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

Found 2,908 cases where Patient Died and Vaccination Date from '2010-01-01' to '2020-12-31'



Case Details

This is page 4 out of 291

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VAERS ID: 386283 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Michigan  
Vaccinated:2010-03-22
Onset:2010-03-23
   Days after vaccination:1
Submitted: 2010-04-29
   Days after onset:37
Entered: 2010-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP112AA / 2 UN / IJ
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1397Y / 3 UN / IJ
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS AHIBC245AA / 3 UN / IJ
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1232Y / UNK UN / IJ

Administered by: Private       Purchased by: Public
Symptoms: Brain death, Brain operation, Cerebral haemorrhage, Crying, Death, Dyspnoea, Loss of consciousness, Pain, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-26
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tuberculosis test
Current Illness: vomiting, complaining of stomach pain, weakness
Preexisting Conditions: Born premature, signs of autism
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: My daughter was sick. She was complaining about pain in her stomach, she was vomiting for previuos 4 days. So I decided to take her to her pediatrician and check what is wrong with her. Instead she was given 5 vaccines at her pediatrician office. He said that she is fine. She was given second dose of H1N1, HIB, Hepatitis A, varicella and tuberculosis shot. Since this time she was uncontrollable crying and she was being in constant pain. She could not keep the food. She was throwing up. The next day she collapsed, she stop breathing, she was unconscious. My wife call the ambulance. In a hospital doctors said that she had bleeding on one side of her brain. They transfer her from one hospital to another. She was still unconscious but moving her limbs. The next day morning doctors decided to perform surgery on her brain because of the bleeding. She never came out from that. The brain was dead. She was dead...


VAERS ID: 386357 (history)  
Form: Version 1.0  
Age: 54.0  
Sex: Female  
Location: Virginia  
Vaccinated:2010-04-28
Onset:2010-04-28
   Days after vaccination:0
Submitted: 2010-04-30
   Days after onset:2
Entered: 2010-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP063AA / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Sudden cardiac death, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-28
   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: Glyburide-Metformin 5-500mg Verapamil HCL CR 240mg Coumadin
Current Illness: Uncontrolled diabetes Protein C deficiency noncompliant Coumadin therapy
Preexisting Conditions: hypertension hyperlipidemia history of PE in 1995 & 2002
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt collapsed and sent to ER by rescue squad. Sudden cardiac death.


VAERS ID: 386690 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:2010-04-29
Onset:2010-04-30
   Days after vaccination:1
Submitted: 2010-05-04
   Days after onset:4
Entered: 2010-05-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)) / NOVARTIS VACCINES AND DIAGNOSTICS 107522P1 / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Bronchopneumonia, Death, Respiratory failure
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-30
   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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy, Bronchopneumonia stated as cause of death.
CDC Split Type: PHHY2010EC27966

Write-up: Initial report received from a physician via health authority on 03 May 2010: This patient was vaccinated with S-OIV FLUVIRIN (batch number 107522P1) on 29 Apr 2010. 24 hours after vaccination, the patient presented with sudden respiratory failure on 30 Apr 2010 and two hours later, the patient died. Medical history of the patient was unknown. Autopsy was performed and cause of death was stated as bronchopneumonia.


VAERS ID: 386946 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Louisiana  
Vaccinated:2010-04-26
Onset:2010-04-28
   Days after vaccination:2
Submitted: 2010-04-29
   Days after onset:1
Entered: 2010-05-07
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3494CC / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1275Y / UNK RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E01563 / 1 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0768Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Bradycardia, Death, Endotracheal intubation, Presyncope, Respiratory distress, Resuscitation
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-28
   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: ASA - 1/4 Baby ASA daily; Synagis for RSV prophylaxis
Current Illness:
Preexisting Conditions: Hypoplastic left heart syndrome; S/P Norwood Sano procedure.
Allergies:
Diagnostic Lab Data: Unknown.
CDC Split Type:

Write-up: Child had been in distress at cardiology office - was transported to hospital. When intubated for transport child had vagal response with bradycardia - unable to resuscitate and child expired at ER.


