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From the 1/14/2022 release of VAERS data:

Found 979 cases where Vaccine is PNC and Patient Died

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Case Details

This is page 13 out of 98

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VAERS ID: 184466 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Louisiana  
Vaccinated:2002-03-05
Onset:2002-03-18
   Days after vaccination:13
Submitted: 2002-05-07
   Days after onset:49
Entered: 2002-05-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA610AA / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0160L / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484209 / 2 RL / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Bacterial infection, Brain oedema, Cerebral haemorrhage, Hypersensitivity
SMQs:, Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-03-18
   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:
Current Illness: Pink throat and slightly enlarged tonsils and stuffy nose per F/U 6/10/02
Preexisting Conditions: Mom reported vomiting and diarrhea that stopped 4 days prior to death; went to ER per F/U 6/10/02, also has history of allergies
Allergies:
Diagnostic Lab Data: Autopsy performed-cause of death; nodular pneumonitis with allergic component
CDC Split Type: LA020501

Write-up: The pt died suddenly at the babysitter''s; dx on death certificate is nodular pneumonitis with allergic component. Mother is concerned that child''s allergic reaction was possibly related to vaccine. Received HIB, MMR, PCV-7 on 3/5/02. Per F/U 6/10/02 also had cerebral edema and congestion, scattered colonies of bacterial-type elements within these nodular areas and intra-alveolar hemorrhage.


VAERS ID: 184511 (history)  
Form: Version 1.0  
Age: 0.22  
Sex: Male  
Location: Maryland  
Vaccinated:2002-04-19
Onset:2002-04-20
   Days after vaccination:1
Submitted: 2002-04-22
   Days after onset:2
Entered: 2002-05-14
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 532A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1521K / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1521K / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0179 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 485043 / 1 RL / IM

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Sudden infant death syndrome
SMQs:, Acute central respiratory depression (narrow), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-04-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol
Current Illness: Mild URI
Preexisting Conditions: Mild URI, wheezing (one episode)
Allergies:
Diagnostic Lab Data: Autopsy is pending, Medical Examiner expects this to be SIDS, per phone call.
CDC Split Type: MD02002

Write-up: Pt found not breathing at 6am on 04/20/2002. Medical examiner expect from the autopsy to be SIDS. Per F/U autopsy; deceased found unresponsive in bed with an adult. SIDS confirmed. Follow up on 06/19/2002: "Follow up telephone call from manufacturer on 06/03/2002 to Dr at care center for additional information on patient, Dr stated that without patient''s full name she is unable to provide any information. Dr also stated that the administered product was IPOL and not IPV. As per regulatory affairs, the lot # (U0179) that had been originally reported for IPV was that of Yellow Fever. The lot number for the IPOL product was not reported. From faxed correspondence received at the manufacturer, it was reported: "This report was received from Wyeth-Ayerst for Streptococcus pneumoniae vaccine and was assigned manufacturer control number HQ2420023MAY2002. Information has also been received from a physician concerning an 11-week old male patient with a history of one previous episode of wheezing (time not specified, treated with albuterol), no other significant past medical history and no concurrent conditions, who on 04/19/2002 at 15:00 was vaccinated in the right thigh with the first dose (Lot # 152K reported, invalid for the product) of Haemophilus B conjugate vaccine (reported as "Hib(PRP-OMP)). Concomitant therapy that same day at 15:00 included the second dose (illegible lot number reported) in the right thigh of hepatitis B vaccine recombinant vaccine/tetanus toxoid (INFANRIX), and the first dose (Lot # 485-043) in the right thigh of Streptococcus pneumoniae vaccine (PREVNAR). It was reported taht the patient had a mild upper respiratory infection at the time of vaccination, and that the patient did not have any wheezing on the day of vaccination. The patient was not on any medications to the physician''s knowledge. It was noted that the episode of wheezing has not been in the several days prior to the vaccinations. On 04/20/2002, at 06:00 the patient was found not breathing. The patient died on 04/20/2002. The patient had no history of adverse events after prior vaccination. It was reported that an autopsy was done, but that the results were pending." Additional information has been requested.


