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From the 1/7/2021 release of VAERS data:

Found 1,919 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 26 out of 192

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VAERS ID: 165525 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Female  
Location: Alabama  
Vaccinated:2000-12-08
Onset:2000-12-09
   Days after vaccination:1
Submitted: 2000-12-09
   Days after onset:0
Entered: 2001-02-02
   Days after submission:55
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008187 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cardio-respiratory arrest, Mydriasis, Pulmonary congestion, Pulmonary oedema
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Anticholinergic 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), Haemodynamic oedema, effusions and fluid overload (narrow), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-12-09
   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: insulin in AM and PM
Current Illness:
Preexisting Conditions: type I diabetes
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt was found in bed at home without a pulse of respirations at 8:00 am on 12/9/00. She was given a glucogon injection and CPR was started and continued until EMS arrived. The pt was intubated and 2 doses of epinephrine and 1 dose of atropine were given during transport to the ER. The pupils were fixed and dilated. At the ER, the pt received epinephrine and atropine in the ER. The pt expired at 9:30 AM on 12/9/00 with cause of death being cardiopulmonary arrest. The pt had taken the normal dose of insulin on 12/8/00 with an accucheck of 147 at 10:20PM on 12/8/00. She had received the flu vaccine at 3:00PM on 12/8/00 in the physicians office. Death certificate states cause of death to be cardiopulmonary arrest. Autopsy report states: pulmonary vascular congestion and edema.


VAERS ID: 165569 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Male  
Location: California  
Vaccinated:2000-11-08
Onset:2000-11-09
   Days after vaccination:1
Submitted: 2001-01-18
   Days after onset:70
Entered: 2001-02-06
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E67330KA / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Headache, Injection site haemorrhage, Injection site pain, Neck pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol #3, Atrovent Inhaler, Valium, Altace, Pravachol/Azmacort
Current Illness:
Preexisting Conditions: Bronchitis, asthma, back and heart surgery history with back surgery 2 months previously and hayfever. Myeloid leukemia, ASHD.
Allergies:
Diagnostic Lab Data: Blood work, Urine test, Bone Marrow
CDC Split Type: CA000163

Write-up: One day post vax the pt had a sore arm and some slight bruising. The aching increased up into his neck with a bad headache, and eventually to both shoulders and down the other arm. By the next day his pain was so severe, his wife drove him to the ER. FU: pt passed away at home. Cause of death: myeloid leukemia and ASHD.


VAERS ID: 165924 (history)  
Form: Version 1.0  
Age: 66.0  
Sex: Male  
Location: Idaho  
Vaccinated:2000-12-01
Onset:2000-12-15
   Days after vaccination:14
Submitted: 2001-01-02
   Days after onset:18
Entered: 2001-02-16
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / PFIZER/WYETH 4008181 / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
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: Lescol, Verapamil, Zestril, Zantac, Coumadin, ASA, Vitamins
Current Illness: NONE
Preexisting Conditions: No known allergies, CAD, PVD, HTN, PUD, Oral CA, Hyperlipidemia
Allergies:
Diagnostic Lab Data: CT Scan head, CBC Chem panel - All Wnl
CDC Split Type: ID01003

Write-up: This patient has Guillain Barre'' Syndrome, He was hospitalized. Follow up 07/06/2001: "Final diagnosis was GBS. Patient experienced other previous illnesses or medical conditions before the onset of GBS, however, it was not stated. Patient was previously vaccinated with INfluenza prior."


VAERS ID: 165970 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Florida  
Vaccinated:2000-11-15
Onset:2000-11-15
   Days after vaccination:0
Submitted: 2001-02-13
   Days after onset:90
Entered: 2001-02-20
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E71290LA / UNK LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Aneurysm, Cardiac disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-11-15
   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: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received phone from from daughter of pt requesting manufacturer and lot number. Stated that her father died at 8:30 PM the day he received the flu vaccine from a heart aneurysm.


VAERS ID: 165976 (history)  
Form: Version 1.0  
Age: 70.0  
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2001-02-08
Entered: 2001-02-20
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Difficulty in walking, Guillain-Barre syndrome, Hypoaesthesia, Pain
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: myelodysplastic syndrome
Allergies:
Diagnostic Lab Data: Guillain Barre Syndrome
CDC Split Type:

Write-up: On 01/28, this patient had progressive weakness of the lower extremities, aching and pain of lower extremities, numbness, and difficulty walking. The symptoms have been ongoing for 3 months.


