National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 483818

History of Changes from the VAERS Wayback Machine

First Appeared on 2/13/2013

VAERS ID: 483818
VAERS Form:
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 7/7/2013

VAERS ID: 483818 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 AR / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 9/17/2013

VAERS ID: 483818 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Arteriosclerosis, Arteriosclerosis coronary artery, Cardiomegaly, Death, Hypertensive heart disease, Pulmonary congestion, Pulmonary oedema, Unresponsive to stimuli, Left ventricular hypertrophy, Toxicologic test normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia The following information was obtained through follow-up and/or provided by the government. PMH: HTN.
Allergies:
Diagnostic Lab Data: The following information was obtained through follow-up and/or provided by the government. 3/4/2013 lab/diagnostic report received for DOS 2/3/2013. Tox screen (-).
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13. The following information was obtained through follow-up and/or provided by the government. 3/4/2013 autopsy report received for DOS 2/3/2013. COD: atherosclerotic & hypertensive cardiovascular disease. Findings: 1) atherosclerotic & hypertensive cardiovascular disease, a) severe calcific coronary artery atherosclerosis, b) cardiomegaly, c) LVH, d) pulmonary edema/congestion, e) hx of HTN; 2) found unresponsive in residence.


Changed on 3/14/2015

VAERS ID: 483818 Before After
VAERS Form:
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Arteriosclerosis, Arteriosclerosis coronary artery, Cardiomegaly, Death, Hypertensive heart disease, Pulmonary congestion, Pulmonary oedema, Unresponsive to stimuli, Left ventricular hypertrophy, Toxicologic test normal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia The following information was obtained through follow-up and/or provided by the government. PMH: HTN.
Allergies:
Diagnostic Lab Data: The following information was obtained through follow-up and/or provided by the government. 3/4/2013 lab/diagnostic report received for DOS 2/3/2013. Tox screen (-).
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13. The following information was obtained through follow-up and/or provided by the government. 3/4/2013 autopsy report received for DOS 2/3/2013. COD: atherosclerotic & hypertensive cardiovascular disease. Findings: 1) atherosclerotic & hypertensive cardiovascular disease, a) severe calcific coronary artery atherosclerosis, b) cardiomegaly, c) LVH, d) pulmonary edema/congestion, e) hx of HTN; 2) found unresponsive in residence.


Changed on 9/14/2017

VAERS ID: 483818 Before After
VAERS Form:(blank) 1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 0 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 2/14/2018

VAERS ID: 483818 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 6/14/2018

VAERS ID: 483818 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 8/14/2018

VAERS ID: 483818 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 9/14/2018

VAERS ID: 483818 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.


Changed on 10/14/2018

VAERS ID: 483818 Before After
VAERS Form:1
Age:56.0
Sex:Male
Location:Texas
Vaccinated:2013-02-01
Onset:2013-02-02
Submitted:2013-02-04
Entered:2013-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH712AA / 1 AR / IM

Administered by: Public      Purchased by: Public
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2013-02-02
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: VISTARIL; Temazepam; SEROQUEL; RISPERDAL
Current Illness: None
Preexisting Conditions: Hypertension; Schizophrenia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Reported by family that he was found dead on 2/2/13.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=483818&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166