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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 9 out of 260

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VAERS ID: 407754 (history)  
Form: Version 1.0  
Age: 0.85  
Sex: Male  
Location: Michigan  
Vaccinated:2010-11-08
Onset:2010-11-08
   Days after vaccination:0
Submitted: 2010-11-10
   Days after onset:2
Entered: 2010-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3744AA / 2 RL / IM

Administered by: Other       Purchased by: Public
Symptoms: Blood glucose increased, Cardiac arrest, Death, Endotracheal intubation, Gastrointestinal tube insertion, Pulse absent, Respiration abnormal, Resuscitation, Unresponsive to stimuli, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), 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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-08
   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: None
Current Illness: None
Preexisting Conditions: Diaper rash
Allergies:
Diagnostic Lab Data: Blood sugar 137
CDC Split Type:

Write-up: Previously healthy baby taken to ER by EMS unresponsive, with no pulse, no respirations. Details of what occurred prior to EMS arrival to apartment are unknown. One report is that the baby was in the bath with an older sibling, or mom was in the bathroom with another child, heard something in another room and then went and found the baby unresponsive. Mom started CPR, it took 5 - 10 minutes before the fire department arrived and continued CPR, the EMS arrived and found the baby on the floor with vomitis in hair, continued CPR, intubated, were unsuccessful in placing an IV line and administered Epinephrine via the ET. Upon arrival to the ER the baby was asystolic, IV started, 3 rounds of Epinephrine and Atropine administered via the IV and one dose of Na Bicarb, the ET tube was removed and another one placed, NG tube placed. All attempts were unsuccessful. The baby was pronounced at 10:48 PM. Medical Examiner to handle case.


VAERS ID: 407788 (history)  
Form: Version 1.0  
Age: 47.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-10-26
Onset:2010-10-26
   Days after vaccination:0
Submitted: 2010-10-29
   Days after onset:3
Entered: 2010-11-10
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U3051AA / 1 RA / IM

Administered by: Other       Purchased by: Public
Symptoms: Arrhythmia, Cardiac disorder, Death, Mitral valve prolapse, Palpitations, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-10-27
   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: unknown
Current Illness: NONE
Preexisting Conditions: asthmatic (well - controlled); cardiac
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 10/26/10, Pt was given TDAP 12:30pm; no contra indications to vaccine per health screening. Later that evening, pt experienced palpitations and called a physician to schedule appointment. 10/27/10, 06:00 am, pt collapsed at home after walking her dog. 911 called and EMS transported to ER. Pt died at 0820. Coroner reports cause of death as cardiac arrhythmia due to mitral valve prolapse and state pt had extensive cardiac problems. Death reportedly unrelated to TDAP vaccine. Pt did not disclose cardiac condition.


VAERS ID: 409289 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Female  
Location: Kansas  
Vaccinated:2010-11-15
Onset:2010-11-16
   Days after vaccination:1
Submitted: 2010-11-17
   Days after onset:1
Entered: 2010-11-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3665CA / 1 RA / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-16
   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: Multiple
Current Illness: Chronically ill, not acutely.
Preexisting Conditions: Diabetes (not controlled); obesity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received INFLUENZA vaccine approx 5 pm 11-15-10. Did not awaken from sleep 11-16-10 -$gEMS-$gpulseless electrical activity-$g CPR -$g Emergency Dept. Multiple attempts at resuscitation failed. Pt expired 11-16-10.


VAERS ID: 409766 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-10-21
Onset:2010-10-30
   Days after vaccination:9
Submitted: 2010-11-23
   Days after onset:24
Entered: 2010-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLULAVAL) / GLAXOSMITHKLINE BIOLOGICALS AFLLA610AA / UNK LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Asthenia, Borrelia test negative, CSF glucose increased, CSF protein normal, CSF white blood cell count negative, Death, Dysstasia, Guillain-Barre syndrome, Lumbar puncture abnormal, Muscular weakness, Polymerase chain reaction
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-11
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cadue, Prilosec, Multi vit, Vit C, Aspirin, Calcium +D, Fish Oil, Arimidex, Xanax
Current Illness: no
Preexisting Conditions: HTN, Hemochromotosis, breast ca (s/p chemo & XRT) NIDDM, depression, hyperlipidemia
Allergies:
Diagnostic Lab Data: Lumbar Puncture-$gGlucose=118, protein=44, wbc 0, lyme dna pcr neg
CDC Split Type:

