   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: Amiloride HCl 5mg tab; Cetirizine HCl 10mg tab; Epinephrine 0.3mg auto injector ea; Flunisolide, 0.025% 200D nasal inh spray; Ketotifen fumarate, 0.025% oph soln; Magnesium Cl 535mg (64mg mag) SR tab; Mometasone 200mcg inh; Omeprazole 20mg
Current Illness: None noted
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10/11/2011, Na, 122 mmol/L L; K, 3.7 mmol/L; Cl, 62 mmol/L L; CO2, 20.0 mmol/L L; Glucose, 493 mg/dL H; BUN, 78 mg/dL H; Creat, 7.3 mg/dL H; AST, 197 U/L H; ALT, 79 U/L H; ALP, 71 U/L; T. Bil, 1.0 mg/dL; D Bili mg/dL; Alb, 2.5 G/dL L; Calcium, 6.9 mg/dL L; PO4, mg/dl; Mg, 0.9 mEq/L L; Ani Gap, 40.0 mmol/L H; BUN/Cr, 10.7; Glob, 3.6 G/dL; T Prot, 6.1 G/dL; WBC, 19.3 K/cu mm H; RBC, 4.21 M/cu mm; Hgb, 14.9 g/dL; Hct, 40.8%; MCV, 96.9 fL; MCH, 35.4 pg H; MCHC, 36.5 g/dL, RDW, 14.4%; Plt, 134.0 K/cu mm L; MPV, 14.1 fL H; Lymph, 12.7% L; Mono, 5.9%; Gran, 64.5%; Eos, 0%; Baso, 0%; IM, 1.0%; Ly, 1.67 K/cu mm; 10/04/2011, Na, 134 mmol/L; K, 2.8 mmol/L L; Cl, 98 mmol/L; CO2, 22.2 mmol/L; Glucose, 93 mg/dL; BUN, 4 mg/dL L; Creat, 0.5 mg/dL; AST, 133 U/L H; ALT, 79 U/L; ALP, 71 U/L; T. Bil, 0.6 mg/dL; Alb, 3.2 G/dL; Calcium, 8.7 mg/dL; Ani Gap, 14.0 mmol/L; BUN/Cr, 7.5 L; Glob, 3.3 G/dL; T Prot, 6.5 G/dL; WBC, 8.0 K/cu mm; RBC, 3.61 M/cu mm L; Hgb, 12.7 g/dL; Hct, 38.0%; MCV, 105.3 fL H; MCH, 35.2 pg H; MCHC, 33.4 g/dL; RDW, 15.4%; Plt, 200.0 K/cu mm; MPV, 10.1 fL; Lymph, 20.8%; Mono, 7.0%; Gran, 70.3%; Eos, 0.5%; Baso, 0.4%
CDC Split Type:

Write-up: Patient was found down by significant other and brought to ER in private vehicle. Enroute patient stopped breathing. On arrival to ER patient was cold, mottled with no pulse. Code was called. After 30 minutes of resuscitation, time of death was called.


VAERS ID: 449429 (history)  
Form: Version 1.0  
Age: 0.15  
Sex: Male  
Location: California  
Vaccinated:2012-01-25
Onset:2012-01-26
   Days after vaccination:1
Submitted: 2012-02-10
   Days after onset:15
Entered: 2012-02-13
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
6VAX-F: DTAP+IPV+HEPB+HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER WL00041788 / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH WL0043329 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. WL00042295 / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Autopsy, Blood culture positive, Culture urine positive, Death, Dyspnoea, Lung infiltration, Pyrexia, Resuscitation, Streptococcus test positive
SMQs:, Anaphylactic reaction (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-27
   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: None
Preexisting Conditions: Umbilical hernia
Allergies:
Diagnostic Lab Data: Blood & urine cultures positive for both, hemolytic Streptococcus. Preliminary autopsy report -$g polymorphonuclear leukocyte infiltration of lungs and other organs.
CDC Split Type:

Write-up: Within hours of vaccination (night of vaccination day) infant became febrile. At approximately 2:00AM on 1/26/2012, he was taken to hospital because of breathing difficulty. Infant was resuscitated at hospital but expired on 1/27/2012.


VAERS ID: 449546 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Male  
Location: Kentucky  
Vaccinated:2012-01-23
Onset:2012-01-25
   Days after vaccination:2
Submitted: 2012-02-14
   Days after onset:20
Entered: 2012-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4083AA / UNK RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917737 / UNK LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1512AA / UNK MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mylicon
Current Illness: No
Preexisting Conditions: Premature Birth Live Child 36 weeks Gestation
Allergies:
Diagnostic Lab Data: Autopsy results pending
CDC Split Type:

Write-up: Baby found dead by mother.


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