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From the 9/17/2021 release of VAERS data:

Found 631 cases where Patient Died and Vaccination Date from '2020-01-01' to '2020-12-31'



Case Details

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VAERS ID: 873474 (history)  
Form: Version 2.0  
Age: 0.5  
Sex: Male  
Location: Wisconsin  
Vaccinated:2020-06-11
Onset:2020-06-15
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2020-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 2KD4D / 3 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH CN5850 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1660666 / 3 MO / PO

Administered by: Private       Purchased by: ?
Symptoms: Cardiac arrest, Death, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-06-15
   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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Suffered Cardiac Arrest at Home and died. (Sudden unexplained infant death)


VAERS ID: 873934 (history)  
Form: Version 2.0  
Age: 0.08  
Sex: Male  
Location: New York  
Vaccinated:2020-05-21
Onset:2020-05-26
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2020-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS F4H92 / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. S016870 / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH CN0614 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1660941 / 1 MO / PO

Administered by: Private       Purchased by: ?
Symptoms: Sudden death, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-05-26
   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: None
Allergies: None
Diagnostic Lab Data: Done in the ED
CDC Split Type:

Write-up: Pt was taken to ED with sudden unexplained infant death


VAERS ID: 875072 (history)  
Form: Version 2.0  
Age: 0.17  
Sex: Male  
Location: New York  
Vaccinated:2020-02-05
Onset:2020-02-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2020-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS D93B4 / UNK LL / SYR
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS 77A5T / UNK LL / SYR
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH AL8457 / UNK RL / SYR
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. S017635 / UNK - / SYR

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-02-13
   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: Oseltamivir 6mg
Current Illness: Influenza A
Preexisting Conditions:
Allergies: N.K.D.A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fatal


VAERS ID: 877469 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-07-26
Onset:2020-07-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS 9974P / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Death, Myocardial infarction, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-07-01
   Days after onset: 25
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alprazolam
Current Illness: none noted
Preexisting Conditions: none noted
Allergies: none aware
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Morning after administration, husband called pharmacy and reported patient had been up all night vomiting and had severe stomach pain. Vomiting had subsided (stomach was empty) but still nausea and not able to keep anything down. Patient was recommended to treat hydration with pedialyte and try to eat non-irritating foods such as saltines. She was considering self treating pain with medical marijuana. Next encounter with patient ws 2 days later, husband called pharmacy staff to inform patient had a heart attack and passed away. It is unknown if related to vaccine administration.


VAERS ID: 881505 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Iowa  
Vaccinated:2020-08-29
Onset:2020-08-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) / SANOFI PASTEUR UJ454SB / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Death, 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: 2020-08-29
   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: Unknown
Current Illness: Unknown
Preexisting Conditions: Pulmonary eosinophilia, asthma, GERD, type 2 diabetes mellitus, COPD
Allergies: No known drug allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death. Patient found unresponsive in pharmacy parking lot 4 hours later


VAERS ID: 881609 (history)  
Form: Version 2.0  
Age: 78.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-08-26
Onset:2020-08-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUA3: INFLUENZA (SEASONAL) (FLUAD) / NOVARTIS VACCINES AND DIAGNOSTICS 279734 / UNK - / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-08-28
   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: MYCOPHENOLATE; SIMVASTATIN; ALOPURINOL; FUROSEMIDE; PREDNISONE; GABAPENTIN; HUMALOG; LANTUS; SYNTHROID; POTASSIUM CHLORIDE; METOPROLOL; AMLODIPINE; AZATHIOPRINE; BUMETANIDE; METOLAZONE
Current Illness:
Preexisting Conditions: Comments: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USSEQIRUS202004250

Write-up: The patient was found deceased; This is a spontaneous case, initially received from pharmacist via Med Communication (reference number: SEQW20-01021) on 28-Aug-2020 with two additional documents received on 31-Aug-2020 (being processed together), concerning a 78-year-old female patient. The patient''s medical history was not reported. The patient''s concomitant medications included mycophenolate, simvastatin, alopurinol, furosemide, prednisone, gabapentin, Humalog (insulin lispro), Lantus (insulin glargine), Synthroid (levothyroxine sodium), potassium chloride, metoprolol, amlodipine, azathioprine, bumetanide and metolazone, all for an unknown indication. On 26-Aug-2020, the patient was administered Fluad (TIV) [influenza vaccine, inactivated influenza virus surface antigen (subunit), egg-derived, MF59; batch number: 279734, anatomical location: deltoid, dose: 0.5 ml, route of administration: intramuscular and expiration date: 04-May-2021] for an influenza prophylaxis. On 28-Aug-2020, two days after taking Fluad (TIV), the patient died. The cause of death was unknown and it was unknown if autopsy was done. The case was assessed as serious due to seriousness criteria of death and medically significance. The reporter did not provide causality assessment to Fluad (TIV). Company comment: A 78-year-old female patient was administered Fluad (TIV) vaccine. Reportedly, the patient died two days after vaccination. The cause of death was not provided. It was unknown if autopsy was performed. Patient''s advanced maternal age may have contributed to development of the event. More information regarding medical history and autopsy results is needed. With information available, causality is unassessable.; Sender''s Comments: A 78-year-old female patient was administered Fluad (TIV) vaccine. Reportedly, the patient died two days after vaccination. The cause of death was not provided. It was unknown if autopsy was performed. Patient''s advanced maternal age may have contributed to development of the event. More information regarding medical history and autopsy results is needed. With information available, causality is unassessable.; Reported Cause(s) of Death: Unknown cause of death


