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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 6 out of 260

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VAERS ID: 393036 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Male  
Location: Illinois  
Vaccinated:2010-07-13
Onset:2010-07-15
   Days after vaccination:2
Submitted: 2010-07-16
   Days after onset:1
Entered: 2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3535AB / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E46124 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-07-15
   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: None
Current Illness:
Preexisting Conditions: Congestion - was referred to ENT
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated


VAERS ID: 393137 (history)  
Form: Version 1.0  
Age: 0.42  
Sex: Female  
Location: Georgia  
Vaccinated:2010-06-23
Onset:2010-06-24
   Days after vaccination:1
Submitted: 2010-07-09
   Days after onset:15
Entered: 2010-07-19
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3682AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E60221 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 03012 / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-06-24
   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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient with SIDS event after shots. Unsure if shots related or if coincidence. Autopsy reportedly (-).


VAERS ID: 393479 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: Indiana  
Vaccinated:2010-02-24
Onset:2010-03-01
   Days after vaccination:5
Submitted: 2010-07-22
   Days after onset:142
Entered: 2010-07-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 06324 / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Cardiac disorder, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-06-17
   Days after onset: 107
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: Haemodialysis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1007USA01293

Write-up: Information has been received from a registered nurse concerning a haemodialysis male patient who in approximately July 2005 was vaccinated with the first dose of PNEUMOVAX 23. In March 2010 the patient received the second dose of PNEUMOVAX 23 but may have possibly be given 1 ml dose instead of 0.5 ml intramuscularly. The nurse also reported that the patient was helping his son move and was lifting heavy objects when he died at the end of June 2010 (Date unknown). The registered nurse thought that the cause of death on the certificate stated cardiac problems, but was unsure since she did not have the medical records at the time of the report. Additional information has been requested.


VAERS ID: 393972 (history)  
Form: Version 1.0  
Age: 0.09  
Sex: Female  
Location: Massachusetts  
Vaccinated:2010-07-26
Onset:2010-07-28
   Days after vaccination:2
Submitted: 2010-07-29
   Days after onset:1
Entered: 2010-07-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1456Y / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Cardio-respiratory arrest, Death
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), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-07-28
   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: Small for gestational age; 6# 10oz @ time of vaccination
Allergies:
Diagnostic Lab Data: unavailable/ME report pending
CDC Split Type:

Write-up: Unexpected death after sudden cardiorespiratory arrest.


VAERS ID: 395175 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Maryland  
Vaccinated:2010-08-09
Onset:2010-08-10
   Days after vaccination:1
Submitted: 2010-08-13
   Days after onset:3
Entered: 2010-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B054BA / 1 RA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood cholesterol increased, Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood phosphorus increased, Blood thyroid stimulating hormone normal, Blood triglycerides increased, Convulsion, Cyanosis, Death, Haematocrit normal, Haemoglobin normal, High density lipoprotein decreased, Low density lipoprotein increased, Platelet count increased, Respiratory arrest, Resuscitation, White blood cell count increased
SMQs:, Liver related investigations, signs and symptoms (broad), Anaphylactic reaction (broad), Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (narrow), Biliary system related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Lipodystrophy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Hypersensitivity (broad), Tumour lysis syndrome (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: 2010-08-10
   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: Furosemide, spironolactone, folic acid, lansozaprole, metoprolol, lactulose, pancrease, thiamine, multivitamins
Current Illness: no acute illnesses at time of vaccination
Preexisting Conditions: Alcoholic cirrhosis, stable and relatively asymptomatic (ascites resolved, normal albumin, no edema, elevated alk phos) Hyperlipidemia, Smoker BMI 17
Allergies:
Diagnostic Lab Data: June 2010: WBC 13 H/H 12.5/37, plat 436,000 creat 0.6, glu 83, magn 1.7, phosph 4.7 Alk phos 252, bili 0.8, AST 23 ALT 14, TSH 2.1, Albumin 3.7 March 2010: Chol 409 LDL 342, HDL 33, TG 168
CDC Split Type:

Write-up: Pt had been on an outing to the city with family, returned home, sat on couch, had a seizure, then respiratory arrest, pt turned blue, husband administered cpr, but she died.


