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Found 18 cases where Vaccine targets Smallpox (SMALL) and Patient Died and Vaccination Date on/before '2019-05-31'

Table

   
AgeCountPercent
17-44 Years1055.56%
44-65 Years738.89%
Unknown15.56%
TOTAL18100%

Case Details

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VAERS ID: 198981 (history)  
Form: Version 1.0  
Age: 57.0  
Sex: Female  
Location: Florida  
Vaccinated:2003-02-27
Onset:2003-02-28
   Days after vaccination:1
Submitted: 2003-03-06
   Days after onset:6
Entered: 2003-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020077 / 2 LA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Angiopathy, Atherosclerosis, Circulatory collapse, Cough, Decreased appetite, Dehydration, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Infarction, Lung disorder, Malaise, Myocardial infarction, Nausea, Pain, Pruritus, Pyrexia
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Pseudomembranous colitis (broad), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-03-26
   Days after onset: 26
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Norvasc 5mg po qd, Hazaar 50/12.5 one po qd; Evista
Current Illness: NONE
Preexisting Conditions: Hypertension; osteoarthritis; osteoporosis; prior TIA, status post heart cath; L1-5 compression fracture; right carotid endarterectomy; bilateral hip replacement; breast biopsy on the right (bening); heart cath in November of 2002; steroid epidural in December of 2002; smoking; transient ischemic attach.
Allergies:
Diagnostic Lab Data: BP is 113/80, heart rate is 100 and regular, respiratory rate is 20. Autopsy: showed extensive atherosclerosis of the coronary arteries, and a large healing infarct involving the posterior wall of the left ventricle and intraventricular sep. The autopsy report states arteriosclerotic cardio-vascular disease.
CDC Split Type:

Write-up: Pt is a 57 year old white female who presents to the smallpox vaccination follow up dressing clinic status post vaccinia vaccine times six days. She states that, the day following her vaccination, she began to suffer from increasing body aches, fatigue, general malaise, and fever that maxed at 102.6. She complains of nausea without vomiting and inability to eat or drink since that time. She does complain of increasing shortness of breath and productive cough, which is productive in nature with a green sputum. She denies chest pain. She denies ? related complications other than mild itching/pruritis. She denies generalized rash or rash on other parts of her body. She does complain of orthostatic dizziness. She has only taken Tylenol with small sips of water for the preceding five days. Impression: acute exacerbation of chronic obstructive pulmonary disease, dehydration, rule out vaccinia reaction. Follow up letter states: The latest that I was able to gather from - working on AE''s is the following: 57 yof nurse vaccinated 02/27/2003, seen in ER 03/04/2003 for nausea without vomiting, dizziness, shortness of breath. There was no evidence of rash, or fever and no report of diarrhea. Vital signs: 113/80, pulse 100, RR20, PE: Bilateral wheezing, scattered ronchi, no murmur, and normal heart sounds. The pt had a history of HTN, osteoporosis and TIA, no report of COPD. Was on antihypertensives and treatment for osteoporosis. This information comes from the report from the ER, it claims that she was going to be transferred but it is unclear if she was "admitted" or not (it appears to be an overnight ER admission, but this needs to be clarified). They had a requested CXR,ABG''s and were going to treat her as an "acute exacerbation of COPD" with antibiotics, bronchodilators, expectorants, and oxygen. COPD is not determined in past medical history from ER however the pt is a smoker since age 14 (1 ppd x 43 ys). On March 16 while with husband the pt collapsed and was down for 15-20 minutes. EMT''s came, pt was resuscitated in. The autopsy report states arteriosclerotic cardio-vascular disease.


VAERS ID: 200177 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: Maryland  
Vaccinated:2003-03-18
Onset:2003-03-22
   Days after vaccination:4
Submitted: 2003-03-24
   Days after onset:2
Entered: 2003-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020077 / 2 LA / ID

Administered by: Public       Purchased by: Public
Symptoms: Coma, Disorientation, Dizziness, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-03-23
   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: Atenolol, Diovan, Hydrochlorthiazide, Cardiazem
Current Illness: None
Preexisting Conditions: Hypertension, history of hypoglycemic episodes, intermittent bilateral hand swelling, occasional herpes simplex on arm
Allergies:
Diagnostic Lab Data: None for current illness; autopsy results pending
CDC Split Type:

Write-up: Day 4 after vaccination, disorientation, dizziness, L. arm pain, vomiting Day 5 discovered unresponsive in bed, pronounced dead at hospital. No medical treatment other than normal meds in 24 hours prior to death known.