VAERS ID: 881926 (history)  
Form: Version 2.0  
Age: 0.75  
Sex: Female  
Location: Michigan  
Vaccinated:2020-08-24
Onset:2020-08-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 23YL4 / 3 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH CR8692 / 3 LL / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood gases, Blood lactic acid, Blood magnesium, Blood phosphorus, Cardio-respiratory arrest, Chest X-ray, Coagulation test, Computerised tomogram head, Cyanosis, Death, Differential white blood cell count, Electrocardiogram, Electroencephalogram, Full blood count, Infantile apnoea, Intensive care, Laboratory test, Metabolic function test, Pulse abnormal, Resuscitation
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-08-27
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Gorlin Syndrome, Macrocephaly, Plagiocephaly, Torticollis, Syndactyly (feet bilat)
Allergies: NKA
Diagnostic Lab Data: Labs: Blood gas, PKG, venous, lactic acid, plasma, CBC with differential, DIC screen, CMP, magnesium, phosphorus, venous blood gas (POCT) Tests: ECG, EEG video monitoring, CT brain, CXR
CDC Split Type:

Write-up: Time line of events: ? 08-18-20 Routine protocol cranial MRI without contrast under sedation. Dx: Macrocephaly/Gorlin Sydrome ? 08-24-20 at 3:00 PM Patient here at Clinic for 9 mo WCC appt and received vaccines at 3:30 PM (Pediarix and PCV13). Normal WCC for age ? 08-25-20 at 1:48 PM EMS called by parent for cyanosis and apnea. EMS arrived on scene at 1:54 PM (per EMS: approx. 30 min downtime prior to EMS arrival), found patient to be apneic and with very faint pulse. Per EMS, patient was fine earlier in the morning. Transported to Hosp Emergency Department arriving at 2:14 PM presenting in full cardiopulmonary arrest. From there transferred to Hosp. ? 08-26-20 Discharged from Hosp with Dx Level 1 ? Medical treatment with full resuscitation and transferred to the Cardiac Critical Care Uni. ? 08-27-20 Decease at 10:57 AM (an autopsy is planned)


VAERS ID: 883023 (history)  
Form: Version 2.0  
Age: 1.67  
Sex: Female  
Location: North Carolina  
Vaccinated:2020-08-24
Onset:2020-08-29
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2020-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. - / 2 LL / SYR

Administered by: Private       Purchased by: ?
Symptoms: Cardiac failure, Death, Tremor, Vomiting
SMQs:, Cardiac failure (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-08-29
   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: Hydrocortisone, Desatin
Current Illness: Adrenal insufficiency, jaques Dermatitis
Preexisting Conditions: Addison''s disease, jaques Dermatitis, adrenal insufficiency
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shaking, vomiting, heart failure, death


VAERS ID: 883878 (history)  
Form: Version 2.0  
Age: 0.25  
Sex: Male  
Location: California  
Vaccinated:2020-09-01
Onset:2020-09-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR UJ219AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS L32D9 / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH CM1132 / 1 RL / IM

Administered by: Other       Purchased by: ?
Symptoms: Cardiac arrest, Death, Resuscitation, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-09-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None known
Current Illness: None known
Preexisting Conditions: None known
Allergies: None Known
Diagnostic Lab Data: ER Records and resuscitation attempts
CDC Split Type:

Write-up: Pt had a well child physical in the office with immunizations on 9/1/2020 On 9/3 experienced cardiac arrest and taken to hospital ER - unable to resuscitate and pt expired. Suspected SIDS- no autopsy results at this time. Pt died on 9/3/2020


VAERS ID: 884618 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Nevada  
Vaccinated:2020-08-31
Onset:2020-09-03
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2020-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUR4: INFLUENZA (SEASONAL) (FLUBLOK QUADRIVALENT) / PROTEIN SCIENCES CORPORATION QFAA2006 / 1 LA / IM
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS MT7C9 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse event, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2020-09-03
   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: oxycodone 15 mg, morphine sulfate ER 15 mg, carisoprodol 350 mg, levothyroxine 100 mcg, alprazolam 1 mg
Current Illness: unknown
Preexisting Conditions: hypothyroidism, postlaminectomy syndrome, cervical disc displacement, anxiety
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient passed away on September 3, 2020, three days after receiving her vaccines. Her husband believes her death was related to the vaccines and states she was having "all the side effects" but he would not inform us what those side effects included.


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