National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

Found 3,093 cases where Patient Died and Vaccination Date from '2007-08-01' to '2020-11-30'



Case Details

This is page 7 out of 310

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16   next


VAERS ID: 300933 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Female  
Location: New York  
Vaccinated:2007-12-03
Onset:2007-12-03
   Days after vaccination:0
Submitted: 2007-12-10
   Days after onset:7
Entered: 2007-12-26
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2509AA / UNK - / IM

Administered by: Public       Purchased by: Private
Symptoms: Death, Pulse absent, Respiratory arrest, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-12-03
   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: Unknown
Current Illness: No acute - cleared for vaccine
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: At 10:30, patient assessed for contraindications for vaccine. No contraindications, consent signed, vaccine given. No s/d of reaction. 13:50, patient found by staff, unresponsive, no pulse, no respiration''s. MD notified. Stated patient expired due to disease and secondary diagnosis. 6/3/08 Death certificate states COD as cardiac arrhythmia R/T atherosclerosis, atrial fibrillation, CHF & cerebrovascular disease.


VAERS ID: 300934 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: North Carolina  
Vaccinated:2007-12-17
Onset:2007-12-18
   Days after vaccination:1
Submitted: 2007-12-24
   Days after onset:6
Entered: 2007-12-26
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B125BB / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0260U / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54016D / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1393N / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Death, Diarrhoea, Melaena, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2007-12-23
   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: Synthroid; Amoxicillin
Current Illness:
Preexisting Conditions: Down''s Syndrome; Grade 5 Reflux; Hypothyroidism; Duodenal Atresia 1/7/08-records received- HX of duodenal atresia status post repair and Trisomy 21. 3/28/08- Status post surgical anastomosis for duodenal atresia on Day 2 of life.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: vomiting started after vaccine no fever for 2 days-soft stools tarry oral hydration done at hosp with Pedialyte 1/7/08-records received for DOS 12/23/07-Presented to ED with cardiac arrest. The patient was found by family in cardiac arrest, unresponsive, abdomen distended. Vomiting day before. 3/28/08-COD:Complications of a small bowel obstruction. Extensive small bowel adhesions involving the spleen, pancreas, stomach, liver and large bowel. Exucdate in patchy distribution over the surface of the small bowel, liver and retroperitoneal fat. Small bowel luminal narrowing and serosal congestion and hemorrhage. Bilateral cystic dilation of kidneys and ureters.


VAERS ID: 301159 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Idaho  
Vaccinated:2007-09-26
Onset:0000-00-00
Submitted: 2007-12-19
Entered: 2007-12-28
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B049AA / 2 LL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0155U / 1 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR AO1092 / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007C / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0968U / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Physical examination normal
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-10-10
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:
Allergies:
Diagnostic Lab Data: Vitals taken 09/26/2007 01:45; Body Length 25.5 in 25.591-29.134; Weight 14.8125 lbs 29-56; Head Circumference 43cm 42-47; Body Mass Index 16.0; Body Surface Area 0.33. Remainder of physical exam on 9/26/07 WNL.
CDC Split Type:

Write-up: Patient is a 4 month 12 day old male. Source of information on MD office visit of 9/26/07 was mother. Past medical history reviewed and found to be negative. Physical exam on 9/26/07 office visit was WNL. 12/28/07 Reviewed autopsy report which states COD SIDS. Sleeping in adult bed, supine position & found unresponsive w/vomitus on face. Findings at autopsy included: bilateral otitis media (culture neg), slight hepatomegaly & resolved SDH (probable birth trauma).


VAERS ID: 302022 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: Unknown  
Vaccinated:2007-10-02
Onset:2007-10-08
   Days after vaccination:6
Submitted: 2008-01-08
   Days after onset:92
Entered: 2008-01-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0436U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Cardiac arrest, Death, Multi-organ failure
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), 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 (broad), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2007-10-13
   Days after onset: 5
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: therapy unspecified
Current Illness: Mental retardation severity unspecified; Pulmonary hypertension; Ventricular septal defect; Cardiac failure congestive; Patent ductus arteriosus
Preexisting Conditions: PMH: profound mental retardation, dysmorphic facies, congenital heart disease, Bixler''s syndrome, pulmonary HTN, hypochloremic alklosis, HH, cleft lip/palate, multiple bony abnormalities & rib anomalies, s/p heart valve repair, subtotal hemicolectomy & partial ilectomy, tracheostomy, PEG feeding tube.
Allergies:
Diagnostic Lab Data: Unknown LABS: WBC 16.8 (H), H/H 7.7/25.6 (L), lymphs 55.3 (H), segs 38 (L). CXR showed cardiomegaly.
CDC Split Type: WAES0801USA00406