VAERS ID: 395200 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Male  
Location: Idaho  
Vaccinated:2010-08-09
Onset:2010-08-13
   Days after vaccination:4
Submitted: 2010-08-13
   Days after onset:0
Entered: 2010-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3578AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E49136 / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-08-13
   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: none at time of vaccine
Current Illness: none noted
Preexisting Conditions: possible left ear hearing loss. ABR on 7-20-10 interpreted as normal for age with re-evaluation in 6 months recommended
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found dead in crib by mother.


VAERS ID: 396820 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Wyoming  
Vaccinated:2010-08-25
Onset:2010-08-26
   Days after vaccination:1
Submitted: 2010-08-30
   Days after onset:4
Entered: 2010-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B193AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF747AB / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E46123 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0772Y / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-08-26
   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: Patient received 1st Hep-B at birth, with no known adverse events.
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None


VAERS ID: 397045 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2010-06-14
Onset:2010-06-15
   Days after vaccination:1
Submitted: 2010-08-30
   Days after onset:76
Entered: 2010-08-31
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0152Z / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Balance disorder, Confusional state, Death, Dyspnoea, Fall, Heart rate increased, Intensive care, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-07-06
   Days after onset: 21
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 20 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: SEE ATTACHED
Current Illness:
Preexisting Conditions: DIABETES; A-FIB; RENAL PROBLEMS; PACEMAKER
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: June 15 and 16 weakness, unsteadiness - June 17 weakness, falling, fever, fast heartbeat, confusion - June 18 same as above and difficulty breathing (on June 18 20:00 AM put in ICU in critical condition).


VAERS ID: 397858 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: California  
Vaccinated:2010-01-11
Onset:2010-05-18
   Days after vaccination:127
Submitted: 2010-09-09
   Days after onset:114
Entered: 2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2932AA / UNK UN / UN

Administered by: Military       Purchased by: Military
Symptoms: Death, Eosinophilic myocarditis, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Cardiomyopathy (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-05-18
   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: No
Allergies:
Diagnostic Lab Data: not known
CDC Split Type:

Write-up: Acute Necrotizing Eosinophilic Myocarditis. Patient died at home.


VAERS ID: 398967 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2010-09-17
Onset:2010-09-17
   Days after vaccination:0
Submitted: 2010-01-20
   Days after onset:239
Entered: 2010-09-21
   Days after submission:243
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS AFLLA608BA / UNK LA / UN

Administered by: Private       Purchased by: Public
Symptoms: Abdominal discomfort, Blood test, Death, Diarrhoea, Faeces discoloured, Feeling hot, General physical health deterioration, Nausea, Pulmonary oedema, Pulse absent, Vomiting
SMQs:, Cardiac failure (narrow), Acute pancreatitis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-09-18
   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: 10mg LIPITOR; Levothyroxine 100 mcg; INDERAL 160 LA 1x; WELCHOL 1 PRN; NORVASC 10mg 1x; PLAVIX 75mg 1x; Potassium 10 meq 2x
Current Illness: Mycobacterium chelonae
Preexisting Conditions: BP (good at Dr. visit); High cholesterol (under control); occluded carotid artery (plav
Allergies:
Diagnostic Lab Data: None at present
CDC Split Type:

Write-up: Patient received combination Flu shot on 01-17-1- at approx. 1PM. Had shot at doctor''s office. Had blood drawn at hospital at 1:38PM. After arriving home, deceased complained of being sick to stomach and hot. Began vomiting and had black, runny diarrhea. Overnight patient condition deteriorated, lung filled with fluid and had no pulse when EMS arrived at approx, 12:40 PM 9-18-10. Patient pronounced dead at 1:07 PM on 9-18-10. On 9-18-10 AM before EMS arrived patient vomiting brown bile and had runny, black diarrhea


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