VAERS ID: 201024 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2003-03-14
Onset:2003-03-25
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2003-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS - / UNK - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Accident, Anaemia, Back pain, Blood lactate dehydrogenase increased, Blood pressure decreased, Chest pain, Collagen disorder, Convulsion, Cough, Dyspnoea, Electrocardiogram abnormal, Laboratory test abnormal, Mental impairment, Nausea, Pleural effusion, Pneumonitis, Pyrexia, Sepsis, Supraventricular tachycardia, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Retroperitoneal fibrosis (broad), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (narrow), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol; Naproxen
Current Illness: Recent pneumonia
Preexisting Conditions: NONE Information received from transfer summary states Pneumonia. Information received from final discharge summary states rash. msv
Allergies:
Diagnostic Lab Data: CSF Cx, Thoracentesis, Atypical pneumonia serology panel, ANA, Rheumatoid screen Transfer summary states abnormal ECG, anemia, abnormal lab tests. Discharge summary states LDH increased. msv
CDC Split Type:

Write-up: Initially admitted with extreme shortness of breath/pneumonitis and pleural effusions noted after 2-3 week history of illness. Admit 3/27/03. On 4/6/03 Patient had mental status changes, partial complex seizure. Shortly thereafter decreased BP, required ventilation. Transferred to another hospital; later expired. Information received from transfer summary states fever, pain in chest, cough increased, supraventricular tachycardia. Discharge final summary states accident injury, collegen disorder, sepsis, nausea, vomiting and back pain. msv


VAERS ID: 202332 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Male  
Location: Texas  
Vaccinated:2003-02-01
Onset:2003-02-06
   Days after vaccination:5
Submitted: 2003-04-28
   Days after onset:80
Entered: 2003-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS - / 2 - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Coma, Hypertrophy
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-02-06
   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: See tox screening in box 7.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: See box 7.
CDC Split Type:

Write-up: Active-duty soldier, 181 cm tall, 180 lbs, found unresponsive in barracks 5-6 days post smallpox vaccination. Post-mortem toxicology positive for methadones (0.26 mg/L), diazepam (0.33 mg/L), nordiazepam (0.22 mg/L), but not temazepam, alprazolam, or dextromethorphan. Autopsy revealed concentric L ventricular hypertrophy, but no myocarditis. Conclusion: Vaccination unrelated to soldier''s death.


VAERS ID: 203154 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Male  
Location: Texas  
Vaccinated:2003-03-20
Onset:2003-03-25
   Days after vaccination:5
Submitted: 2003-05-14
   Days after onset:49
Entered: 2003-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / 2 - / -

Administered by: Military       Purchased by: Military
Symptoms: Cardiac arrest, Cardiomegaly, Cerebral ischaemia, Coma, Coronary artery disease, Hypertrophy, Ventricular fibrillation, Ventricular tachycardia
SMQs:, Torsade de pointes/QT prolongation (narrow), Cardiac failure (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Ischaemic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2003-03-27
   Days after onset: 2
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:
Other Medications:
Current Illness:
Preexisting Conditions: Smoker. Hyperlipidemia. Degenerative joint disease.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found unresponsive in vehicle, CPR initiated within 5 min. Resuscitated from cardiac arrest in ER at Medical Center. Suffered anoxic brain injury. As inpt had ventricular tachycardia, ventricular fib. Post-mortem exam revealed 3-vessel coronary artery disease, left ventricular hypertrophy, cardiomegaly, but no myocarditis. Full records provided to Dr.


VAERS ID: 203186 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Male  
Location: New York  
Vaccinated:2003-03-05
Onset:2003-04-06
   Days after vaccination:32
Submitted: 2003-05-15
   Days after onset:38
Entered: 2003-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS - / 1 - / -
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Cardiovascular disorder, Deep vein thrombosis, Muscle spasms, Pulmonary embolism, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Cardiomyopathy (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2003-04-06
   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: Aspirin?
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Heterozygous for Factor V Leiden mutation R506Q, indicating 3-6-fold increase in risk for vein thrombosis.
CDC Split Type:

Write-up: Deep-vein thrombosis of L lower extremity, leading to multiple pulmonary thromboemboli with near complete occlusion of L pulmonary artery. Dilated, tortuous deep veins of both lower extremities. Hypertensive atherosclerotic cardiovascular disease. Preliminary Autopsy Report: Cause of death: Pulmonary Thromboembolism due to DVT. Manner: Natural. Autopsy performed 10 Apr 03. Reports will be faxed. News article, dated 7 Apr 03, asserts "Three days ago, patient had complained of cramps behind his knee. Like most of us journalists "embedded" in the military, he had endured days and nights of working, eating, and sleeping in our vehicles as convoys snaked their way around. He consulted military doctors and described his symptoms over the phone to overseas physicians. They suspected DVT, or deep veinous thrombosis, and advised him to seek proper medical attention. He ignored their advice, swallowed some aspirins, and kept on working."


VAERS ID: 203515 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2003-03-10
Onset:2003-05-18
   Days after vaccination:69
Submitted: 2003-05-21
   Days after onset:3
Entered: 2003-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020076 / UNK LA / ID

Administered by: Public       Purchased by: Public
Symptoms: Atherosclerosis, Cardiac disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-05-18
   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: Meds for HTN - unsure of exact medications
Current Illness: None Reported
Preexisting Conditions: HTN, family history of HD
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sudden death on 5/18/03. Autopsy results show atherosclerotic heart disease.


