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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 22 out of 182

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VAERS ID: 117906 (history)  
Form: Version 1.0  
Age: 75.0  
Sex: Male  
Location: Utah  
Vaccinated:1998-11-30
Onset:1998-12-01
   Days after vaccination:1
Submitted: 1998-12-23
   Days after onset:22
Entered: 1999-01-05
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 498819 / UNK LA / -

Administered by: Private       Purchased by: Public
Symptoms: Condition aggravated, Pyrexia, Shock
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-12-02
   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: Cordarone
Current Illness: NONE
Preexisting Conditions: Allergic to PCN, Irregular heart beat, ventricular arrhythmia(declined implantable defibrillator, CABG x3 in 1995, ischemic cardiomyapathy, heavy drinker, hearing aid
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: UT981825

Write-up: Pt recv vax on 11/30/98; on 12/1/98 pt exp coldness, fever; on 12/2/98 pt exp hotness; collapsed; pt died


VAERS ID: 117908 (history)  
Form: Version 1.0  
Age: 0.9  
Sex: Female  
Location: California  
Vaccinated:1998-10-27
Onset:1998-11-10
   Days after vaccination:14
Submitted: 1998-12-28
   Days after onset:48
Entered: 1999-01-05
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4988202 / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood urea increased, Brain oedema, Coma, Diabetes mellitus, Gastroenteritis, Hyperglycaemia, Hyponatraemia, Infection, Ketosis, Vomiting, Weight decreased
SMQs:, Acute renal failure (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (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), Hyponatraemia/SIADH (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Chronic kidney disease (broad), Noninfectious diarrhoea (broad), Tumour lysis syndrome (broad), 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: 1998-12-12
   Days after onset: 32
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: Beclovent inhaler
Current Illness:
Preexisting Conditions: asthma, rt lower lobe infiltrate, innocent murmur
Allergies:
Diagnostic Lab Data: glucose on admission 1310;NA 124;BUN 31;SGPT 26;CREAT 0.3;SGOT 42;
CDC Split Type:

Write-up: pt recv vax 27OCT98 & 10NOV severe vomiting, glucose 92, felt prob viral age;25NOV seen for OM;29NOV cranky, some vomiting w/nl exam;sl weight loss;3DEC vomited againx2;dx DKA w/glucose 1310;


VAERS ID: 118502 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Female  
Location: Iowa  
Vaccinated:1998-10-15
Onset:1998-10-24
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1999-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Condition aggravated, Influenza, Lung disorder, Pneumonia, Pneumonia aspiration, Renal failure
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Eosinophilic pneumonia (broad), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-11-05
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: COPD, IDDM, Smoker, Aspiration pnuemonia, depression, thyroid
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: adm w/flu-like sx flu shot 9 days earlier;pt w/underlying COPD went on to devel pneumonia & renal failure & resp failure, died 5NOV;


VAERS ID: 124694 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Male  
Location: Texas  
Vaccinated:1998-11-01
Onset:1999-02-20
   Days after vaccination:111
Submitted: 0000-00-00
Entered: 1999-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0973930 / UNK - / -

Administered by: Other       Purchased by: Public
Symptoms: Drug ineffective, Hypoxia, Infection, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder, Shock
SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-03-21
   Days after onset: 29
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: COD influenza complicated by pneumococcal pneumonia;2/23/99 WBC 6.4, 19% bands;2/24/99 WBC 7.3, 18% bands;CXR showed hazy lt lower lung base;3/17/99 tracheostomy performed;
CDC Split Type: TX99112

Write-up: fever & mild upper airway sx, then lower resp problems w/dec 02;dx influenza, r/o pneumonia;deteriorated;required intubation, ventilation support;dx pneumococcal pneumonia;devel shock, father req no aggressive tx-pt died; father ref autopsy


VAERS ID: 129826 (history)  
Form: Version 1.0  
Age: 77.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1999-10-06
Onset:1999-10-07
   Days after vaccination:1
Submitted: 1999-10-25
   Days after onset:18
Entered: 1999-10-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0126FA / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cough, Lung disorder, Myocardial infarction, Right ventricular failure
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Pulmonary hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-07
   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: U199900751

