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Found 1,748 cases where Vaccine targets Influenza (FLU(H1N1) or FLU3 or FLU4 or FLUC3 or FLUC4 or FLUN(H1N1) or FLUN3 or FLUN4 or FLUR3 or FLUR4 or FLUX or FLUX(H1N1) or H5N1) and Patient Died

Case Details

This is page 28 out of 175

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VAERS ID: 178523 (history)  
Form: Version 1.0  
Age: 69.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2001-10-25
Onset:2001-10-27
   Days after vaccination:2
Submitted: 2001-12-03
   Days after onset:37
Entered: 2001-12-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES - / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Ascites, Cardiomegaly, Dyspnoea, Hypoxia, Mitral valve incompetence, Myalgia, Pyrexia, Respiratory disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-17
   Days after onset: 21
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: Prednisone 20 mg BID times 3 weeks. Discontinued same day.
Current Illness: Pulmonary fibrosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bronchoscopy; open lung biopsy; CXR-infiltration
CDC Split Type:

Write-up: 2 days, post vax, the vaccinee complained of chills, myalgias and shortness of breath. 3 days, post vax, his temperature was 102F; CXR with infiltrate and pulse ox 85%. He was admitted and rx''d with Zithromax, O2 and steroids. CXR and clinical determination to ARDS, mechanical ventilation and death. Autopsy findings state cardiomegaly and left and right ventricular hypertrophy; focally calcified mitral valve. Secondary findings: ascites.


VAERS ID: 178592 (history)  
Form: Version 1.0  
Age: 99.0  
Sex: Male  
Location: Michigan  
Vaccinated:2001-11-20
Onset:2001-11-23
   Days after vaccination:3
Submitted: 2001-12-04
   Days after onset:11
Entered: 2001-12-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UO691AA / 6 RA / IM

Administered by: Other       Purchased by: Private
Symptoms: Nephritis, Pyrexia, Urinary retention, Urine analysis abnormal, White blood cell disorder
SMQs:, Acute renal failure (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-23
   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: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Positive for bacteria in urine, polynephritis, WBC 40,000 +.
CDC Split Type:

Write-up: High fever 1 AM on 11/23/2001. Taken to hospital. Diagnosis of Urosepsis.


VAERS ID: 178960 (history)  
Form: Version 1.0  
Age: 3.0  
Sex: Male  
Location: Missouri  
Vaccinated:2001-11-28
Onset:2001-11-28
   Days after vaccination:0
Submitted: 2001-11-28
   Days after onset:0
Entered: 2001-12-13
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4018041 / 5 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Child maltreatment syndrome
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-28
   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: Phenobarbital; Baclofen; Robinul; Extendryl; Zyrtec Syrup; Nasonex Spray; Senocot Children''s Syrup; NaFl; Acetaminophen Solution; Atrovent Neb
Current Illness: NONE
Preexisting Conditions: Shaken baby syndrome at 5 weeks of age; Blind; CA; Seizures; 13 weeks premature; Disorder microcephaly; NPO with G-tubes
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MO2001063

Write-up: The pt had no problems immediately after injection or prior to being discovered dead in crib at 05:45 on 11/28/01. On the last check of pt at 03:00 on 11/28/01, he was laughing and playing. Death certificate indicates the child died from shaken baby syndrome (suffering from this since 5 weeks old according to the dept of health).


VAERS ID: 179130 (history)  
Form: Version 1.0  
Age: 40.0  
Sex: Male  
Location: New York  
Vaccinated:2001-11-30
Onset:2001-12-01
   Days after vaccination:1
Submitted: 2001-12-13
   Days after onset:12
Entered: 2001-12-18
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES E04831KA / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Cardio-respiratory arrest, Convulsion
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-01
   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: Inderal; Metamucil; Ativan; Vitamin E; Cogentin; Risperdal
Current Illness: NONE
Preexisting Conditions: Development disability; severe MR; mild to moderate scoliosis; intermittent explosive disorder; PICA; history of pin worms; allergy to Navane and Nitrous Oxide
Allergies:
Diagnostic Lab Data: Autopsy performed
CDC Split Type:

Write-up: No symptoms of adverse reaction noted following administration of vaccine. Autopsy performed and cause of death was listed as "Cardiorespiratory failure as a consequence of seizure".