VAERS ID: 211782 (history)  
Form: Version 1.0  
Age: 47.0  
Sex: Male  
Location: Georgia  
Vaccinated:2003-10-05
Onset:2003-10-07
   Days after vaccination:2
Submitted: 2003-03-07
   Days after onset:213
Entered: 2003-11-04
   Days after submission:242
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV078 / 1 RA / IM
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UB233AA / 1 - / SC
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020071 / 2 LA / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR W1344 / 1 - / IM

Administered by: Military       Purchased by: Military
Symptoms: Arteriosclerosis, Cardiovascular disorder, Coma, Coronary artery occlusion, Malaise, Stomach discomfort
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-10-07
   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: Deconamine SR
Current Illness: FEVER
Preexisting Conditions: High blood pressure; 15-year smoking history, new heart murmur 1/6 systolic. Preliminary autopsy findings: ASCVD w/ left main coronary artery occluded 90%, left anterior descending coronary artery occluded 85%. Diagnosed wit URI on 9/30/03 and treated with Deconamine SR BID x 10d.
Allergies:
Diagnostic Lab Data: PPD skin test applied on 10/5/03
CDC Split Type:

Write-up: Patient did vigorous physical training session just before dinner, went to dinner, didn''t feel well (upset stomach), went to barracks, apparently fell out of top bunk, was unresponsive. CPR started promptly with physician assistant attending. EMS arrived, patient was in asystole with no response to ACLS protocols. Transported to ER and ACLS continued with no response. Post-mortem x-ray showed no skeletal fracture or dislocation. Well known to unit PA; high blood pressure; 15-year smoking history, new heart murmur 1/6 systolic. Preliminary autopsy findings: ASCVD w/ left main coronary artery occluded 90%, left anterior descending coronary artery occluded 85%. Final autopsy report awaits tissue and toxicology findings. Add''l medical records will be provided once available. Pt did vigorous physical training session just before dinner, went to dinner, didn''t feel well (upset stomach), went to baracks, apparently fell out of top bunk, was unresponsive. CPR started promptly with physician assistant attending. EMS arrived, pt was in asystole with no response to ACLS protocols. Transported to ER and ACLS continued with no response. Post-mortem x-ray showed no skeletal fracture or dislocation. Well known to unit PA; high blood presure; 15-year smoking history, new heart murmur 1/6 systolic. Diagnosed with URI on 09/30/2003 and treated with Deconamine SR BIDx 10d. Preliminary autopsy findings: ASCVD with left main coronary artery occluded 90%, left anterior descending cornonary artery occluded 85%. Final autopsy report awaits tissue and toxicology findings. Nurse follow up on 11/08/04 states: "Severe Atherosclerotic Cardiovascular Disease."


VAERS ID: 214220 (history)  
Form: Version 1.0  
Age: 32.0  
Sex: Female  
Location: Unknown  
Vaccinated:2003-01-15
Onset:2003-02-18
   Days after vaccination:34
Submitted: 2003-12-03
   Days after onset:288
Entered: 2003-12-22
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020017 / 2 - / -

Administered by: Military       Purchased by: Other
Symptoms: Leukaemia, Lymphadenopathy, Shoulder pain
SMQs:, Rhabdomyolysis/myopathy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-09-22
   Days after onset: 215
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Birth Control Pill
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine given on 01/15/2003. Pt was in good health prior to receiving vaccine. Approximately 2 weeks after vaccine, swollen lymph nodes. Lymph nodes remained swollen but pt began having left shoulder pain after exercising on 02/18. On 02/19 seen by provider and diagnosed with Leukemia.


VAERS ID: 225540 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Male  
Location: Unknown  
Vaccinated:2003-04-11
Onset:2003-05-17
   Days after vaccination:36
Submitted: 2004-08-17
   Days after onset:458
Entered: 2004-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Chest pain, Coronary artery atherosclerosis, Coronary artery occlusion, Hypertrophy, Myocardial infarction, Pulse absent, Syncope
SMQs:, Torsade de pointes/QT prolongation (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), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-05-17
   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: Treated for cholesterol and blood pressure.
Current Illness:
Preexisting Conditions: Hypercholesterolemia; Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: While exercising, suddenly collapsed and found without pulse. CPR initiated. Resuscitation attempts unsuccessful. "Long history of hypercholesterolemia and hypertension for which taking medication." Had prior episodes of chest pain related to exercise. Autopsy revealed severe 3-vessel coronary occlusion, remote healed myocardial infarct, left ventricular hypertrophy. No myocarditis noted. "Died of arteriosclerotic coronary vascular disease." Will fax autopsy report.


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