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From the 1/7/2022 release of VAERS data:

Found 1,731 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'

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Case Details

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VAERS ID: 127554 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Idaho  
Vaccinated:1999-07-29
Onset:1999-08-05
   Days after vaccination:7
Submitted: 1999-08-11
   Days after onset:6
Entered: 1999-08-24
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 462317 / 1 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES N0701AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N06991 / 1 LL / SC

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: 1999-08-05
   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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS


VAERS ID: 127855 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Kentucky  
Vaccinated:1999-07-06
Onset:1999-07-08
   Days after vaccination:2
Submitted: 1999-08-30
   Days after onset:53
Entered: 1999-09-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 462317 / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1100H / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0825 / 2 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Pulmonary oedema, Pyrexia, Sudden infant death syndrome, Unevaluable event, Urticaria
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-07-10
   Days after onset: 2
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 noted
Preexisting Conditions: none noted (thrush 6/2/99)
Allergies:
Diagnostic Lab Data: autopsy revealed SIDS death
CDC Split Type: KY990039

Write-up: 2day p/vax broke out w/welts on face only; felt warm;welts were on face 3rd day;no meds given;felt warm 3rd night''-10pm;also welts; up 3:10am had bottle;4:45am found dead; no fever noted 3:10am


VAERS ID: 128054 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Mississippi  
Vaccinated:1999-06-16
Onset:1999-06-20
   Days after vaccination:4
Submitted: 1999-08-30
   Days after onset:71
Entered: 1999-09-07
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7389AA / 1 LL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1613A / 1 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0699 / 1 RL / -

Administered by: Public       Purchased by: Public
Symptoms: Post vaccination syndrome
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-06-20
   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: MS99033

Write-up: COD-changes consistent w/vax related death; Manner of death-consistent w/accident


VAERS ID: 128767 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Texas  
Vaccinated:1999-06-30
Onset:1999-07-09
   Days after vaccination:9
Submitted: 1999-09-27
   Days after onset:80
Entered: 1999-09-30
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / UNK - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Agitation, Anorexia, Apnoea, Brain oedema, Cardiac arrest, Constipation, Injury, Insomnia, Malaise, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (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), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-08-07
   Days after onset: 29
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: nkda
Allergies:
Diagnostic Lab Data: pyloric ultrasound-nl; upper GI-nl;KUB-neg;UR culture-no growth;galactrosem-below 10mg/dl; HGG type-nl;chest of x-ray
CDC Split Type:

Write-up: projectile vomit;fussy;not eating/sleeping;push fluids;still projectile vomit;fussy;listless;not eating/sleeping;tx:Levsin;no bowel movement;diarrhea;hosp;IV; CPR;cardiac arrest;differential Dx:aspiration;sepsis;SIDS;shaken baby synd


VAERS ID: 129134 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: Virginia  
Vaccinated:1999-09-09
Onset:1999-09-29
   Days after vaccination:20
Submitted: 1999-10-04
   Days after onset:5
Entered: 1999-10-08
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM A909A2 / 4 LA / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 423203A / 4 RA / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0699 / 3 RA / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0540J / 1 RL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308J / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Bronchitis, Cough, Infection, Lymphadenopathy, Myocarditis, Pharyngitis, Pneumonia, Sepsis, Splenomegaly, Unevaluable event
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Oropharyngeal infections (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1999-09-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Infant vial albuterol via nebulizer
Current Illness: NONE
Preexisting Conditions: mild broncho spasm w/URI, passive tobacco smoke exposure;
Allergies:
Diagnostic Lab Data: autopsy done-final report pending;
CDC Split Type:

Write-up: child well until 1130PM 9/28/99;URI, cough, given neb;awoke well @ 230AM;found dead @ 530AM;autopsy done;lymphadenopathy;slides pending ;dx viremia on preliminary report;