VAERS ID: 179131 (history)  
Form: Version 1.0  
Age: 77.0  
Sex: Female  
Location: New York  
Vaccinated:2001-11-16
Onset:2001-12-07
   Days after vaccination:21
Submitted: 2001-12-13
   Days after onset:6
Entered: 2001-12-18
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / EVANS VACCINES E04831KA / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-07
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Development disability, Down''s Syndrome
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: No symptoms of adverse reaction noted following administration of vaccine. Cause of death pneumonia.


VAERS ID: 179151 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Male  
Location: Ohio  
Vaccinated:2001-11-02
Onset:2001-11-29
   Days after vaccination:27
Submitted: 2001-12-17
   Days after onset:18
Entered: 2001-12-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0675BA / UNK RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Guillain-Barre syndrome, Lung disorder
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? Yes
Previous Vaccinations:
Other Medications: metformin; allopurinol
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Guillain Barre syndrome, axonal form. Per doc 214332, 60 day follow-u, patient was discharged to a rehabilitation facility. He reportedly died several days later. I am unsure at the cause of death, though I suspect he may have suffered a massive pulmonary embolism.


VAERS ID: 179213 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2001-12-10
Onset:2001-12-11
   Days after vaccination:1
Submitted: 2001-12-12
   Days after onset:1
Entered: 2001-12-19
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UO708AA / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Overdose
SMQs:, Drug abuse and dependence (broad), Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-11
   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:
Current Illness:
Preexisting Conditions: Sulfa allergy
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC Split Type:

Write-up: Unexplained death. Awaiting autopsy COD as per autopsy report -- combination of methadone and oxycodone intoxication


VAERS ID: 179927 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2000-11-14
Onset:2000-11-14
   Days after vaccination:0
Submitted: 2000-12-15
   Days after onset:31
Entered: 2002-01-14
   Days after submission:395
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / MEDEVA PHARMA, LTD. E66350NA / UNK RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Cardiac arrest, Coma
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-11-14
   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:
Current Illness: NONE
Preexisting Conditions: PCN allergy; history of diabetes and hypertension.
Allergies:
Diagnostic Lab Data:
CDC Split Type: SC00094

Write-up: The pt received influenza vaccine during AM hours. The pt seemed fine for several hours but was found unresponsive by a neighbor that afternoon. Resuscitation efforts failed and the pt was pronounced dead at 17:52 on 11/14/00. Her death was felt to be sudden cardiac death with a history of diabetes and hypertension. Please not the date of the event, 11/14/01, is the correct date. The pt died on the same day he received influenza immunization.


VAERS ID: 180784 (history)  
Form: Version 1.0  
Age: 71.0  
Sex: Male  
Location: New York  
Vaccinated:2001-12-26
Onset:2001-12-28
   Days after vaccination:2
Submitted: 2002-01-25
   Days after onset:28
Entered: 2002-02-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4018029 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Chest discomfort, Dizziness, Eructation, Hypercholesterolaemia, Hyperhidrosis, Lethargy, Nasal congestion, Pain
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (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 (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Lipodystrophy (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-28
   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: Atenolol; Synthroid
Current Illness: NONE
Preexisting Conditions: Chronic controlled hypertension; hypothyroidism; allergic to PCN
Allergies:
Diagnostic Lab Data: Last cholesterol was 225.
CDC Split Type:

Write-up: At 24 hours pt felt lethargic, dizzy. After dinner that night he was sweating, burping. At 48 hours pt had pain in left arm, congestion and tightness in chest. COD as per death certificate -- cardiorespiratory arrest


VAERS ID: 181457 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Illinois  
Vaccinated:2001-10-09
Onset:2001-10-10
   Days after vaccination:1
Submitted: 2001-10-19
   Days after onset:9
Entered: 2002-02-19
   Days after submission:123
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0572EA / UNK LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Bacterial infection, Cardiogenic shock, Chills, Pyrexia
SMQs:, Cardiac failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-10-10
   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: Heart valve replacement; CAD
Allergies:
Diagnostic Lab Data: C & S X 2-reported as staph aureus
CDC Split Type: IL01053

Write-up: We were contacted by HD who received a call from a MD stating pt received flu shot on 10/09/01 and developed rigors and a fever of 103F later that night. He was seen in ER and developed cardiogenic shock and died.


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