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

Found 1,734 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

This is page 14 out of 174

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VAERS ID: 131636 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: New York  
Vaccinated:1999-11-02
Onset:1999-11-03
   Days after vaccination:1
Submitted: 1999-11-03
   Days after onset:0
Entered: 1999-12-02
   Days after submission:29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 464303 / 2 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 512453A / 2 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P06572 / 2 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Abscess, Sepsis, Urinary tract infection
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-11-03
   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: Amoxicillin;MS Prophylaxis
Current Illness: NONE
Preexisting Conditions: hydronephronsis lt kidney-had urological surg 10/6/99
Allergies:
Diagnostic Lab Data: autopsy revealed the cause of death to be sepsis secondary to UTI and abscess.
CDC Split Type:

Write-up: pt died next Am in bed but at autopsy had large abscess @ bladder & surgical incision site from urological surgery 10/6/99;


VAERS ID: 132108 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1999-10-19
Onset:1999-10-24
   Days after vaccination:5
Submitted: 1999-11-01
   Days after onset:8
Entered: 1999-12-06
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0998410 / 1 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1920H / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0825 / 1 - / 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: 1999-10-24
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: PA9984

Write-up: p/vax pt died from apparent SIDS on10/24/99;parents stated pt had no reaction from immunizations


VAERS ID: 132111 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Texas  
Vaccinated:1999-11-26
Onset:1999-11-27
   Days after vaccination:1
Submitted: 1999-11-30
   Days after onset:3
Entered: 1999-12-06
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0962260 / 1 - / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1522J / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 458728 / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P02422 / 1 - / SC

Administered by: Public       Purchased by: Private
Symptoms: Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1999-11-28
   Days after onset: 1
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: resp distress, pneumothonax, PDA, Apnea, anemia, thrombocytopenia, hypotension;
Preexisting Conditions: resp distress, pneumothrax, PDA, Apnea, Anemia, thrombocytopenia, hypotens, candida UTi, penumonia;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: p/vax pt devel fever, initially low grade, then 104 by 11/29/99 AM;APAP q 4hr beginning w/vax;


VAERS ID: 132114 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Arizona  
Vaccinated:1998-06-16
Onset:1998-06-19
   Days after vaccination:3
Submitted: 1999-11-29
   Days after onset:528
Entered: 1999-12-06
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0916470 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0007H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N014762 / 1 LA / SC

Administered by: Public       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: 1998-06-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hep B @ birth 4/23/98
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: p/vax pt found dead on side 5-8min p/being layed down for a morning nap;parent believe child death poss r/t vax;parents states did not fit any of SIDS risk factors x/had vax;


VAERS ID: 132241 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Mississippi  
Vaccinated:1999-11-02
Onset:1999-11-20
   Days after vaccination:18
Submitted: 1999-12-02
   Days after onset:12
Entered: 1999-12-07
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER U008CA / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0610J / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER PO168 / 2 LA / SQ

Administered by: Public       Purchased by: Public
Symptoms: Gastrointestinal disorder, Hypoxia, Pain, Sudden infant death syndrome
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1999-11-20
   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: pt devel fever 105, fussy;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: gastroesophageal reflux;colic
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: TN99053

Write-up: SIDS;


VAERS ID: 132541 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Michigan  
Vaccinated:1999-11-19
Onset:0000-00-00
Submitted: 1999-12-10
Entered: 1999-12-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 912A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1381J / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0954J / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N1062 / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Pyrexia, Sudden infant death syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-11-20
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: viral URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Medical examiner verbally stated child died from SIDS. Mother is blaming on immunizations that child received.Mother states child was very tired & slept until next am,at time of death child''s rectal temp was 106.


VAERS ID: 132499 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:1999-11-11
Onset:1999-11-12
   Days after vaccination:1
Submitted: 1999-12-08
   Days after onset:26
Entered: 1999-12-20
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 464300 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0257J / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0168 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Agitation, Cardiac arrest, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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 (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-11-12
   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: Mild URI
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 11/11/99, noted to have URI, was immunized - pt remained playful, and well hydrated.11/12 pt. was fussy in am, gave bottle and put on couch to nap.45 min later not breathing taken to ER. Resusc. unsuccessl, Dx full arrest. Suspect SIDS.


VAERS ID: 133040 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: New Hampshire  
Vaccinated:1999-04-15
Onset:1999-04-17
   Days after vaccination:2
Submitted: 1999-12-22
   Days after onset:249
Entered: 2000-01-05
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 865A2 / 2 - / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0992660 / 2 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. N0699 / 2 - / IM

Administered by: Private       Purchased by: Public
Symptoms: Oral candidiasis, Sudden infant death syndrome
SMQs:, Oropharyngeal infections (narrow), Neonatal disorders (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-04-17
   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: NONE
Current Illness: thrush
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH9927

Write-up: SIDS


VAERS ID: 133171 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Georgia  
Vaccinated:1997-06-10
Onset:1997-06-25
   Days after vaccination:15
Submitted: 2000-01-03
   Days after onset:922
Entered: 2000-01-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER 444382 / UNK - / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER M300 / UNK - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER M0443 / UNK - / SC

Administered by: Private       Purchased by: Private
Symptoms: Crying, Eczema, Grand mal convulsion, Injection site oedema, Rhinitis, Screaming
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2000-12-05
   Days after onset: 1259
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: clear runny nose
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG,MRI,CT,metabolic screenings showing no abnormalities
CDC Split Type:

Write-up: First night following vax,pt had swelling at inj site & high-pitched screaming for hrs.2 wks later,began having complex partial seizures.7 wks later,began having prolonged seizures on reg. basis.She is severely delayed & dvlped eczema. Annual followup indicates pt died on 12/5/2000. She continued to have serious seizures and developmental delays and sensory integration problems. Her seizures stopped for almost 2 years with the ketogenic diet. Then they started again and she had her last big one, her brain swelled and she died.


VAERS ID: 133221 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Tennessee  
Vaccinated:1999-12-07
Onset:1999-12-23
   Days after vaccination:16
Submitted: 1999-12-28
   Days after onset:5
Entered: 2000-01-12
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 400400A / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3024A2 / 1 LL / SC
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES - / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. P0764 / 1 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Bronchiolitis, Infection, Sudden infant death syndrome
SMQs:, Interstitial lung disease (narrow), Eosinophilic pneumonia (broad), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-12-23
   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: NONE
Current Illness:
Preexisting Conditions: RSV Bronchiolitis-admit 11/23;discharged 11/25
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found unresponsive-dead.


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