VAERS ID: 387143 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Tennessee  
Vaccinated:2010-05-07
Onset:2010-05-07
   Days after vaccination:0
Submitted: 2010-05-10
   Days after onset:3
Entered: 2010-05-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3450AA / 3 RL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44433 / 1 LL / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-05-07
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 387614 (history)  
Form: Version 1.0  
Age: 0.31  
Sex: Male  
Location: Illinois  
Vaccinated:2010-05-06
Onset:2010-05-06
   Days after vaccination:0
Submitted: 2010-05-17
   Days after onset:11
Entered: 2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3334AA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E45350 / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: 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: 2010-05-13
   Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Acetaminophen 80 mg given before the shots.
Current Illness: CONSTIPATION
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Taken to ER. Coroner aware. Details unknown.
CDC Split Type:

Write-up: According to parents the baby was found not breathing in bed. Taken to ER. Died before reaching the ER.


VAERS ID: 387625 (history)  
Form: Version 1.0  
Age: 1.6  
Sex: Female  
Location: New Hampshire  
Vaccinated:2010-04-30
Onset:2010-05-06
   Days after vaccination:6
Submitted: 2010-05-17
   Days after onset:11
Entered: 2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3157AA / 4 LA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB362AA / 2 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-05-06
   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: Multivitamin w/ Fluoride
Current Illness: No
Preexisting Conditions: Amoxicillin; Zithromax - rash
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH05072010

Write-up: Child found dead one morning.


VAERS ID: 387830 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Hawaii  
Vaccinated:2010-05-13
Onset:2010-05-17
   Days after vaccination:4
Submitted: 2010-05-17
   Days after onset:0
Entered: 2010-05-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3563AA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E45349 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1586Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-05-17
   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:
Preexisting Conditions: Infantile Acropustulosis
Allergies:
Diagnostic Lab Data: Autopsy/death scene investigation pending
CDC Split Type:

Write-up: Sudden unexplained death on 5/17/10.


VAERS ID: 388096 (history)  
Form: Version 1.0  
Age: 0.23  
Sex: Female  
Location: Rhode Island  
Vaccinated:2010-01-25
Onset:2010-02-25
   Days after vaccination:31
Submitted: 2010-05-18
   Days after onset:81
Entered: 2010-05-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B210BA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR OF740AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D84741 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB036A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Autopsy, Culture urine negative, Death, Meningitis pneumococcal, Pneumococcal sepsis, Pyuria
SMQs:, Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-25
   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: Concomitant medications were not reported.
Current Illness: The patient''s concurrent illness includes premature baby (born at 29 weeks gestation).
Preexisting Conditions: The patient has a past history of staphylococcal infection (possible while in the nursery).
Allergies:
Diagnostic Lab Data: Culture (results: Streptococcus pneumoniae) and culture urine (results: negative) were done in Feb-2010.
CDC Split Type: USWYEH15078510

Write-up: Information regarding PREVNAR was received from an emergency room physician regarding a 3-month-old (114 day-old) female patient who experienced pyuria, Streptococcus pneumoniae meningitis and Streptococcus pneumoniae sepsis and died. The patient received a dose on 25-Jan-2010. On an unknown date in Feb-2010, the patient experienced pyuria and was empirically placed on an unknown antibiotic thought to be either KEFLEX or OMNICEF. On an unknown date in Feb-2010 the urine culture was negative. On 25-Feb-2010 the child was transported to the emergency room where she died due to Streptococcus pneumoniae meningitis and Streptococcus pneumoniae sepsis. The patient was not hospitalized. The cause of death was reported as meningitis pneumococcal and pneumococcal sepsis and the autopsy cause of death was meningitis pneumococcal and pneumococcal sepsis. The serotype of the pneumococcal bacteria was not identified. No additional information was available at the time of this report.


