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From the 4/30/2021 release of VAERS data:

Found 2,600 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 3 out of 260

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VAERS ID: 383169 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2010-01-22
Onset:2010-01-31
   Days after vaccination:9
Submitted: 2010-03-19
   Days after onset:46
Entered: 2010-03-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-31
   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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1003USA02619

Write-up: Information has been received from an administrator concerning her nephew who on 22-JAN-2010 was vaccinated with a dose of RECOMBIVAX HB (lot# not reported). On 31-JAN-2010 the patient died. At the time of death, in approximately 31-JAN-2010 the patient had a bloody nose. The cause of death was unknown. Additional information has been requested.


VAERS ID: 383479 (history)  
Form: Version 1.0  
Age: 88.0  
Sex: Female  
Location: Kansas  
Vaccinated:2010-03-22
Onset:2010-03-23
   Days after vaccination:1
Submitted: 2010-03-24
   Days after onset:1
Entered: 2010-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0837Y / 1 LA / SC

Administered by: Other       Purchased by: Private
Symptoms: Nervousness, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-28
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Therapeutic coumadin use.
Current Illness: Patient reported she was "unable to fill out paperwork" because she''s too shaky ("normal" behavior for patient, by pharmacist''s observations)
Preexisting Conditions: Allergies: Penicillin, quinolones, ticlopidine
Allergies:
Diagnostic Lab Data: When pt contacted pharmacist to report problems, pt was asked to contact physician to report reaction, and was told VAERS would be reported.
CDC Split Type:

Write-up: Pt reported no problems Monday. Upon awakening Tues, had spots on left (vaccinated) arm, left neck, and front of chest. Pt reports rash is painful, not itchy. Wed AM, more "spots", and much more painful. Pt reported feeling "shaky". 88 y/o female received ZOSTAVAX 3-22-10 9AM; pt awoke 3-23 10 with painful rash on left arm, neck & chest. Rash was reported to pharmacist on Wed 3-24 afternoon ---$g pt. instructed to call dr. Pt saw dr. 3-24-10 in afternood - dr. confirmed pt had shingles, Pt. was prescribed VALTREX & LORTAB prescriptions for gen. VALTREX (1 gram BID x 7 days) and gen LORTAB 7.5-500 (1-2 QID prn pain) were picked up by family members 3-26-10 early afternoon. Pt''s obituary was inlocal paper Tues 3-30-10 (DOD 3-28-10). Dr''s office was contacted and nurse said pt did have shingles - like rash 3-25-10. Dr-on-call was contacted by pt Sat 3-27-10.. Pt refused to go to ER, but instead went to stay at daughter''s house Pt was found unresponsive ~ 2AM 3-28-10. According to nurse no evidence of stroke, but pt had subdermal hematoma - a fall at some time is expected, but unknown.


VAERS ID: 383548 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Arkansas  
Vaccinated:2010-03-08
Onset:2010-03-10
   Days after vaccination:2
Submitted: 2010-03-25
   Days after onset:14
Entered: 2010-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3533AA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 08904 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D84740 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0535Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-10
   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: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Child found unresponsive by parents and taken to local ED


VAERS ID: 384071 (history)  
Form: Version 1.0  
Age: 0.36  
Sex: Male  
Location: Indiana  
Vaccinated:2010-02-17
Onset:2010-02-17
   Days after vaccination:0
Submitted: 2010-04-02
   Days after onset:43
Entered: 2010-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR 3542AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 88183 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB036A / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death, 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: 2010-02-17
   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: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Autopsy
CDC Split Type:

Write-up: No symptons,or signs prior to child not breathing. Child taken to ER and CPR was implemented.


VAERS ID: 384648 (history)  
Form: Version 1.0  
Age: 76.0  
Sex: Male  
Location: Nevada  
Vaccinated:2010-03-10
Onset:2010-03-16
   Days after vaccination:6
Submitted: 2010-04-08
   Days after onset:23
Entered: 2010-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 1190Y / UNK LA / IJ

Administered by: Military       Purchased by: Military
Symptoms: Angiogram, Biopsy lung, Diabetes mellitus, Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-26
   Days after onset: 41
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 31 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: dry cough
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: angiogram, catscans, lung biopsies, nebulizing treatment, IV antibiotics, Steriods, blood tests, diabetes caused by steriods, insulin shots
CDC Split Type:

Write-up: shortness of breathe and wheezing


VAERS ID: 384848 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: South Carolina  
Vaccinated:2010-04-07
Onset:2010-04-08
   Days after vaccination:1
Submitted: 2010-04-09
   Days after onset:1
Entered: 2010-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B242AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF876AA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44433 / 1 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-08
   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: No
Preexisting Conditions: GERD diagnosed at visit
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient found dead in crib.


VAERS ID: 385142 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Iowa  
Vaccinated:2010-04-01
Onset:2010-04-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2010-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3607AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3266CA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44520 / 3 LL / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Apnoea, Aspiration, Condition aggravated, Death, Lissencephaly
SMQs:, Congenital, familial and genetic disorders (narrow), Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-01
   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: Recent Pneumonia
Preexisting Conditions: Lissencephaly; Aspiration; Mixed Apnea
Allergies:
Diagnostic Lab Data: received 3 vaccines < 1 hour prior to apnea/ bradycardia asystole.
CDC Split Type:

Write-up: Patient had life threatening lissencephaly aspiration (G Butter Fed) & mixed apnea known risk & partial no code.


VAERS ID: 385210 (history)  
Form: Version 1.0  
Age: 0.52  
Sex: Male  
Location: Massachusetts  
Vaccinated:2010-04-13
Onset:2010-04-14
   Days after vaccination:1
Submitted: 2010-04-15
   Days after onset:1
Entered: 2010-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3307AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D66586 / 3 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Death, Increased bronchial secretion, Skeletal survey
SMQs:, Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-14
   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: Atopic dermatitis
Allergies:
Diagnostic Lab Data: Skeletal survey at medical center Emergency Room
CDC Split Type:

Write-up: Patient asymptomatic on day of immunization. Afebrile before and after immunization. Patient found dead next day with face down on bed with lots of secretions.


VAERS ID: 385430 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Illinois  
Vaccinated:2010-04-14
Onset:2010-04-17
   Days after vaccination:3
Submitted: 2010-04-19
   Days after onset:2
Entered: 2010-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3162BA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1379Y / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44520 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1523Y / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-17
   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: ZANTAC 15mg/mL 0.6 mL BID
Current Illness:
Preexisting Conditions: GERD.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 385948 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Female  
Location: Indiana  
Vaccinated:2010-04-22
Onset:2010-04-24
   Days after vaccination:2
Submitted: 2010-04-26
   Days after onset:2
Entered: 2010-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3606AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44520 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0768Y / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Chest X-ray, Death, Diarrhoea, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-25
   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: LASIX .4 ml TID; spironolactone .4 BID; ZANTAC 1 ml BID
Current Illness: None
Preexisting Conditions: Trisomy 21; VSD; ASD sacral dimple; respiratory depression; laryngomalacia; cardiomegaly
Allergies:
Diagnostic Lab Data: Chest x-ray 4/23/10 & 4/25/10 No significant change from previous x-rays
CDC Split Type:

Write-up: Diarrhea 4/24/10. Fever 4/25/10.


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