Write-up: Information has been received from a nurse practitioner concerning an 18 month old female with mental retardation, pulmonary hypertension, ventricular septal defect, congestive heart failure, patent ductus arteriosus and no known allergies who on 02-OCT-2007 was vaccinated intramuscularly in the right arm with the 1st 0.5ml dose of PEDVAXHIB (lot#656521/0436U). The nurse practitioner was calling from a long term care facility for mental retardation. The reporter stated that the patient was on numerous medications but did not specify them. On 08-OCT-2007, the patient went into cardiac arrest and was rushed to a local hospital 10 miles away. On the same day the child was transported via helicopter to another hospital. on 13-OCT-2007 at 7:30 pm, the patient died at the hospital. The cause of death was cardiac arrest and multiple symptom organ failure. Cardiac arrest and multiple symptom organ failure were considered to be immediately life-threatening, disabling, other important medical events and congenital anomalies by the nurse practitioner. Additional information has been requested. 1/11/08 Reviewed hospital medical records from initial hospital which reveals patient arrived in cardiac arrest w/cpr in progress on 10/8/2007. Reportedly playing in state school home when suddenly became unresponsive & apneic/pulseless. Resuscitated & transferred to higher level of care. FINAL ER Dx: cardio-pulmonary arrest. 1/11/08 Reviewed hospital medical records from transfer hospital which reveal patient admitted to PICU on pressors, antibiotics & ventilator. Developed multi-system organ failure includeing renal failure, liver failure, cardiac failure, respiratory failure & refractory shock. Admitted 10/9-10/13/2007 when expired. 5/15/09 Death certificate states COD as brain death; hypoxic ischemic injury; multiple congenital anomalies.


VAERS ID: 302595 (history)  
Form: Version 1.0  
Age: 89.0  
Sex: Male  
Location: Michigan  
Vaccinated:2007-12-12
Onset:2007-12-12
   Days after vaccination:0
Submitted: 2007-12-31
   Days after onset:19
Entered: 2008-01-14
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2525AA / 1 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Burning sensation, Computerised tomogram normal, Dysphagia, Feeling abnormal, Muscular weakness, Pain, Paralysis
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2009-01-16
   Days after onset: 401
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Prednisone, metoprolol, aspirin, Vicodin, Lasix, lisinopril, K-DUR
Current Illness: None
Preexisting Conditions: Rheumatoid arthritis, degen. disk disease-cerv. neck PMH: RA, spinal deformities, steroid dependent. Polymyalgia rheumatica. HTN. HOH. Compression fx of c-spine. CAD, mitral regurgitation, CHF, cardiomyopathy w/CABG. Ejection fraction 35%.
Allergies:
Diagnostic Lab Data: CAT scan neg. for tumor or bleed LABS: head CT essentially WNL. MRI c-spine revealed severe stenosis w/cord compression
CDC Split Type:

Write-up: 8 hrs after vaccine admin., sudden onset of weakness bilateral arms & legs. Difficulty with speech, swallowing & ineffective cough. Overall sensation of feeling "wet" and "burning" flesh pain & paralysis. Not recovered but some improvements seen. 2/8/08 Reviewed hospital medical records which reveal patient experienced arm & leg pain, slurred speech & right facial droop. Admitted 12/13-12/29/2007. Progressed to paresthesias & then paralysis. Swallowing & urination compromised. Neuro consult done & felt non reversible. Transferred to hospice. FINAL DX: cervical cord compression 2nd to severe spinal stenosis; neuropathic pain in upper & lower extremities 2nd to cord compression. Annual Follow-up Information 18-FEB-2009: There was partial paralysis of the lower extremities that remained - unable to rehab pt. after receiving vaccine. Pt died approx 5 weeks ago (Jan 16) Sepsis due to bladder infection, being bedridden at nursing home and advanced age. Pt. passed away 35 days after receiving this vaccine (Jan 16th 09). His residual symptoms were lower extremity (partial) paralysis. The upper extremity paralysis. Resolved shortly after initial onset but unable to rehab the lower lungs. Spots from bilateral infection had to hi.sdeath


VAERS ID: 302724 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Minnesota  
Vaccinated:2008-01-11
Onset:2008-01-13
   Days after vaccination:2
Submitted: 2008-01-15
   Days after onset:2
Entered: 2008-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B130AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF297AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B70145K / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-01-13
   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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. died in bed approx. 48 hours after receiving 1st set of 3 immunizations. Records received 3/31/08-final autopsy report. COD: Probably Sudden Infant Death Syndrome. Petechial hemorrhages, epicardial, pleural.