VAERS ID: 165979 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Minnesota  
Vaccinated:1998-10-21
Onset:1999-01-01
   Days after vaccination:72
Submitted: 2001-02-15
   Days after onset:776
Entered: 2001-02-20
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0975770 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amnesia, Confusional state, Mental impairment, Neoplasm
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad), Non-haematological tumours of unspecified malignancy (narrow)

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: U2001004120

Write-up: Following vaccination the pt''s family noticed a sudden onset of confusion and mental deterioration in 1/99. A rapid progression from short-term memory loss to death in March 2000. A diagnosis of paraneoplastic disorder was given. Further information is requested.


VAERS ID: 167704 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2000-11-01
Onset:2000-11-01
   Days after vaccination:0
Submitted: 2001-03-19
   Days after onset:138
Entered: 2001-03-23
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E6562CHA / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal distension, Apnoea, Asthenia, Blood glucose increased, Cardiac failure congestive, Disorientation, Dyspnoea, Hypoxia, Infection, Movement disorder, Myocardial infarction, Nausea, Osteoporosis, Pain, Pharyngolaryngeal pain, Pneumonia, Psychotic disorder, Pyrexia, Speech disorder, Tremor
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Psychosis and psychotic disorders (narrow), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Osteoporosis/osteopenia (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-11-12
   Days after onset: 11
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: Cancer, heart attack 1999, Cataract surgery 2000, pneumonia 2x.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This patient was admitted to the hospital on 11/01/00 and died on 11/12/00. The patient was examined and given a flu shot on 11/01/00, he had shortness of breath and sore legs, so the doctor wanted to do a CXR, R-Tibia X-ray, and a EKG. His diagnosis was osteoporosis. The patient was taken to the ER on 11/01/00 at 10 PM because he had terrible tremors, fever, weakness, and nausea. The patient was immediately admitted to the hospital and he told the doctor of his flu shot the doctor said he had a mild heart attack, had a high fever, and there appeared to be an infection in his lungs. The patient had two previous bouts with pneumonia treated with antibiotics an no lung problems since then. The patient was put in the ICU on a respirator. Saw an infectious disease doctor who focused on his right leg because she thought there might be an infection but there was no sign of infection. The patient was eventually put in telemetry on the 8th floor. He had a monitor that would show signs of a heart attack at the nurses station. His fever was still high and the wife was told they would watch her husband to make sure the fever goes down but there were no cold blankets, no ice packs. He was on a nose device for oxygen. The wife and friends observed a lack of activity in looking in on the patient. By Sat. there was no news as to the infection or the fever. On Sat. night the patient spent time with his wife had two visitors who thought he was bloated, he was weak, when he went to the bathroom. Prior to his trip to the bathroom the wife noticed that he did not have his oxygen nose piece in. It was carefully wrapped and hanging in the back of the patient''s bed. The patient said they took it off. That evening when the wife left she asked for the nurses to help and look in on her husband because he was weak and could fall and hurt himself. That evening about 8:30 PM the wife received a phone call her husband took a turn for the worse and was being put back on a respirator and back into ICU. When she arrived she was not able to see her husband until 10:30 PM, three nurses assured her that he had been in the bathroom and had an attack, while they were with him. A female resident told the wife she had to put a tube down his throat because he could not breathe. The next three days were critical (the doctor said the next 24 hours). The patient was very weak, his kidney were slowing. By Thursday he improved and the respirator was removed. They were going to test him, he was put in a chair and strapped; he swallowed soft items; he was at first disoriented (ICU psychosis) as the nurses and doctors put it. He then wanted water and said his throat hurt. He was moved back to Telemetry on Friday afternoon was alert and talking. The doctors were told again of the patient''s recent flu shot before his attack and the doctors could not believe it. They were more concerned with the patient lungs than his heart. The doctor told the wife that the patient had congestive heart failure and sometimes a bigger attack occurs after a small one. The family never knew of his congestive heart failure. To the family''s knowledge he was not ordered to curtail some heavy activities. The patient was put on an ice blanket because the fever was up. The wife requested for his move back up to the 8th floor that her husband be put across from the nurses station and not at the end of the hall, the doctor noted that. The wife asked why he was being taken off from the monitor so fast. The patient was still weak, he could not move his arms, his speech was weak. About 9 PM on Saturday the patient''s sugar was high 300+. He needed insulin, and his wife requested that they make sure he sipped some ensure or he would bottom out. The wife was worried about her husband at this point a nurse had said he was "very sick" so she requested to speak with the doctor in the morning (Sunday) and reminded the nurses he had a living will on file. The patient told his wife she''d better go it was getting late and that was the last time she saw her husband alive. She received a call at approximately 3 AM that he had taken a turn for the worse, same night, same staff, same floor as the previous week. The wife reminded the nurse of the living will. When she arrived at the door of her husbands room she found 25 people in the room with paddles, pumps, respirators, electronic shocks. She screamed at the same resident from the previous week that she should have know better, that they had talked. She asked why they had put her husband through that when she talked about this very thing with the nurses around 10 PM that night. The resident said oh you didn''t want us to do it, she then turned around went back into the room and told everyone to stop. The resident told the wife that her husband was not breathing and they did everything to revive him. The wife stated that this is not what her husband wanted and asked everyone in the room how would they feel if it was their son or husband. The husband was dead and the wife had several questions.