VAERS ID: 388098 (history)  
Form: Version 1.0  
Age: 1.01  
Sex: Male  
Location: Indiana  
Vaccinated:2010-04-19
Onset:2010-04-28
   Days after vaccination:9
Submitted: 2010-05-19
   Days after onset:21
Entered: 2010-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1259Y / 1 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1222Y / 1 RL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH D94433 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1405Y / 1 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Blood culture negative, Brain herniation, CSF culture negative, Chest X-ray abnormal, Chronic sinusitis, Computerised tomogram abnormal, Death, Electroencephalogram abnormal, End-tidal CO2 abnormal, Endotracheal intubation, Exposure to communicable disease, Herpes simplex serology negative, Hypocalcaemia, Intensive care, Lethargy, Listless, Livedo reticularis, Lumbar puncture, Meningitis, Mental status changes, Nystagmus, Peripheral coldness, Polymerase chain reaction, Poor peripheral circulation, Pupillary reflex impaired, Sepsis syndrome, Tonic clonic movements, Use of accessory respiratory muscles
SMQs:, Rhabdomyolysis/myopathy (broad), Angioedema (broad), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-05-04
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: hypospadius repair 1-22-2010
Allergies:
Diagnostic Lab Data: Note: All result statuses are Final unless otherwise noted. Tests: (1) BLOOD CULTURE (BLC) Order Note: ! SPECIMEN DESCRIPTION "Result Below..." *1 RESULT: BLOOD(A) PERIPHERAL STICK ! SPECIAL REQUESTS "Result Below..." *2 RESULT: Peds bottle only received. ! CULTURE NO GROWTH 6 DAYS *3 ! REPORT STATUS FINAL *4 05042010 Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet. Document Creation Date: 05/04/2010 8:21 AM CT HEAD WITHOUT CONTRAST Indication: Mental status changes, cyanotic, unresponsive Comparison: None Findings: The ventricles and CSF spaces are within normal limits. There is no acute hemorrhage, abnormal fluid collection or midline shift seen. No acute infarction or mass is seen. MRI may be helpful if symptoms persist. There are mild chronic sinusitis changes in the maxillary sinuses. Impression: 1. Mild chronic maxillary sinusitis changes. 2. Otherwise unremarkable for age. Note: All result statuses are Final unless otherwise noted. Tests: (1) HSV 1 AND 2 PCR QL (HSVPC) Order Note: ! HSV 1 NOT DETECTED NTD *1 ! HSV 2 NOT DETECTED NTD *2 This test was developed and its performance characteristics determined by Lab. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.Testing performed using real-time polymerase chain reaction (PCR) technology ! SOURCE "Result Below..." *3 RESULT: CEREBROSPINAL FLUID Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet. Document Creation Date: 04/29/2010 1:22 AM Note: All result statuses are Final unless otherwise noted. Tests: (1) CSF CULTURE (CSFC) Order Note: ! SPECIMEN DESCRIPTION "Result Below..." *1 RESULT: CEREBROSPINAL FLUID ! SPECIAL REQUESTS "Result Below..." *2 RESULT: CEREBROSPINAL FLUID ! CULTURE NO GROWTH 5 DAYS *3 ! REPORT STATUS FINAL *4 05/03/2010 Note: An exclamation mark (!) indicates a result that was not dispersed into the flowsheet. Document Creation Date: 05/03/2010 7:40 AM Portable chest 4/28/2010 COMPARISON: None HISTORY: Shortness of breath COMMENT: The endotracheal tube is in satisfactory position on this single view. The patient is rotated. No effusion or pneumothorax is seen. The right lung appears grossly clear. There may be airspace disease in the left lung. IMPRESSION: Question left airspace disease. The right lung is grossly clear. The patient is rotated. Endotracheal tube appears satisfactory in this single view. CHEST XRAY BEDSIDE, Apr 28, 2010 02:52:39 PM INDICATION: Dyspnea There continue to be extensive areas of infiltrate predominately in the left upper lobe. The endotracheal tube is again noted. There has been apparent placement of an orogastric tube. The tip is located in the proximal portion of the thoracic esophagus. The right lung remains clear. IMPRESSION: 1. Presumed placement of an orogastric tube as discussed. 2. The study is otherwise unchanged from a study done earlier in the day. Reason For Initial Request: Pt Evidently, pt brought into ER on 4/28/10 for "Prolonged Seizure." Was intubated and transferred to another hospital. Currently, still intubated and determined significant hypoxia. Actions Taken Patient/Significant Other notified, MD notified Further Dialogue Received a call from resident Dr. Pt transferred from ER with Dx of meningitis. Per Dr, they think, pt had some sort of encephalopathy. Yesterday he had herniation of the cerebellar tonsils and pupils were not responding. Neurology consult was called in and an EEG done did not show any activity. After consultation with the relatives of the child it decided to withdraw life support and baby passed away last night. I appreciate Dr calling us and personally making us aware of this unfortunate incident. To Nurse PCC: kindly connect with parent/s to offer our condolence and to enquire if they need any help from us. 2 Failed attempts to reach mother at home. Reached Grma who will inform mother that we are aware and offering sympathy and assistance as needed. She does believe the list of support grief groups would be helpful and told we will mail in card to her. The Obituary will be listed tomorrow Friday, and services -12-2p 2pm Eulogy. Mother lives with son, and her father, also caregiver for pt.
CDC Split Type:

Write-up: CHIEF COMPLAINT: He presents here as a 12 month old that was brought in by mother, carried in from triage to shock room 2, lethargic and listless. HISTORY OF PRESENT ILLNESS: The patient, according to mother''s history, was exposed to several family members who have had URI symptoms over the last 24 hours and this morning he slept more than usual, walking up around 10:30 this morning, and was found to be lethargic. The patient was carried into shock room 2. Further history was not available. PAST MEDICAL HISTORY AND SURGICAL HISTORY: Negative. ALLERGIES: Negative. MEDICATIONS: Currently negative. REVIEW OF SYSTEMS: As per HPI; otherwise, all negative. PHYSICAL EXAMINATION: General: The patient was lethargic, listless, and unremarkable. HEENT: His oropharynx was clear. He did not have any tongue lacerations or abrasions. He had moist mucous membranes. Neck: Supple. I did not appreciate any obvious lymphadenopathy or meningeal signs. Lungs: Clear on auscultation. He had moderate accessory muscle use with intercostal retractions. Abdomen: Soft. I did not appreciate any distention or signs of trauma. Extremities: The lower extremity exam was cold to touch. He had poor perfusion. He was mottled. Neurologic: The patient had positive nystagmus and almost exhibited tonic-clonic-like activity. EMERGENCY DEPARTMENT COURSE: Immediately, we decided to intubate this patient to maintain a definitive airway. Using a 4.5 endotracheal tube that was uncuffed, I proceeded with intubation. A peripheral IV was inserted immediately by our nurse. I used 15 mg of IV succinylcholine with a dosing determined using a weight based scale. We believed the patient was anywhere from 10 to 12 kg. Once the patient was adequately paralyzed, I was able to successfully intubate this patient. He had positive end-tidal CO2 and condensation in the tube. He had blood work including a CBC, a blood culture, and a BMET. I had the patient transferred immediately to head CT which showed evidence of chronic maxillary sinusitis with no evidence of mass effect. When the patient returned back to the emergency room into shock room 2, I proceeded with spinal tap. Given the emergency situation, we did not have a chance to consent mother who was not immediately available. We went ahead and proceeded with the procedure. I was able to successfully perform a spinal tap using his pelvic crests as my landmarks. The entire procedure was performed under sterile conditions. The back was cleaned using iodine applied in circular fashion x3. Using the pediatric LP tray, and the spinal needle that was within the tray, I used the L3-L4 interspace to access the subarachnoid space. I was able to collect 3 tubes of CSF, at least 2 mL each, and these were sent for studies including HSV, PCR. We went ahead and ordered antibiotics including Rocephin 100 mg per kg IV. Laboratories returned with a white count 30.7, hemoglobin 14.0, platelet count 344. Sodium 153, potassium 6.9, chloride 113, CO2 of 10, BUN 88, creatinine 1.15, calcium 7.2. We are getting a BMET. I have ordered IV glucose, D25 2 mL/kg. A urine culture, and urinalysis, and a blood culture were ordered and pending. Postintubation chest x-ray showed left-air space disease. Right lung was clear. Endotracheal tube appeared to be in satisfactory position. Head CT did show evidence of chronic maxillary sinusitis. I spoke to Dr. from ICU and the patient will be transferred there in critical but stable condition. He asked that we go ahead and give him vancomycin 20 mg/kg IV as well as Acyclovir 20 mg per/kg IV, and I will also order maintenance IV fluids after receiving initial 200-mL normal saline bolus. We also gave him an ampule of calcium gluconate for his hypocalcemia. IMPRESSION: 1. Mental status changes. 2. Acute meningitis. 3. Sepsis syndrome. DISPOSITION: To ICU in critical but stable condition. CRITICAL CARE TIME: Exclusive of all procedures which included endotracheal intubation as well as spinal tape, greater than 60 minutes.


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