Write-up: p/vax pt found dead by husband on 10/7/99;it was reported by pt husband that on 10/6/99 pt had a cough & chest congestion;pt was never seen by MD not in whole life;pt always treated self w/all kinds of herbs & vitamins;


VAERS ID: 129827 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Male  
Location: Indiana  
Vaccinated:1999-10-20
Onset:1999-10-20
   Days after vaccination:0
Submitted: 1999-10-22
   Days after onset:2
Entered: 1999-10-26
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0096BA / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-20
   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: baclofen IV, morphine sulfate
Current Illness:
Preexisting Conditions: quadriplegic
Allergies:
Diagnostic Lab Data:
CDC Split Type: U199900750

Write-up: p/vax pt was found dead by family member;exact time of death has not been established;autopsy to determine COD is being conducted 10/21/99;


VAERS ID: 129991 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: Florida  
Vaccinated:1999-10-19
Onset:1999-10-20
   Days after vaccination:1
Submitted: 1999-10-27
   Days after onset:7
Entered: 1999-10-28
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0096BA / 2 - / IM A

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Myocardial infarction
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None~ ()~~~In patient
Other Medications: insulin, Pepcid
Current Illness: none x/ feeling tired
Preexisting Conditions: IDDM, poorly controlled; Arteriosclerotic disease w/ angina; elev cholesterol; frequent URI & UTI; diverticulitis; hiatal hernia; breast CA s/p lumpectomy in ''92-in remission
Allergies:
Diagnostic Lab Data:
CDC Split Type: U199900765

Write-up: p/vax pt was found dead;it it unk if an autopsy is being performed;


VAERS ID: 130028 (history)  
Form: Version 1.0  
Age: 81.0  
Sex: Male  
Location: California  
Vaccinated:1999-10-21
Onset:1999-10-22
   Days after vaccination:1
Submitted: 1999-10-22
   Days after onset:0
Entered: 1999-10-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4998221 / 1 RA / IM

Administered by: Other       Purchased by: Public
Symptoms: Cardiac arrest, Coronary artery disease, Hypertension, Lung disorder, Right ventricular failure
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), 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), Pulmonary hypertension (narrow), Hypertension (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-22
   Days after onset: 0
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: ProAmatine, Cozaar, Dyazide; Pepcid, Carafate, Albutrol;
Current Illness: NONE
Preexisting Conditions: NKDA;CHF, COPD
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax @ clinic 10/21/99 & deceased @ home 10/22/99;


VAERS ID: 130318 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:1999-10-12
Onset:1999-10-19
   Days after vaccination:7
Submitted: 1999-10-28
   Days after onset:9
Entered: 1999-11-05
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4998212 / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Apnoea
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: 3030320OCT199

Write-up: p/vax pt devel resp arrest & died;it was reported that medical director felt there was no connection between vax & events;


VAERS ID: 130605 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Female  
Location: Mississippi  
Vaccinated:1999-10-07
Onset:1999-10-08
   Days after vaccination:1
Submitted: 1999-11-03
   Days after onset:26
Entered: 1999-11-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES U0065AA / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypoxia, Pharyngitis, Pulmonary fibrosis, Pulmonary oedema, Respiratory disorder
SMQs:, Cardiac failure (narrow), Agranulocytosis (broad), Asthma/bronchospasm (broad), Interstitial lung disease (narrow), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-11-18
   Days after onset: 41
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Celestone, Ceftin, Proventil HAM, histex HC
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: surgical pathology from lt lung biopsy on 10/28/99-diffuse alveolar damage w/acute & chronic penumonitis, hyaline membrane formation, interstitial edema & early organization;
CDC Split Type: U199900836

Write-up: p/vax pt exp a severe sore throat that became worse p/ATB;CXR revealed bilat pulmonary infiltrates;pt put on ventilator;pt had an open lung biopsy on10/28''/99;tissue samples show diffuse alveolar damage w/acute & chronic pneumonitis;60 day follow up states the pt died.


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