VAERS ID: 169361 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Unknown  
Location: Alabama  
Vaccinated:2000-12-08
Onset:2000-12-09
   Days after vaccination:1
Submitted: 2001-01-16
   Days after onset:38
Entered: 2001-05-02
   Days after submission:105
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008174 / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-12-09
   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: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ5878312JAN2001

Write-up: A healthcare professional reported that a 4 year old child received an injection of the Flu Shield 2000-2001 formula on 12/8/00. The following day, the child died. No further information was available at the date of this report.


VAERS ID: 170129 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Male  
Location: Alabama  
Vaccinated:2000-10-27
Onset:2000-11-04
   Days after vaccination:8
Submitted: 2001-05-08
   Days after onset:184
Entered: 2001-05-23
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chest pain, Cough, Dyspnoea, Hyperventilation, Hypoxia, Oedema, Pneumonia, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), 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: 0000-00-00
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: Morbid obesity (411 lbs, 5''5"), seizure disorder (long standing history), history of GERD, mild to moderate mental retardation, NKDA, history of medication noncompliance, and type II diabetes mellitus.
Allergies:
Diagnostic Lab Data: RR 28, o2 Sat 50%, O2 by mask was 90% on admit. Also 1-2 + pitting pedal edema present the day of admission. Chest x-ray revealed pneumonia. Initial cardiac enzymes were negative.
CDC Split Type:

Write-up: This patient was admitted thru the ER on 11/04/01 with progressive SOB, chest pain in the mid-chest associated only with cough, and deep breath. According to the family the patient there were no new problems until one day after the patient received the influenza vaccine when he ran a fever and became progressively following that injection. The influenza vaccine was given about 1 week PTA. On the day of admission, he developed severe, SOB, and developed pleuritic chest pain. RR 28, o2 Sat 50%, O2 by mask was 90% on admit. Also 1-2 + pitting pedal edema present the day of admission. Chest x-ray revealed pneumonia. Initial cardiac enzymes were negative. On admit the patient had scattered rhonchi.


VAERS ID: 172391 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2000-10-06
Onset:2000-10-20
   Days after vaccination:14
Submitted: 2001-05-14
   Days after onset:206
Entered: 2001-06-26
   Days after submission:43
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E68780KA / UNK - / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Asthenia, Cough, Dysarthria, Dysphagia, Paresis, Rhinitis
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-03-20
   Days after onset: 516
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI - neg, Lyme - neg, EMG w/tensilon test - neg
CDC Split Type: PA0147

Write-up: Two weeks following immunizations with flu vaccine developed cough, coryza, weakness over the course of week developed dysarthia, dysphagia with cranial nerve paresis on exam. Diagnosed with ALS. According to 213289, 60 day follow up, patient died 03/20/2002 from ALS, unassociated with flu vaccine. Follow up on 09/18/2001: "The patients right arm was prepped and draped in a sterile fashion. 1% Xylocaine was employed for local anesthesia. A hand injection of contrast through a peripheral angiocath provided opacification of the deep veins of the right arm. The right basilic vein was accessed under fluoroscopic guidance with a micropuncture set. A cook PICC catheter was then trimmed to a length of 36cm and advanced through a peel-away sheath into the SVC. A hand injection of contrast through the catheter reveals the tip in the superior vena cava. The catheter was flushed and sutured in place. The catheter was then heparinized with 400 units Heparin and the patient was returned to the post-operative lounge in stable condition. "


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