VAERS ID: 302826 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Louisiana  
Vaccinated:2007-12-20
Onset:2007-12-22
   Days after vaccination:2
Submitted: 2008-01-07
   Days after onset:16
Entered: 2008-01-16
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B137AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2514AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54016F / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1195U / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Anoxic encephalopathy, Apnoea test, Autopsy, Brain death, Brain scan normal, Cardiac arrest, Computerised tomogram normal, Corneal reflex decreased, Crying, Dyspnoea, Electroencephalogram abnormal, Hypotension, Intensive care, Intubation, Mechanical ventilation, Oxygen saturation decreased, PCO2 increased, Poor peripheral circulation, Pupil fixed, Respiratory disorder, Resuscitation, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ischaemic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Cardiomyopathy (broad), Corneal disorders (narrow), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-12-24
   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: None
Current Illness: None
Preexisting Conditions: Unremarkable. There were no previous hospitalizations. She has received the six month immunizations two days before this happened and has been told the baby needed tummy time to develop the trunk tone and that is what she was doing when this happened.
Allergies:
Diagnostic Lab Data: A CT scan done at the emergency room showed no bleeding or edema with normal ventricles. The next day, repeat CT scan still did not show any brain edema or hemorrhage. An EEG was nearly flat that day with no significant cortical activity. Over the next 24 hours, the agonal respirations disappeared. The EEG became completely flat and there were no signs of any brain activity. an apnea test which showed the patient to have no spontaneous respirations despite the PCO2 going up to 77 and the oxygen saturation dropping to below 70. Also, at that point, there was no corneal reflex. The ocular vestibular reflex was negative. There was no gagging or coughing reflex, and there was no response to deep pain in any form including unchanged heart rate and blood pressure. The baby had a brain flow scan shortly after she came to the PICU, and it showed blood flow to the brain. After the apnea test and the rest of the examination for brain death was done, the mother requested a second brain flow study. The brain flow study was equivocal but still showed flow. Despite that, I explained to the mother that the criteria was still met for brain death, especially if the patient had not received any narcotics or any medications that could be impairing the cortical brain stem activity. An autopsy was performed.
CDC Split Type:

Write-up: This is a 6-month old white female who was transferred from the emergency room when she came into cardiac arrest on full code, asystole and was resuscitated and the heart rate was brought back after several minutes. According to the mother, she left the child prone over a blanket that had the four ends secure so it would not fold and left the room. She had heard the baby cry because, according to her, she didn''t like to be prone. She heard the baby cry 5 minutes before she went back into the room and found her completely unresponsive. She started CPR and called the paramedics who arrived in another 5 minutes according to her. They intubated the baby and transferred to the emergency room. From there, the patient was sent to this PICU. The physical examination showed the baby to be unresponsive to stimuli with gasping rhythmic chest movements with no effective ventilation. The pupils were at 5 mm and fixed. The patient was on the respiratory oxygenating well. The capillary refill was fair to poor approximately 4-5 seconds. Air entry was good and the heart was rhythmic with no murmur. The abdomen was soft. There were no bruises on the body or head of the infant. There was no gag reflex. A CT scan done at the emergency room showed no bleeding or edema with normal ventricles. The patient was placed on mechanical ventilation. A femoral line was placed. The baby was also started on Dopamine and Dobutamine for low blood pressure and poor perfusion and responded well to it. The baby also received albumin 5%. Due to the fact there was no cerebral edema, no Mannitol or 3% saline was given. The venous blood gases showed normal oxygenation and ventilation. The next day, repeat CT scan still did not show any brain edema or hemorrhage. An EEG was nearly flat that day with no significant cortical activity. Over the next 24 hours, the patient had at one point, according to some nurses, some very sluggish pupil reaction and even very mild response to deep pain in the lower extremities only. In my examination, basically the pupils were nonreactive and there was no response to pain. Over the next 24 hours, the agonal respirations disappeared. The EEG became completely flat and there were no signs of any brain activity. At that point, the situation was discussed with the parents and they agreed to an apnea test which showed the patient to have no spontaneous respirations despite the PCO2 going up to 77 and the oxygen saturation dropping to below 70. Also, at that point, there was no corneal reflex. The ocular vestibular reflex was negative. There was no gagging or coughing reflex, and there was no response to deep pain in any form including unchanged heart rate and blood pressure. The baby had a brain flow scan shortly after she came to the PICU, and it showed blood flow to the brain. After the apnea test and the rest of the examination for brain death was done, the mother requested a second brain flow study. The brain flow study was equivocal but still showed flow. Despite that, I explained to the mother that the criteria was still met for brain death, especially if the patient had not received any narcotics or any medications that could be impairing the cortical brain stem activity. At that point, I placed a call to another doctor who came and examined the patient and concurred there was brain death. The mother discussed the case with organ donation personnel and decided to donate the daughter''s organs. The care was then transferred to organ donation on 12/24/07. Final diagnosis: 1. acute life threatening event, 2. anoxic encephalopathy, 3. brain death. 9/9/06 Autopsy report states COD as probable apneic event w/history of anoxic encephalopathy, unresponsiveness, resuscitation & hospitalization, neuro delay & no evidence of trauma or injury.