Write-up: Sudden onset of weakness (back and neck)progressed to lower extremities described as "gel legs", difficulty standing DX with Guillain-Barre Syndrome


VAERS ID: 409831 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Indiana  
Vaccinated:2010-11-01
Onset:2010-11-02
   Days after vaccination:1
Submitted: 2010-11-11
   Days after onset:9
Entered: 2010-11-23
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR 3C665AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914275 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB058A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Death
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-02
   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: SYNAGIS IM
Current Illness:
Preexisting Conditions: 31 week preemie; Hx nec; s/p surgery nec pt with ostomy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was a 31 week preemie with hx of NEC D/C from NICU 3 weeks prior to event. He was on O2 NC; ostomy bag; NG feeds on AB monitor 24 hours after vaccination Pt became apneic at home and was pronounced dead at local ER.


VAERS ID: 410054 (history)  
Form: Version 1.0  
Age: 0.01  
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-07-21
Onset:2010-11-15
   Days after vaccination:117
Submitted: 2010-11-24
   Days after onset:9
Entered: 2010-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS BVB789A55 / 1 RL / UN

Administered by: Private       Purchased by: Public
Symptoms: Circumcision, Laboratory test normal
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-15
   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:
Current Illness: none
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: WNL
CDC Split Type: NH11242010

Write-up: Patient had acetaminophen 20 mg prior to circumcision.


VAERS ID: 410080 (history)  
Form: Version 1.0  
Age: 9.0  
Sex: Male  
Location: Idaho  
Vaccinated:2010-11-19
Onset:2010-11-21
   Days after vaccination:2
Submitted: 2010-11-24
   Days after onset:3
Entered: 2010-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3574BA / 1 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Death, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-22
   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:
Current Illness: No
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives, pucking, then DEATH


VAERS ID: 411487 (history)  
Form: Version 1.0  
Age: 0.01  
Sex: Male  
Location: New Hampshire  
Vaccinated:2010-09-18
Onset:2010-11-15
   Days after vaccination:58
Submitted: 2010-12-03
   Days after onset:18
Entered: 2010-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB842BA / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-15
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH12032010

Write-up: Dob 9-16-10 dod 11-15-10 received ENGERIX B 9/18/10.


VAERS ID: 411968 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Male  
Location: Texas  
Vaccinated:2010-10-20
Onset:2010-11-21
   Days after vaccination:32
Submitted: 2010-12-07
   Days after onset:16
Entered: 2010-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 501057P / UNK NS / IN

Administered by: Military       Purchased by: Military
Symptoms: Activities of daily living impaired, Atelectasis, Chills, Computerised tomogram abnormal, Cough, Dyspnoea, Insomnia, Pleural effusion, Pneumonia, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-30
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unfortunately, no vaccine information available
Current Illness: Unknown
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data: Bilateral pneumonia versus atelectasis with associated pulmonary effusion shown on chest CT; no PE seen.
CDC Split Type:

Write-up: Pt states shortness of breath started 2 weeks ago when he received Flu mist. symptoms mild at that time. he began to have activity limiting symptoms on 19Nov, unable to take a deep breath or sleep because of symptoms. He becomes very SOB with ambulation. Has cough that is only present when he takes a deep breath (nonproductive). Fever and chills over the last 2 weeks, had fever of 102.2 on presentation to emergency room, and satting 91% on room air.


VAERS ID: 412768 (history)  
Form: Version 1.0  
Age: 0.43  
Sex: Female  
Location: Missouri  
Vaccinated:2010-11-10
Onset:2010-11-10
   Days after vaccination:0
Submitted: 2010-12-14
   Days after onset:34
Entered: 2010-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3788AA / 1 UN / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH O14313 / 2 LL / UN

Administered by: Unknown       Purchased by: Other
Symptoms: Death, Decreased appetite, Diarrhoea, Insomnia, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-18
   Days after onset: 8
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient received her four month shots within the "four weeks" question above. Without her medical records infront of me, I do not know the date or the names of the vaccines. I can get the information, if needed.
Current Illness: No, patient was very healthy.
Preexisting Conditions: No, patient was very healthy.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient started getting sick around 9 hours after receiving the vaccine. Patient had never been sick before, not even a cold. Her symptoms included fever, diarrhea, loss of appetite & not sleeping very well.


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