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From the 11/26/2021 release of VAERS data:

Found 2,956 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'

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Case Details

This is page 24 out of 296

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VAERS ID: 451752 (history)  
Form: Version 1.0  
Age: 88.0  
Sex: Male  
Location: California  
Vaccinated:2010-12-06
Onset:2010-12-14
   Days after vaccination:8
Submitted: 2012-03-09
   Days after onset:451
Entered: 2012-03-14
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 1416Z / UNK RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Cardiac failure congestive, Cough, Death, Dyspnoea
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-26
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Aortic stenosis; Dementia; CAD; HTN; GERD; Chronic renal insuff; Dyslipidemia
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Admitted 12/16/10 for cough x 3 days, and SOB. Found to be in CHF. Hospitalized for approximately 8 days and released to hospice. Patient expired 12/26/10. Patient had ZOSTAVAX 10 days prior to admission.


VAERS ID: 452127 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2012-02-15
Onset:0000-00-00
Submitted: 2012-03-20
Entered: 2012-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4115AA / 1 RL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC070BA / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 917787 / 1 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1474AA / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-02-16
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:

Write-up: Patient passed away the day after his well exam. Vaccines were not indicated as a reason for death.


VAERS ID: 452383 (history)  
Form: Version 1.0  
Age: 59.0  
Sex: Male  
Location: Ohio  
Vaccinated:2011-11-03
Onset:2011-12-02
   Days after vaccination:29
Submitted: 2012-03-25
   Days after onset:113
Entered: 2012-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH475AB / UNK LA / IM

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

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-12-02
   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: 1. September 18, 2011 - Sick with cold/flu 2. October 9, 2011 - vomited through nose, dry heaves 3. October 19, 2011 - diagnosed with sinus infection; dizzy; short of breath; labwork - prescribed calcium awaiting urinalysis results for f
Current Illness: IN-PATIENT STAY 11/1-6/2011
Preexisting Conditions: DIABETES DIAGNOSED 5/2011
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: DEATH.


VAERS ID: 452453 (history)  
Form: Version 1.0  
Age: 0.78  
Sex: Male  
Location: Kentucky  
Vaccinated:2012-02-20
Onset:0000-00-00
Submitted: 2012-03-26
Entered: 2012-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U4231B / 2 LL / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-26
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: Cold; No routine med
Preexisting Conditions: Baby born 3 wks premature
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Baby died at home DOA at hosp.


VAERS ID: 452597 (history)  
Form: Version 1.0  
Age: 1.22  
Sex: Female  
Location: Alabama  
Vaccinated:2012-03-27
Onset:2012-03-28
   Days after vaccination:1
Submitted: 2012-03-28
   Days after onset:0
Entered: 2012-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1586AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917243 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0979AA / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: 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: 2012-03-28
   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:
Current Illness:
Preexisting Conditions: Lissencephaly; Perimembranous VSD; PFO; seizures
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Per parent, patient acting appropriately yesterday afternoon and last night - playful. Parent woke up around 4:15 am and child not breathing.


VAERS ID: 452752 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: California  
Vaccinated:2012-03-28
Onset:2012-03-29
   Days after vaccination:1
Submitted: 2012-03-30
   Days after onset:1
Entered: 2012-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4155AA / 1 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVC029CA / 2 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 917242 / 1 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1195AA / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Pulse absent, Sudden infant death syndrome, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-29
   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: Acetaminophen
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SIDS evaluation via coroner''s office
CDC Split Type:

Write-up: 2 month old found pulseless & unresponsive at home 7am 21 hrs after 2 month vaccines.


VAERS ID: 452753 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: California  
Vaccinated:2012-03-23
Onset:2012-03-27
   Days after vaccination:4
Submitted: 2012-03-30
   Days after onset:3
Entered: 2012-04-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4043AD / 1 LA / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-27
   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:
Current Illness: Status post 2 recent spinal surgeries
Preexisting Conditions: Rett''s syndrome
Allergies:
Diagnostic Lab Data: Recent PICU stay d/c 2/28/12
CDC Split Type:

Write-up: 11 y/o female with Rett''s syndrome, scoliosis, has had 2 recent spinal surgeries (1/31/12 anterior, 2/8/12 posterior).


VAERS ID: 453010 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2012-03-20
Onset:2012-03-29
   Days after vaccination:9
Submitted: 2012-04-04
   Days after onset:6
Entered: 2012-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0692AA / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-29
   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: Loestrin 1/20mg one daily. Cetraxal 0.2% solution 2 drops bid for 7 days
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Undetermined cause death occurred nine days after 2nd injection of Gardasil. 1st dose on 01/31/2012.


VAERS ID: 453774 (history)  
Form: Version 1.0  
Age: 1.06  
Sex: Male  
Location: Massachusetts  
Vaccinated:2012-03-06
Onset:0000-00-00
Submitted: 2012-04-16
Entered: 2012-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1416AA / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0872AA / 1 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0977AA / 1 RA / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-03-25
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol/DUONEB (PRN)
Current Illness: None
Preexisting Conditions: Mild Persistent Asthma
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt. received vaccines (MMR & Varicella) on 3/6/12. On 3/25/12 was found dead in crib (still waiting for autopsy results).


VAERS ID: 453833 (history)  
Form: Version 1.0  
Age: 56.0  
Sex: Male  
Location: Georgia  
Vaccinated:2011-07-25
Onset:2011-07-26
   Days after vaccination:1
Submitted: 2012-04-16
   Days after onset:265
Entered: 2012-04-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0657AA / UNK UN / SC

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

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2011-07-26
   Days after onset: 0
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Hypertension; Cholesterol high; Metabolic syndrome; Vitamin D deficiency; Impaired fasting glucose
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1204USA01511

Write-up: Information has been received from an office manager (Bachelor of Science) from a physician''s office concerning a 56 year old male patient with hypertension, high cholesterol, metabolic syndrome, vitamin d deficiency and impaired fasting glucose who on 25-JUL-2011 was vaccinated with a dose of ZOSTAVAX (Merck), 0.65 mL, subcutaneous (lot # 670613/0657AA). It was reported that the patient died on 26-JUL-2011 after receiving the ZOSTAVAX (Merck). The office manager stated that on 25-JUL-2011, the patient received ZOSTAVAX (Merck) and flew out of town and was found dead in a department store on 26-JUL-2011. The reporter indicated that on 10-APR-2012, the patient''s wife went to the physician''s office and showed them the death certificate. The cause of death was unknown. The reporter considered the event to be disabling and immediately life-threatening. A lot check has been initiated. Additional information has been requested.


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