National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

Found 1,713 cases where Vaccine is 6VAX-F or DPIPV or DPP or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTIPV or DTPIHI or DTPIPV or DTPPHIB or IPV or TDAPIPV and Patient Died and Submission Date on/before '2015-09-30'

Government Disclaimer on use of this data



Case Details

This is page 10 out of 172

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19   next


VAERS ID: 119248 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Missouri  
Vaccinated:1999-02-12
Onset:1999-02-14
   Days after vaccination:2
Submitted: 1999-02-17
   Days after onset:3
Entered: 1999-02-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 457788 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1190H / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 110211 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0726 / 1 LL / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 1190H / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Drug ineffective, Infection, Sudden infant death syndrome
SMQs:, Lack of efficacy/effect (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-02-14
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pericardial draw post mortem-blood cult grew type B H flu
CDC Split Type:

Write-up: DOA in hosp ER 14FEB99;blood cult grew H. flu type B;


VAERS ID: 119691 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Oregon  
Vaccinated:1999-02-19
Onset:0000-00-00
Submitted: 1999-02-24
Entered: 1999-03-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 457791 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2931A2 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 423203A / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0727 / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (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:
Other Medications:
Current Illness: mild URI and thrush
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS. found unresponsive in crib @ 5:39a 2/23/99


VAERS ID: 120357 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:1999-01-19
Onset:0000-00-00
Submitted: 1999-03-16
Entered: 1999-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 455839 / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1226E / 2 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 0992660 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N01462 / 1 RL / SC

Administered by: Unknown       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-02-11
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy ordered by court
CDC Split Type:

Write-up: found dead in crib in AM on 11FEB99;


VAERS ID: 120597 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: California  
Vaccinated:1999-02-18
Onset:1999-02-21
   Days after vaccination:3
Submitted: 1999-03-19
   Days after onset:26
Entered: 1999-03-29
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 858A2 / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0003H / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0699 / 2 LL / IM

Administered by: Private       Purchased by: Other
Symptoms: Agitation, Apnoea, Cardiac arrest, Pyrexia, Sudden infant death syndrome, Unevaluable event
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-02-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy performed-results unavailable @ this time;
CDC Split Type:

Write-up: pt found by parent not breathing, CPR started, transported to nearest ER on 21FEB99, unable to resuscitate;


VAERS ID: 120891 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Texas  
Vaccinated:1999-03-17
Onset:0000-00-00
Submitted: 1999-03-31
Entered: 1999-04-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0987H / 2 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0897H / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1069 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Bronchitis, Cardiac arrest, Dehydration, Infection, Pneumonia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-03-19
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: HBV #1 @ birth
Current Illness: cold-nasal drainage, resp rate 36
Preexisting Conditions: none;family hx + for SIDS and possible sickle cell trait
Allergies:
Diagnostic Lab Data: nasopharyngeal-+RSV; blood cx-+ Grp D Strep,Enterococcus, Klebsiella pneumoniae; spleen viral cx-+ Cytomegalovirus
CDC Split Type:

Write-up: (null)


VAERS ID: 121006 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Michigan  
Vaccinated:1999-03-20
Onset:1999-03-28
   Days after vaccination:8
Submitted: 1999-04-06
   Days after onset:8
Entered: 1999-04-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456819 / 1 LL / -
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 0998900 / 1 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0699 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-03-28
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Tobrex eye drops
Current Illness: conjunctivitis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt died 28MAR99;pt recv vax30AR99;no other adverse reactions were reported;found in crib apneic & pulseless;taken to hosp & tried to be resuscitated but unsuccessful;


VAERS ID: 121007 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Michigan  
Vaccinated:1999-03-30
Onset:1999-04-01
   Days after vaccination:2
Submitted: 1999-04-06
   Days after onset:4
Entered: 1999-04-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 888A2 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1394H / 2 LL / -
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 0998890 / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0699 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Agitation, Apnoea, Cardiac arrest, Stupor, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-04-01
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NA
Current Illness: diaper rash
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt was given last feeding @ 4AM, smiling & doing well;found in crib @ 7AM unresponsive;CPR started & taken to hosp, unsuccessful in resuscitation;mom states pt cranky 31MAR when someone touched where immun given;


VAERS ID: 121059 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Maryland  
Vaccinated:1999-03-26
Onset:1999-04-02
   Days after vaccination:7
Submitted: 1999-04-02
   Days after onset:0
Entered: 1999-04-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 457789 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1615H / UNK LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M129H / UNK - / SC L

Administered by: Private       Purchased by: Public
Symptoms: Pneumonia
SMQs:, 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: 1999-04-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: had RSV infect 2MAR99;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS death 7 days p/vax;


VAERS ID: 121253 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1998-11-18
Onset:1998-11-19
   Days after vaccination:1
Submitted: 1999-04-12
   Days after onset:143
Entered: 1999-04-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / 1 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cerebral haemorrhage, Cerebral infarction, Cerebrovascular disorder, Convulsion, Encephalitis, Immune system disorder, Lymphocytosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Systemic lupus erythematosus (broad), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: pt recv hep b vax 19SEP98 & 19OCT98
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Brain MRI/CT w/rapidly progressive infarcts, atrophy & hemorrhage;autopsy showed meningoenchephalitis w/hemophagocytosis suggesting an inflammatory process to unk antigen or familial hemophagocytic lymphohistiocytosis
CDC Split Type:

Write-up: pt adm to hosp 19NOV98 w/new onset sz;dx rapidly progressive necrotizing encephalitis;clinically thought to be most consistent w/mitochondrial cytopathy although studies pending;autopsy showed meningoenchephalitis w/hemophagocytosis


VAERS ID: 121584 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Oregon  
Vaccinated:1999-03-19
Onset:1999-03-21
   Days after vaccination:2
Submitted: 1999-04-22
   Days after onset:31
Entered: 1999-04-27
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0942540 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 402253A / 2 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0443 / 2 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome, Unevaluable event
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-03-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: mild URI afeb-exam negative;
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: reporter does not have copy of autopsy report;
CDC Split Type:

Write-up: none at time of administration;apparent SIDS death 21MAR99;


Result pages: prev   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19   next

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=10&VAX[]=6VAX-F&VAX[]=DPIPV&VAX[]=DPP&VAX[]=DTAPHEPBIP&VAX[]=DTAPIPV&VAX[]=DTAPIPVHIB&VAX[]=DTIPV&VAX[]=DTPIHI&VAX[]=DTPIPV&VAX[]=DTPPHIB&VAX[]=IPV&VAX[]=TDAPIPV&DIED=Yes&SUB_YEAR_HIGH=2015&SUB_MONTH_HIGH=09


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166