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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 5 out of 260

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VAERS ID: 388188 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2010-03-09
Onset:2010-03-09
   Days after vaccination:0
Submitted: 2010-05-19
   Days after onset:70
Entered: 2010-05-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP078AA / 1 RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0621Y / UNK LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autopsy, Death, Dizziness, Lethargy, Nausea, Neck pain, Pain, Pyrexia, Unresponsive to stimuli
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-12
   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: ALENDRONATE
Current Illness: None
Preexisting Conditions: Possibly Elevated cholesterol; possibly Osteoarthritis
Allergies:
Diagnostic Lab Data: Autopsy at office of the Medical Investigator
CDC Split Type:

Write-up: Received H1N1 & Pneumonia vaccine 12 March 2010. Apparently developed fever that night & the following 2 days was "achy, dizzy & had nausea all day". On 12 Mar, complained of neck pain & dizziness, developed lethargy & then became unresponsive.


VAERS ID: 388916 (history)  
Form: Version 1.0  
Age: 1.06  
Sex: Male  
Location: Georgia  
Vaccinated:2010-01-07
Onset:2010-01-28
   Days after vaccination:21
Submitted: 2010-05-13
   Days after onset:104
Entered: 2010-05-21
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP035BA / 2 UN / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1100Y / 1 UN / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0764Y / 1 UN / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1229Y / 1 UN / SC

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Death, Endocardial fibroelastosis, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-28
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. received vaccines on 1/7/10 and was found unresponsive in crib on 1/28/10. Autopsy showed pt. died from Fibroelastosis of the heart.


VAERS ID: 389121 (history)  
Form: Version 1.0  
Age: 1.49  
Sex: Male  
Location: Oregon  
Vaccinated:2010-04-19
Onset:2010-04-24
   Days after vaccination:5
Submitted: 2010-04-26
   Days after onset:2
Entered: 2010-05-24
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B086AB / 4 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1292Y / 3 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Atrial rupture, Death
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-24
   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: Anemia
Allergies:
Diagnostic Lab Data: Per Death Certif. - death caused by chest injury from accident of T.V. falling on top of toddler
CDC Split Type: OR201015

Write-up: Patient came in for well child check on 4/19/10 received DTAP and HIB at the same visit. Clinic contacted by Medical Examiner that patient died on 4/24/2010 of ruptured R atrium after T.V. fell on him. D. Cert attached.


VAERS ID: 389842 (history)  
Form: Version 1.0  
Age: 0.37  
Sex: Male  
Location: Virginia  
Vaccinated:2010-04-26
Onset:2010-05-19
   Days after vaccination:23
Submitted: 2010-05-27
   Days after onset:8
Entered: 2010-06-02
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR 8511AA / 2 LG / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 47472 / 1 LG / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 15234 / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Bacterial test positive, Blood culture positive, CSF culture, Death, Pyrexia, Streptococcal sepsis, Streptococcus test positive, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-05-19
   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: Concomitant medications were not reported.
Current Illness: Therapy regimen changed.
Preexisting Conditions: The patient previously (04-Feb-2010), received a dose of PREVNAR 7, ROTATEQ and PENTACEL and did not experience an adverse event. The patient was reported as a "healthy child".
Allergies:
Diagnostic Lab Data: In May-2010 test results were: culture (results: (site unknown) growth of Streptococcal pneumoniae); CSF culture (results: pending); and autopsy (results: pending). Blood culture (results: Group A Streptococcus pyogenes) was done on 18-May-2010.
CDC Split Type: USWYEH15278510

Write-up: This case involves a fatal event was considered medically important for the events of vomiting and fever. Information regarding PREVNAR 13 was received from a healthcare professional regarding a 5-month-old male patient who experienced a positive bacterial culture, fever and vomiting and died due to an overwhelming sepsis from Group A Streptococcus pyogenes. The patient received the first dose on 26-Apr-2010 along with a second dose of PENTACEL (Aventis-Pasteur) and the second dose of ROTATEQ (Merck & Co Inc). On 18-May-2010 the patient experienced fever and vomiting and was evaluated in the emergency room. On an unspecified date in May-2010, a culture (reported as "a very early culture of unspecified origin) was performed that revealed Streptococcus pneumoniae, however a blood culture on 18-May-2010 revealed Group A Streptococcus pyogenes. On 19-May-2010 the patient died due overwhelming sepsis from Group A Streptococcus pyogenes. The cause of death was reported as streptococcal sepsis. The autopsy cause of death was undetermined. No additional information was available at the time of this report.


