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

Found 11,750 cases where Age is 18-or-more-and-under-30 or 30-or-more-and-under-40 or 40-or-more-and-under-50 or 50-or-more-and-under-60 or 60-or-more-and-under-65 or 65-or-more and Patient Died



Case Details

This is page 9 out of 1,175

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VAERS ID: 47857 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1992-11-05
Onset:1992-11-05
   Days after vaccination:0
Submitted: 1992-12-07
   Days after onset:32
Entered: 1992-12-09
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLU-IMUNE) / LEDERLE LABORATORIES 335914 / 1 - / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0100V / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Cardiovascular disorder, Hyperhidrosis, Hypertrophy, Malaise, Myocardial infarction, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-11-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: COPD, end stage; hyperlimpidemia; hypertension
Allergies:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92111093

Write-up: pt recvd vax & approx 9 hrs following vax pt devel sweating & did not feel well; pts husband suggested ER but pt did not; pt died @ home;


VAERS ID: 48415 (history)  
Form: Version 1.0  
Age: 77.0  
Sex: Female  
Location: Georgia  
Vaccinated:1992-10-08
Onset:1992-10-12
   Days after vaccination:4
Submitted: 1992-10-15
   Days after onset:3
Entered: 1992-12-23
   Days after submission:69
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928243 / 3 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Cardiovascular disorder, Myocardial infarction, Nausea, Shock
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Myocardial infarction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-10-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: hx of coronary problems
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: GA92210

Write-up: 930AM 12OCT92 MD office w/nausea, weak; hx of heart disease; BP 162/50-sent ot ER expired 1152 12OCT92 w/prob dx of myocardial infarction;


VAERS ID: 48672 (history)  
Form: Version 1.0  
Age: 82.0  
Sex: Female  
Location: West Virginia  
Vaccinated:1992-10-29
Onset:1992-11-22
   Days after vaccination:24
Submitted: 1992-11-30
   Days after onset:8
Entered: 1993-01-04
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4928217 / 2 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Anxiety, Cardiac arrest, Condition aggravated, Dyspnoea, Hypertension, Hyperventilation, Myocardial infarction, Paraesthesia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-11-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Lasix, Lanoxin, Calan SR, Humulin, Axid, Nitrobid, Elavil, Nifedipineoth
Current Illness: NONE
Preexisting Conditions: CAD, IDDM, Hypertension, chronic CHF, cardiomegaly;
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: WV9242

Write-up: dyspnea, anxiety, P56, R36, BP 200/90, 02 on transferred to hosp; causes of death-cardiac failure, CHF, Ischemic cardiomyopathy, COPD; also exp discomfort & tingling in arms; R36 shallow & labored;


VAERS ID: 49057 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Female  
Location: California  
Vaccinated:1992-10-21
Onset:1992-11-07
   Days after vaccination:17
Submitted: 1992-11-23
   Days after onset:16
Entered: 1993-01-14
   Days after submission:52
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Coagulopathy, Condition aggravated, Haemorrhage, Leukocytosis, Pleural effusion, Sepsis, Vascular occlusion
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), 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: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 26 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hypertension meds
Current Illness: unk
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: cocci latex test was pos;
CDC Split Type: 892343002K

Write-up: pt recvd flu vax & 1 mo later, devel rash, cough, pleuritic chest pain & an inflitrate was seen on cxr; found to have vasculitis; tx w/steroids; pt died; autopsy is pending;


VAERS ID: 51042 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Maryland  
Vaccinated:1992-04-29
Onset:1992-05-06
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 4 - / -

Administered by: Other       Purchased by: Other
Symptoms: Angiopathy, Arthralgia, Collagen disorder, Infection, Myalgia, Sepsis, Thrombocytopenia, Vasculitis
SMQs:, Rhabdomyolysis/myopathy (broad), Haematopoietic thrombocytopenia (narrow), Systemic lupus erythematosus (broad), Eosinophilic pneumonia (broad), Vasculitis (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-05-31
   Days after onset: 25
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MAY92 WBC Count 2.1; Platelet count 40,000; Biopsy rash-lymphocytic infiltration;
CDC Split Type: WAES92050484

Write-up: Pt recvd 4th doses of Hep B vax on 3MAY92 devel fever of 104 to 105.7 & a rash described as macular, papular; 4MAY92 hospitalized due to persistance of sx; had a dec WBC & platelet count; Rocky Mountain spotted fever or meningococcemia;


VAERS ID: 52844 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Male  
Location: New York  
Vaccinated:1992-10-14
Onset:1992-10-14
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0788V / 2 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1992-10-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Hypertension; Bronchitis, chronic; substance abuse
Allergies:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES92110935

Write-up: Pt recvd vax 14OCT92 & died;


VAERS ID: 52863 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: Illinois  
Vaccinated:0000-00-00
Onset:1992-10-30
Submitted: 0000-00-00
Entered: 1993-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1246T / 3 - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Arthritis, Diplopia, Meningitis, Paraesthesia, Pseudo lymphoma, Thrombocythaemia
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Ocular motility disorders (broad), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune 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? Yes, 13 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Moduretic, Estrace, Decadron, Tylenol, Zantac;
Current Illness:
Preexisting Conditions: obese, sinus infection, alcohol abuse; medical hx: hypertension, rectal herpes, D&C, appendectomy, smoker, tonsillectomy, rectal fistula;
Allergies:
Diagnostic Lab Data: 4NOV92 WBC Count 12.6; Platelet coung 460; Neutrophils 6; Rheumatoid workup neg;
CDC Split Type: WAES92110959

Write-up: pt recvd vax & 2 wks following vax exp severe joint pain & dizziness; consulted a physician; lab eval 4NOV92 revealed ESR of 32mm hr, WBC count 12.6, platelet count of 460, neutrophils 6 & neg RA titer; knee pain & mild effusion; pain


VAERS ID: 51842 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: West Virginia  
Vaccinated:1993-02-20
Onset:1993-02-20
   Days after vaccination:0
Submitted: 1993-04-07
   Days after onset:45
Entered: 1993-04-15
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / PFIZER/WYETH 4928028 / UNK RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Nausea, Pain, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1993-02-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: cat scratch to rt arm;
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt returned 1 hr & 35 mins p/vax c/o nausea & dizziness; daughter-in-law stated that pt had been c/o arm hurting and becoming numb & tingling, prior to returning to ER;


VAERS ID: 52918 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1992-05-18
Entered: 1993-05-20
   Days after submission:367
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 5 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective, Gastrointestinal carcinoma
SMQs:, Lack of efficacy/effect (narrow), Non-haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBs neg;
CDC Split Type: WAES92121428

Write-up: Pt recvd 3 doses of Hep B & booster dose & lab eval showed lack of seroconversion; dx w/carcinoma of the colon & it was felt that pt''s carcinoma was the reason had not responded to the series of vax;


VAERS ID: 53485 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Female  
Location: Illinois  
Vaccinated:1993-04-30
Onset:1993-05-02
   Days after vaccination:2
Submitted: 1993-05-25
   Days after onset:23
Entered: 1993-06-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1552V / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anxiety, Bronchitis, Cardiomegaly, Dyspnoea, Lung disorder, Myocarditis, Pericardial effusion, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1993-05-08
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: on 2MAY93 or 3MAY93 commented of not feeling well; went to ER on 6MAY93 w/cough & sore throat; given Bi-cillin & cough rxn w/Codeine; called in sick to work w/virus on 7MAY93; dec 8MAY93;


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