VAERS ID: 303166 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: West Virginia  
Vaccinated:2007-12-12
Onset:2007-12-26
   Days after vaccination:14
Submitted: 2008-01-17
   Days after onset:22
Entered: 2008-01-22
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B130AA / UNK UN / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR SPUF215AB / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54013H / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-12-26
   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: Unknown
Current Illness: Infant seen 12/11/07 with hx of cough, runny nose and congestion. Dx''d with bronchilolitis and started on nebs.
Preexisting Conditions: Unknown.
Allergies:
Diagnostic Lab Data: Autopsy results, not reported
CDC Split Type: USWYEH02044108

Write-up: Information regarding Prevenar was received from a Complaint Coordinator from the FDA regarding a 2-month-old male patient who experienced death. The patient received a dose in Dec-2007. On the same day, the patient received a dose of Haemophilus influenzae B (manufacturer unknown) and a dose of Pediarix (GlaxoSmithKline) in Dec-2007. The patient received a dose of Rotarix one day prior to the other vaccines in Dec-2007. Relevant medical history was not provided. Concomitant medications were not reported. Approximately two weeks after receiving Prevnar and three other vaccines the patient died on 26-Dec-2007. No explanation was given for the death. No additional information was available at the time of this report. The cause of death was unexplained and the autopsy cause of death was not reported. 4/15/2008 Per FDA: "The cause of death was SIDS, although we don''t have a copy of the death certificate. I don''t think we need anything else for this case." Lengthy investigative report received from FDA. Infant seen 12/11/07 with hx of cough, runny nose and congestion. Dx''d with bronchiolitis and started on nebs. Infant received Rotovirus vaccine 12/11/07. Seen in F/u next day with improved sx and given Pediarix, Hib, and Prevnar 12/12/07. Infant had fed normally in the early morning hours of 12/26/2007 and gone to sleep in parent''s bed, and when parent awoke the next morning, the infant was dead. DX: SIDS.


VAERS ID: 303172 (history)  
Form: Version 1.0  
Age: 0.41  
Sex: Female  
Location: Unknown  
Vaccinated:2007-12-07
Onset:2007-12-07
   Days after vaccination:0
Submitted: 2008-01-18
   Days after onset:42
Entered: 2008-01-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AAC21B084BA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0064U / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08700D / 2 LL / IM

Administered by: Other       Purchased by: Other
Symptoms: Autopsy, Drug screen positive, Malaise
SMQs:, Drug abuse and dependence (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-12-16
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Underweight; Vomiting
Preexisting Conditions: Constipation; Fever
Allergies:
Diagnostic Lab Data: autopsy 12/16?/07 - "there was cocaine metabolized in her hair"
CDC Split Type: WAES0801USA01850

