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From the 2/18/2021 release of VAERS data:

Found 2,801 cases where Vaccine is DPIPV or DPP or DTAP or DTAPH or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTP or DTPHEP or DTPHIB or DTPIHI or DTPIPV or DTPPHIB or PER or TDAP and Patient Died and Submission Date on/before '2015-09-30'

Case Details

This is page 10 out of 281

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VAERS ID: 29769 (history)  
Form: Version 1.0  
Age: 0.7  
Sex: Male  
Location: South Carolina  
Vaccinated:1991-03-04
Onset:0000-00-00
Submitted: 1991-03-25
Entered: 1991-04-05
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 289901 / 2 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21131 / 1 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-03-23
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: SC91032

Write-up:


VAERS ID: 29812 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Unknown  
Location: Texas  
Vaccinated:1991-03-06
Onset:1991-03-08
   Days after vaccination:2
Submitted: 1991-03-11
   Days after onset:3
Entered: 1991-04-08
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Infection, Myocarditis, Sudden infant death syndrome
SMQs:, Cardiomyopathy (broad), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-03-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: PUB~ ()~~~In patient
Other Medications: NA
Current Illness: PUB
Preexisting Conditions: PUB
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: 910055001

Write-up: 2 mo infant rec''d DTP/OPV/HIBTITER on 6MAR91; Died 8MAR91; Reported as SIDS; Autopsy is being performed;pt found to have generalized viremia & viral myocarditis.Reporter states that death was not in any way related to immun.


VAERS ID: 29848 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: South Dakota  
Vaccinated:1991-01-24
Onset:1991-02-19
   Days after vaccination:26
Submitted: 1991-04-06
   Days after onset:46
Entered: 1991-04-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 295976 / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291944 / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-02-19
   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 pt or siblings~ ()~~~In patient
Other Medications: Naldec
Current Illness: nasal congestion
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: none
CDC Split Type: SD91009

Write-up: SIDS


VAERS ID: 30244 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Ohio  
Vaccinated:1990-11-28
Onset:1990-11-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES - / 2 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205FD / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Cardiac arrest, Cyanosis, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), 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), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-11-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no problems with 1st DTP & OPV~ ()~~~In patient
Other Medications: APAP
Current Illness:
Preexisting Conditions: No chronic illnesses
Allergies:
Diagnostic Lab Data: Autopsy Report 30NOV90 available-cause of death: SIDS
CDC Split Type: 900216701

Write-up: Morning p/immun, infant was found dead in her crib by babysitter, infant was blue, pulseless & apneic; transported by Ambulance to ER & pronounced dead; Cause-SIDS no sx to immun as fever or irritability, appeared healthy;


VAERS ID: 29892 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Maryland  
Vaccinated:1991-03-19
Onset:1991-03-22
   Days after vaccination:3
Submitted: 1991-04-09
   Days after onset:17
Entered: 1991-04-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 298913 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 295957 / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cyanosis, Rhinitis, Sepsis, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-03-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: VSD, Pulmonary artery stenosis;
Preexisting Conditions: premature, BW 3 13; 10 day of tx 2 birth for poss Sepsis stayed in Hosp 30 days- 1 day in oxygen;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt fine for 3 day; on 22MAR91 sleeping - sitter checked her & found her w/vomitus around her mouth & blue; Mom says she has runny nose the night prior to event; CPR was given there & in ambulance & ER but w/o result;


VAERS ID: 29967 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Florida  
Vaccinated:1991-03-21
Onset:1991-03-22
   Days after vaccination:1
Submitted: 1991-03-22
   Days after onset:0
Entered: 1991-04-19
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 291927 / UNK RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M160FH / UNK LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / UNK MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Congenital arterial malformation, Face oedema, Heart disease congenital
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-03-22
   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: Baby Aspirin 1 daily
Current Illness: Congenital Heart Disease
Preexisting Conditions: Hypoplastic lt heart synd
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL91013

Write-up: TC fr mom infant has swollen eyes; Starts to suck from bottle & quits, "acts like he is worn out"; Referred for eval; no fever;


VAERS ID: 29990 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: California  
Vaccinated:1991-01-28
Onset:1991-01-30
   Days after vaccination:2
Submitted: 1991-04-02
   Days after onset:62
Entered: 1991-04-19
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283912 / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0625A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-30
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 910071301

Write-up: 2mos pt recvd DTP/OPV/Hibtiter on 28Jan91. Found in crib on 30Jan91-unable to resuscitate.No intervening illness.Preliminary autopsy report, no pathology, probable SIDS


VAERS ID: 30005 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: North Carolina  
Vaccinated:1991-03-26
Onset:1991-03-27
   Days after vaccination:1
Submitted: 1991-03-27
   Days after onset:0
Entered: 1991-04-22
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M560FP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0622M / 1 MO / PO

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: 1991-03-27
   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: Rondec DM drops
Current Illness: mild stuffy nose
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NC91024

Write-up: Reported crib death;


VAERS ID: 30020 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Kentucky  
Vaccinated:1991-01-14
Onset:0000-00-00
Submitted: 1991-02-07
Entered: 1991-04-22
   Days after submission:73
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 281929 / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-18
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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: KY918

Write-up: Reported - SIDS


VAERS ID: 30023 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Kentucky  
Vaccinated:1991-01-15
Onset:1991-02-13
   Days after vaccination:29
Submitted: 1991-02-19
   Days after onset:6
Entered: 1991-04-22
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285919 / 2 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618F / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Cardiac failure, Stupor
SMQs:, Cardiac failure (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-02-13
   Days after onset: 0
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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: KY9111

Write-up: Child was found non responsive & with apnea 13FEB91 was taken the ER w/o successful resuscitation;


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