VAERS ID: 129511 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: California  
Vaccinated:1999-07-08
Onset:1999-09-14
   Days after vaccination:68
Submitted: 1999-10-14
   Days after onset:30
Entered: 1999-10-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0942540 / 4 - / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 119H / 3 - / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0700 / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1184H / 1 - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1671H / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Agitation, Anorexia, Asthenia, Cardiovascular disorder, Cough, Dyspnoea, Insomnia, Personality disorder, Pyrexia, Somnolence, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1999-09-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: fever, sleepy
Preexisting Conditions: hypospadins, chordee
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: p/vax pt devel T103.3, irritable & cranky, fever, not eating;cough, tired, lethargic, not self, not playful, fussy, no sleep, rapid heart beats, lt side of chest larger, nose flaring, trouble breathing;to ER found heart disease;


VAERS ID: 129513 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1999-10-06
Onset:1999-10-09
   Days after vaccination:3
Submitted: 1999-10-13
   Days after onset:4
Entered: 1999-10-19
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 890AL / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0894H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P05522 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Cardiac arrest, Coma, Condition aggravated, Convulsion, Cyanosis, Movement disorder, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Convulsions (narrow), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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: 1999-10-09
   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: Captopril, Lasix, ASA, Reglan, Zantac, Augmentin
Current Illness: mild cough, rt eye chronic folliculitis
Preexisting Conditions: hypoplastic lt heart w/ shunt revision, gastroesophageal reflux, cough, chronic hypoxia;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: mom relates fever on 10/9/99 w/rt sided body movement, then unresponsiveness;seen in ER w/unsuccessful resuscitation;


VAERS ID: 129684 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Minnesota  
Vaccinated:1999-10-14
Onset:1999-10-15
   Days after vaccination:1
Submitted: 1999-10-19
   Days after onset:4
Entered: 1999-10-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 913A2 / 2 - / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0461J / 2 - / L
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0473 / 2 LL / -

Administered by: Public       Purchased by: Public
Symptoms: Condition aggravated, Right ventricular failure
SMQs:, Cardiac failure (narrow), Pulmonary hypertension (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-10-15
   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: tube feedings;
Current Illness: NONE
Preexisting Conditions: congential heart disease-NG tube;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: child out of hosp 1wk feeling well, no fever, tube feedings;MD requested update of shots planning surgery;PM to ER for congestive heart failure;02 & sent home but died in sleep late afternoon;no fever or illness r/t vax;


VAERS ID: 130888 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Maryland  
Vaccinated:1999-11-12
Onset:1999-11-13
   Days after vaccination:1
Submitted: 1999-11-18
   Days after onset:5
Entered: 1999-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 464306 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 530453A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0553 / 1 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Bacterial infection, Cardiac arrest, Haemorrhage intracranial, Hepatocellular damage, Lung disorder, Pulmonary oedema, Spleen disorder
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-11-13
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: post mortem exam, results pending; toxicologic analyses-neg; 12/27/99 Neurology report showed an old subdural hemorrhage (may be secondary to trauma during birth)
CDC Split Type: MD99028

Write-up: death, found in crib attempted; resuscitation unsuccessful. Rcv''d missing info report 1/3/00. ME will send final report when completed. He is still working on preliminary cause of death (unsure at this time). COD -- Myocarditis as per autopsy report; Lungs-congestion and edema with multiple macrophages in the alveolar spaces; some bronchioles and alveolar spaces contain a yellow pigmented foreign material and scattered coccal bacteria without inflammatory reaction; liver-congestion and extra-medullary hematopoiesis; spleen-congestion; thymus-few petechial hemorrhages; heart-scattered foci of chronic inflammation with myocyte necrosis; 1 multinucleated giant cell is present


VAERS ID: 130935 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Indiana  
Vaccinated:1999-11-09
Onset:1999-11-10
   Days after vaccination:1
Submitted: 1999-11-10
   Days after onset:0
Entered: 1999-11-19
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 888A2 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0257J / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 06572 / 1 RL / SC

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: 1999-11-10
   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: Augmentin day a/vax; had allerg rxn
Current Illness: upper resp infect; rash from Augmentin
Preexisting Conditions: allergy to Augmentin
Allergies:
Diagnostic Lab Data: autopsy performed;
CDC Split Type:

Write-up: pt was found deceased in bassinet;time of death called @ 1232; pt was alive @ 1130


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