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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 7 out of 291

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VAERS ID: 399078 (history)  
Form: Version 1.0  
Age: 0.01  
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-02-26
Onset:0000-00-00
Submitted: 2010-09-21
Entered: 2010-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB8183A / 1 UN / UN

Administered by: Public       Purchased by: Public
Symptoms: Death neonatal, Sudden infant death syndrome
SMQs:, Acute central respiratory depression (broad), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-04-11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH10003

Write-up: SIDS baby: unexpected death at 6 weeks.


VAERS ID: 399572 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Male  
Location: California  
Vaccinated:2010-09-02
Onset:2010-09-04
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2010-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS 11170P1 / UNK LA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-09-04
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Was informed that patient died 2 days after flu shot, no symptoms were reported by police office department.


VAERS ID: 401356 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: North Carolina  
Vaccinated:2010-09-27
Onset:2010-09-28
   Days after vaccination:1
Submitted: 2010-09-30
   Days after onset:2
Entered: 2010-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B249AA / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1486Y / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 913964 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0767Z / 1 MO / PO

Administered by: Unknown       Purchased by: Public
Symptoms: Blood test, Cardio-respiratory arrest, Chest X-ray, Computerised tomogram head, Electroencephalogram, Endotracheal intubation, Resuscitation, Skeletal survey, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: nasal congestion for 1 week
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: Head CT, Bone survey, blood work, EEG, Chest x-ray. Patient remains hospitalized and undergoing tests.
CDC Split Type:

Write-up: Patient was found unresponsive, EMS brought to ER in full cardiopulmonary arrest. CPR was given and patient intubated and sent to hospital.


VAERS ID: 401548 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2010-09-24
Onset:2010-09-24
   Days after vaccination:0
Submitted: 2010-10-01
   Days after onset:7
Entered: 2010-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3654AA / UNK RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Death, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-09-24
   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: Was released from hospital on 09/21/2010 after having "fluid drawn off lungs" as reported by wife. Had heart disease.
Preexisting Conditions: heart disease, unspecified heart valve abnormality
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Wife reports after leaving the Health Department, she and her husband completed some errands, the stopped approximately one hour later to let their dogs exercise. After getting out of the truck for a few minutes, he returned to the truck, then suddenly collapsed onto her lap. Was transported to Hopital.


VAERS ID: 401842 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Male  
Location: California  
Vaccinated:2010-09-21
Onset:2010-09-24
   Days after vaccination:3
Submitted: 2010-10-01
   Days after onset:7
Entered: 2010-10-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) / SANOFI PASTEUR U3601AA / UNK RA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Death, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-09-27
   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: Allergy shot; EFFEXOR; FLOMAX; NEURONTIN; hydromorphone; guiafesen
Current Illness:
Preexisting Conditions: Patient had a history of asthma and allergies to weeds and molds.
Allergies:
Diagnostic Lab Data: None
CDC Split Type: 201005586

Write-up: Initial report was received 30 September 2010 from a health care professional, who received the report from the patient''s wife. A 74-year-old male patient who had a history of asthma and allergies to weeds and molds, had received a first dose of FLUZONE HIGH-DOSE (lot number, route and site of administration unknown at the time of the report) and an unspecified allergy shot on 21 September 2010. On 24 September 2010, three days post vaccination, the patient developed a slight fever which resolved the following day. According to the reporter, the patient went to bed on 26 September 2010 and the following day on 27 September 2010, six days post vaccination, the patient was found dead in bed. The patient had no concurrent illness at the time of vaccination. The patient had been taking EFFEXOR, FLOMAX, "NEURONTIN", Hydromorphone and "guiafesen"concomitantly. The patient had also received allergy shots in the past. At the time of the report, it was unknown if an autopsy had been performed. No additional information was provided at the time of the report. Documents held by sender: None.