VAERS ID: 390042 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2010-03-19
Onset:2010-03-22
   Days after vaccination:3
Submitted: 2010-06-04
   Days after onset:74
Entered: 2010-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1670Y / 1 LA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E28211 / 4 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Death, Febrile convulsion, Pyrexia, Toxicologic test normal, Upper respiratory tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-02
   Days after onset: 11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xopenex, Prevacid
Current Illness: URI, h/o wheezing on nebulized Xopenex
Preexisting Conditions: Asthma bronchiolitis
Allergies:
Diagnostic Lab Data: negative autopsy and toxicology
CDC Split Type:

Write-up: Febrile seizure 3/22/10. Patient found dead on morning of 4/2/10, per parents febrile to 102 t bedtime with URI but no other sx. Autopsy and toxicology were negative.


VAERS ID: 390137 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Florida  
Vaccinated:2010-03-11
Onset:2010-03-17
   Days after vaccination:6
Submitted: 2010-06-07
   Days after onset:82
Entered: 2010-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR - / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-17
   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:
Current Illness: None Known
Preexisting Conditions: None Known
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS


VAERS ID: 390561 (history)  
Form: Version 1.0  
Age: 0.36  
Sex: Male  
Location: South Carolina  
Vaccinated:2010-06-07
Onset:2010-06-10
   Days after vaccination:3
Submitted: 2010-06-14
   Days after onset:4
Entered: 2010-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B242DA / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1420Y / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E44521 / 2 LL / IM

Administered by: Private       Purchased by: Public
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: 2010-06-10
   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: None
Current Illness: None diagnosed
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Infant found unresponsive by parents on the afternoon of 6/10/10.


VAERS ID: 390648 (history)  
Form: Version 1.0  
Age: 0.27  
Sex: Male  
Location: Georgia  
Vaccinated:2010-03-09
Onset:2010-03-13
   Days after vaccination:4
Submitted: 2010-06-15
   Days after onset:93
Entered: 2010-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B207AA / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1212Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Autopsy, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-13
   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:
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 06/15/2010 - per patient''s mother, the autopsy report just came back and indicated SIDS.
CDC Split Type:

Write-up: Parents of patient found him dead the morning of 03/12/2010. Per ER physician, rigor mortis had set in. Per the ER physician, mother mentioned questionable abdominal pain and questionable cold symptoms, but says that child seemed okay.


VAERS ID: 391910 (history)  
Form: Version 1.0  
Age: 81.0  
Sex: Female  
Location: Illinois  
Vaccinated:2010-06-09
Onset:2010-06-26
   Days after vaccination:17
Submitted: 2010-06-29
   Days after onset:3
Entered: 2010-07-01
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 01527 / 1 RA / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-06-26
   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: ALPHAGAN; LIPITOR; ELAVIL; FOSAMAX; LUMIGAN; COSOPT; Calcium
Current Illness: None
Preexisting Conditions: Benadryl (allergy); hypercholesterolemia
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: None reported - pt. left office without incident - Found 6/26/10 AM-died while sleeping.


VAERS ID: 392434 (history)  
Form: Version 1.0  
Age: 90.0  
Sex: Female  
Location: Iowa  
Vaccinated:2010-06-24
Onset:2010-06-26
   Days after vaccination:2
Submitted: 2010-07-07
   Days after onset:11
Entered: 2010-07-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Diarrhoea, Malaise, Pain in extremity
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-06-28
   Days after onset: 2
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: WAES1007USA00139

Write-up: Information has been received from a physician concerning a 90 year old female who on 24-JUN-2010 was vaccinated with a dose of ZOSTAVAX (Merck) (dose, route and lot number not reported). The physician reported that on Saturday (26-JUN-2010), the patient complained to a neighbor that she was not feeling well, had diarrhea and arm pain. The physician stated that the patient was found deceased at home on Monday 28-JUN-2010. The cause of death was unknown. The patient did not seek medical attention. Additional information has been requested.


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