VAERS ID: 184907 (history)  
Form: Version 1.0  
Age: 2.6  
Sex: Male  
Location: Unknown  
Vaccinated:1996-10-17
Onset:1998-11-15
   Days after vaccination:759
Submitted: 2002-05-17
   Days after onset:1278
Entered: 2002-05-21
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 4 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bacterial infection, Fungal infection, Gastrointestinal haemorrhage, Haemoglobin decreased, Meningitis, Myeloid leukaemia, Pleural effusion, Pyrexia, Respiratory distress, Sepsis, White blood cell count decreased
SMQs:, Anaphylactic reaction (broad), Haematopoietic erythropenia (broad), Haematopoietic leukopenia (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Noninfectious meningitis (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Haematological malignant tumours (narrow), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-01-04
   Days after onset: 50
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: Acute Myeloid leukemia NOS; Immunodeficiency NOS
Preexisting Conditions: Epistaxis episodes since the age of 14 months; Per F/U 5/28/02 history of acute myeloid leukemia; immunodeficiency NOS
Allergies:
Diagnostic Lab Data: Blood culture 11/15/98-specimen revealed penicillin resistant Streptococcus pneumoniae serotype 19F; Culture NOS-(+) right pleural effusion grew Aspergillus; Differential WBC-2.3, 12% neutrophils, 88% lymphocytes; Full blood count 11/10/98-Hgb 10.5, WBC-3.3, 83% neutrophils, 16% lymphocytes and 1 basophil; Platelets-390,000; Blood culture 11/16/98-neg. COD as per death certificate includes myleodysplasia/preleukemia and aspergillus meningitis.
CDC Split Type: HQ1985612JUN2001

Write-up: Information has been received from an investigator concerning a male child with a history of acute myeloid leukemia who received his 4th dose of Prevnar on 10/17/96 as part of a post-marketing safety surveillance trial. Approx. 2 years, post vax, at 31 months of age, he developed sepsis. Culture revealed Streptococcus pneumoniae serotype 19F. Sepsis was considered to be an "Other Medically Important Event". The Medical Monitor and Investigator''s assessment of the relatedness between septicemia streptococcal (expected per the package insert) and Prevnar was unknown. Additional information was received on 5/6/02. The child had a history of bleeding episodes since 14 months of age. A probable dx of acute megaloblastic leukemia was made and the child was treated with standard induction chemotherapy including intrathecal cytarabine. He was re-admitted to the hospital on 11/15/98 for his 2nd course of chemotherapy and was febrile. Blood culture grew penicillin resistant Streptococcus pneumoniae. A repeat blood culture on 11/16/99 was negative. He was afebrile and was started on chemotherapy. "Stormy" hospital course was complicated by Streptococcus viridans sepsis and he was transferred to another facility because of increased respiratory distress. He developed a right pleural effusion which grew Aspergillus. His respiratory condition improved and the child was transferred back to the hospital facility. He was discharged on 1/1/99 and died at home. Both the investigator and medical monitor''s assessments were unknown. Per F/U 5/28/02 autopsy: COD ureteral and GI bleeding, Aspergillos meningitis and pneumonia and myelodysplasia/pre-leukemia.


VAERS ID: 185418 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Indiana  
Vaccinated:2002-05-01
Onset:0000-00-00
Submitted: 2002-05-20
Entered: 2002-05-28
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 521A2 / 2 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1638K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T1191 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484209 / 2 LL / IM

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: 2002-05-07
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Pt was given 2nd set of immunizations on 05/01/2002. No adverse reactions at time. None reported later. Pt died on 05/08/2002. Death certificate states "SIDS." Per F/U 5/29/02, death certificate states date of death as 5/7/02 at 5:10 PM


VAERS ID: 185419 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Minnesota  
Vaccinated:2002-05-15
Onset:2002-05-16
   Days after vaccination:1
Submitted: 2002-05-20
   Days after onset:4
Entered: 2002-05-28
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 531A2 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0039M / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T1464 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484856 / 1 LL / IM

Administered by: Private       Purchased by: Other
Symptoms: Bacterial infection, Petechiae, Sudden infant death syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-05-16
   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: NONE
CDC Split Type:

Write-up: Preliminary medical examiners report is SIDS (early AM). Per F/U 7/8/02; Thymic and pleural petechial hemorrhages; Lung culture-mixed bacterial flora


VAERS ID: 186187 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: New Jersey  
Vaccinated:2002-05-17
Onset:2002-05-31
   Days after vaccination:14
Submitted: 2002-06-03
   Days after onset:3
Entered: 2002-06-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0540BA / 2 LL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1390L / 2 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0425 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484871 / 2 LL / -

Administered by: Private       Purchased by: Private
Symptoms: Blood disorder, Sudden infant death syndrome
SMQs:, Haematopoietic cytopenias affecting more than one type of blood cell (broad), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-05-31
   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: Polyviflor + Fe, Westcourt Cream
Current Illness: Mild eczema
Preexisting Conditions: Bart''s Hemoglobin
Allergies:
Diagnostic Lab Data: Patient may have Bart''s Hgb
CDC Split Type:

Write-up: Pt received immunizations on 05/17/2002. Was well. No reacting. Put to bed on 05/31/2002. Found cold and dead on 06/01/2002 AM. Medical examiner "SIDS."


VAERS ID: 186723 (history)  
Form: Version 1.0  
Age: 0.59  
Sex: Male  
Location: Michigan  
Vaccinated:2002-05-28
Onset:2002-06-01
   Days after vaccination:4
Submitted: 2002-06-11
   Days after onset:10
Entered: 2002-06-19
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 55242 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 481568 / 1 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0614 / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484871 / 1 RL / -

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-06-01
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: EES suspension
Current Illness: URI, Left Otitis, Afebrile
Preexisting Conditions: Umbilical granuloma, gastro, otitis media.
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC Split Type:

Write-up: Died four days after receiving vaccines for us apparent reasons. Autopsy pending. COD ruled as asphyxia, manner of death natural as per autopsy report


VAERS ID: 187005 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Ohio  
Vaccinated:2002-05-23
Onset:2002-05-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2002-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0547CA / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 480695 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0907 / 2 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484874 / 2 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Sepsis, Sudden infant death syndrome
SMQs:, Acute central respiratory depression (narrow), Neonatal disorders (narrow), Respiratory failure (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-05-24
   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:
Preexisting Conditions: Syndactyly L 2nd and 3rd toes.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sudden unexpected death. No symptoms preceeding discovery of apneic infant. COD - Sepsis due to beta hemolytic strep as per autopsy report.


VAERS ID: 187233 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: North Carolina  
Vaccinated:2002-06-18
Onset:2002-06-18
   Days after vaccination:0
Submitted: 2002-06-20
   Days after onset:2
Entered: 2002-07-05
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER 543A2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 481562 / 2 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U0823 / 2 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 485993 / 2 RL / -

Administered by: Private       Purchased by: Other
Symptoms: Decreased appetite, Lethargy, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-06-18
   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: NONE
Current Illness: NONE
Preexisting Conditions: Former 32 week premie with h/o tracheomalcia
Allergies:
Diagnostic Lab Data:
CDC Split Type: NC02055

Write-up: Pt came in mom and dad for 4 month well visit. Was doing well at that time with no illness or temp noted. Pt is former 32 weeks premie who had good weight gain was up to 8#9lb. Shots below were administered. Pt tolerated them well. When parents got home they gave dose of Tylenol at 8pm but stated no temp was noted. They then gave another dose at 12am. Pt acted very lethargic with decreased po intake. Parents awake at 6am and found pt to have passed. No fussiness was ever noted, just increased sleepiness with a decrease in po intake.


VAERS ID: 187789 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Ohio  
Vaccinated:2002-07-16
Onset:2002-07-17
   Days after vaccination:1
Submitted: 2002-07-18
   Days after onset:1
Entered: 2002-07-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 538A2 / UNK LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1697K / UNK RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA546AD / UNK LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T1128 / UNK RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484873 / UNK RL / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Apnoea, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-07-17
   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: PPD
Current Illness: NONE
Preexisting Conditions: Congenital spina bifida
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Parents noticed infant was not breathing well, then noticed that he had stopped breathing-called 911- underwent prolonged resuscitation without recovery.


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