VAERS ID: 402744 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Washington  
Vaccinated:2010-09-16
Onset:2010-09-20
   Days after vaccination:4
Submitted: 2010-10-04
   Days after onset:14
Entered: 2010-10-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3715AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBNB803AB / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E55894 / 1 RL / IJ
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0595Z / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-09-20
   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: Per police report, pt was found deceased in parents bed, in prone position. Vaccines were given 4 days prior to death. No complications occurred in Dr office on that day.


VAERS ID: 403696 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2010-06-28
Onset:2010-06-29
   Days after vaccination:1
Submitted: 2010-10-17
   Days after onset:110
Entered: 2010-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -

Administered by: Public       Purchased by: Other
Symptoms: Asthenia, Brain death, Cerebrovascular accident, Colitis, Death, Extubation, Incontinence, Intracranial pressure increased, Pyrexia, Sepsis, Transfusion
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-08-14
   Days after onset: 46
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: My father had lung disease at the time of vaccination. His lungs were filled with mucus and he could not breathe properly.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: My father developed high fevers a day after the forced Pneumonia vaccine was given to him. This was given to him without asking our authorization or making us sign any kind of paper. He begun to go on himself constantly and we were told he developed Colitis, which he did not have. He also was given blood transfusions constantly because they told us he was weak and he would have benefited from the transfusions. A week after receiving the Pneumonia Vaccine he had a massive stroke. Nothing was done to diagnose and prevent it. The doctors who kept on coming in said that he was very very sick and everyone was shaking their heads. When we saw how badly he was doing we even asked what they did to him? His personal physician said he was given a Pneumonia Vaccine which was very, very good! This is what he told us and he quickly walked out of the room. On July 27th he was moved to Meadowlands Hospital in Secaucus. After they moved him to Meadowlands Hospital a doctor asked me, why they did not operate on his brain to relieve the pressure and stop the stroke. We were told he did not have colitis, but Sepsis. His blood stream had become completely poisoned. He died on August 14th, two days after we pulled the breathing tube away from him because they told us he was brain dead and there was no hope that he would ever come out of it.


VAERS ID: 403759 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2010-09-09
Onset:2010-09-17
   Days after vaccination:8
Submitted: 2010-10-15
   Days after onset:28
Entered: 2010-10-18
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0568Z / UNK RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1778Y / UNK RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UA3058AA / UNK LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3476AA / UNK LA / UN

Administered by: Unknown       Purchased by: Private
Symptoms: Asthenia, Death, Malaise
SMQs:, Guillain-Barre syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-09-20
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Mother called me on 9-17-10 afternoon that her son is sick and feeling very weak. I recommended the mother to take him to nearest ER as the patient was about 50 miles away and mother took him to ER where he was transferred to another hospital.


VAERS ID: 404173 (history)  
Form: Version 1.0  
Age: 0.84  
Sex: Female  
Location: Kentucky  
Vaccinated:2010-09-29
Onset:2010-10-11
   Days after vaccination:12
Submitted: 2010-10-13
   Days after onset:2
Entered: 2010-10-19
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B250BA / 3 RL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3581BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 913967 / 3 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-10-11
   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: PREVACID; FLOVENT
Current Illness: Resolving pneumonia
Preexisting Conditions: Spinal muscular atrophy, Type II; Asthma; GERD
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pt. deceased 10/11/2010. Unknown cause at present time; per mo-pt found in crib, prone, not breathing on morning of 10/11/2010. Past history significant for spinal muscular atrophy Type II. Treated for pneumonia 9/20-9/22/2010.


VAERS ID: 404181 (history)  
Form: Version 1.0  
Age: 85.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2010-10-05
Onset:2010-10-06
   Days after vaccination:1
Submitted: 2010-10-19
   Days after onset:13
Entered: 2010-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3575EA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Muscular weakness, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Soft tissue arm pain that radiates down arm to hand. Hand feels weak at times. no improvement over 2 weeks. No sign of infection or hematoma. No indication of nerve pain.


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