Write-up: Information has been received from a mother concerning her 5 month old underweight daughter who "had been throwing up a lot since around the time she was born and who in August 2007 "was really constipated and had a fever of 103F" who on 24-OCT-2007 was vaccinated with a first dose of PEDVAXHIB. A second dose of PEDVAXHIB was administered on 07-DEC-2007. The mother reported that the patient "was given a lot of other shots" on the same days. The patient was reportedly "really sick" after the second dose of PEDVAXHIB on 07-DEC-2007. The patient was being seen by the health department. Subsequently the patient died on 16-DEC-2007. It was reported that they were awaiting autopsy results but an initial report from the medical examiner that stated "there was cocaine metabolized in her hair." Additional information has been requested. 3/5/08 Autopsy report states COD & manner of death as undetermined. Circumstances suggested smothering & mechanical asphyxia w/blunt force injuries, acute bronchopneumonia RUL.


VAERS ID: 303292 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Connecticut  
Vaccinated:2007-10-23
Onset:2007-11-08
   Days after vaccination:16
Submitted: 2008-01-22
   Days after onset:75
Entered: 2008-01-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B1240B / 2 UN / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0436U / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007H / 2 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0670U / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Death, Respiratory tract congestion, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2007-11-10
   Days after onset: 2
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Gastroesophageal reflux PMH: otitis media tx starting 11/8/07.
Allergies:
Diagnostic Lab Data: Unknown ER LABS: ABG pH 6.85 (H). CXR & abdominal x-ray revealed multiple dilated loops of air-filled small bowel & free intraperitoneal air. 4/15/08 Additional labs received from CDC: small intestine w/marked & extensive congestion of submucosa w/hemorrhages & necrosis; congestion of liver & spleen. Adenovirus, Rotavirus & haemophilus all neg.
CDC Split Type: WAES0801USA03508

Write-up: Information has been received from a physician concerning an approximately 5 month old male with a history of "reflux" who in approximately October 2007, was vaccinated orally with a second dose of Rotateq. Two weeks post vaccination, on 08 NOV 2007, the patient was seen "in the office" at which time the patient was "congested with on an off vomiting". The patient presented with "a good bowel movement" and was given amoxicillin and sent home. Approximately 16 hours later the patient was taken to the emergency room (ER). "The child passed away on 10 NOV 2007". The patient''s status was not recovered. The reported cause of death was "necrotic bowel". The adverse events reported were considered to be, Disabling, immediately life threatening by the reporter. Additional information has been requested. 1/25/08 Received vax record which reveal patient also received Pediarix #2 AC21B133AA, Hib #2 Merck lot # 0436U, Prevnar #2 B54007H & Rotateq #2 0670U.. 1/29/08 Reviewed ER medical records of 11/9/07 which reveal patient arrived in cardiopulmonary arrest having been brought to hospital by parent. Had voided & had bloody stool, possibly vomited & had been lethargic prior to coding. Was in severe acidosis, shock, dehydration, hypercarbia, arrhythmia, infection. Resuscitated & transferred to higher level of care ER. FINAL Initial ER DX: abdominal castrophe; respiratory/cardiac arrest; and septic shock. 2/1/08 Reviewed hospital med records which reveal patient transferred from outlying hospital in critical shock condition. Admitted 11/9-11/10/2007 to ICU. Had 36 hour hx of poor feeding, increased crying & developed bilious emesis & bloody stools. Intubated & emergent laparotomy & ileocecectomy was performed in ICU. Finding at surgery: IS extending to hepatic flexure w/small area of necrosis in cecum & entire small bowel w/diffusely involved ischemia thought likely secondary to shock & cardiac arrest. Bowel remained dusky at end of procedure & abdomen left open w/bowel wrapped in order to visulize recovery. developed compartment syndrome of bilateral legs. Deteriorated, developed hepatic failure, DIC, fixed & dilated pupils, seizures & absent reflexes. Defibrillated numerous times & expired 11/10/07. Preliminary autopsy report included w/medical records reveals COD as Intussusception leading to ischemic bowel resulting in sepsis complicated by prolonged cardiac arrest & multiorgan failure. Findings included: ischemic bowel; diffuse alveolar damage,mild; sepsis; hepatic failure; DIC; renal petechiae; gastric mucosal petechiae; bilateral lower extremity ischemic damage; hyperemic lower extremities.


Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16   next

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=7&DIED=Yes&VAX_YEAR_LOW=2007&VAX_MONTH_LOW=08&VAX_YEAR_HIGH=2020&VAX_MONTH_HIGH=11


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166