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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 15 out of 98

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VAERS ID: 191503 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Texas  
Vaccinated:2002-10-09
Onset:2002-10-16
   Days after vaccination:7
Submitted: 2002-10-16
   Days after onset:0
Entered: 2002-10-18
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR 552A2 / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA718AA / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U10822 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 486003 / 1 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-10-18
   Days after onset: 2
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: Autopsy pending
CDC Split Type:

Write-up: Baby seemed fine when she was put down for a nap. When the parents checked her she was dead on 10/15/02. SIDS.


VAERS ID: 193775 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: California  
Vaccinated:2002-10-09
Onset:2002-10-30
   Days after vaccination:21
Submitted: 2002-11-19
   Days after onset:20
Entered: 2002-11-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C0725AA / 2 LL / -
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5358A2 / 2 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA741AA / 2 RL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER U0823 / 2 LA / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 486002 / 2 LL / -

Administered by: Other       Purchased by: Other
Symptoms: Laboratory test abnormal, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-10-30
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Premature baby (26-32 weeks); respiratory failure; neonatal apnoeic attach, bradycardia neonatal; hyperbilirubinaemia neonatal
Allergies:
Diagnostic Lab Data: Autopsy results pending. Autopsy results-10/30/02: petechial hemorrhages, thymus; pulmonary congestion and edema; no external or internal evidence of injury; cause of death SIDS
CDC Split Type: U200201033

Write-up: From faxed correspondence received at manufacturer on 11/15/02 regarding an adverse event, which occurred during a Phase IV study for Daptacel. It was reported that a 4 mt old female received Daptacel. Pneumo Conjugate, IPV, PRP-T, and Hep B vax on 10/9/02. The PT expired on 10/30/02. "Per [a local county gov''t office] provisionally diagnosed as SIDS death pending remaining test results from toxicology, etc." The event is not considered to be related to vax. Follow up info recieved on 12/11/02 included additional pt details, medical history, and atuopsy results. Info has been received from an investigator concerning a 4 month old female who received her second dose of Prevnar along with Tripedia, IPOL, ActHIB, and Engerix B vaccines on 10/9/02 as part of the Post-Marketing Safety Surveillance Trial. THe pt was a twin born prematurely at 31 weeks gestation to a mother with nail-patella syndrome in renal failure. At birth, the infant experienced respiratory insufficiency of prematurity, apnea, bradycardia and hyperbilirubinemia. During a well-child visiton 9/12/02, the infant showed early physical findings suggetive of nail-patella syndrome. On 10/30/02, the infant died. An autopsy was performed. The infant was described as well-nourished and well-developed. Findings included petechial hemorrhages on the thymus as well as pulmonary congestion and edema. There was no external or internal evidence of injury. The autopsy-reported cause of death was SIDS. Both the investigator and the medical monitor considered the SIDS death to be unrelated to Prevnar administration. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by FDA.


VAERS ID: 193852 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Unknown  
Vaccinated:2002-04-23
Onset:2002-06-06
   Days after vaccination:44
Submitted: 2002-11-21
   Days after onset:168
Entered: 2002-11-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 505A2 / 1 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5295A2 / 2 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA646AA / 1 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T0472 / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484198 / 1 RL / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Gastrointestinal haemorrhage, Intussusception
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad)

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:
Preexisting Conditions: Asthma NOS; ear infection NOS; penumonia NOS
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: HQ5402619NOV2002

Write-up: Autopsy report received on 12/19/2002 indicates gastrointestinal hemorrhage and intussusception. Additional info was received on 12/11/02 from an investigator provided medical history, revised event info and coroner''s report. Info has been received from an investigator regarding a 5 month old male with a hisory of asthma and a recent history of ear infection and pneumonia. On 6/6/02, he was found unresponsive and was not breathing. Subsequently, he was taken to the hospital. On 6/8/02, he expired as a result of gastrointestinal hemorrhage due to small bowel intussusception. This was confirmed by the coroner''s report. The investigator considers the intussusception and gastrointestinal hemorrhage to be "not related" to the study product or concomitant vaccine administration. The medical monitor''s assessment is unknown. This case has been expedited per agreement with the FDA.


VAERS ID: 193887 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: California  
Vaccinated:2002-11-12
Onset:2002-11-14
   Days after vaccination:2
Submitted: 2002-11-15
   Days after onset:1
Entered: 2002-11-26
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 575A2 / UNK LA / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0454M / UNK RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U1275 / UNK LA / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 487390 / UNK RA / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-11-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Mild URI
Preexisting Conditions: 31 week premie. No problems.
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt came in for routine PE, Slight stuffy nose, given 2 months shots- went home, expired early morning 11/14 after feeding . No temp. No irritability. The autopsy report states SIDS.


VAERS ID: 194798 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Washington  
Vaccinated:2002-09-19
Onset:2002-10-03
   Days after vaccination:14
Submitted: 2002-12-02
   Days after onset:60
Entered: 2002-12-11
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0549AA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA705AA / 2 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U08242 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 485997 / 2 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Irritability, Sudden infant death syndrome
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-10-03
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy negative toxic exposure/cause of death SIDS
CDC Split Type:

Write-up: Two weeks possible post DTaP, IPV, HIB, pneu 7. SIDS event. Five days prior to SIDS seemed fussy. Mom feels baby different post 2nd set shots.


VAERS ID: 194961 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Texas  
Vaccinated:2002-12-11
Onset:2002-12-13
   Days after vaccination:2
Submitted: 2002-12-13
   Days after onset:0
Entered: 2002-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C0889AA / 1 - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER UA742AA / 2 - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U1275 / 1 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 490370 / 1 - / -

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: 2002-12-13
   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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: The autopsy report states SIDS.
CDC Split Type:

Write-up: Baby put to bed in good condition; found expired this AM.


VAERS ID: 194971 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: Unknown  
Vaccinated:2002-07-17
Onset:2002-08-28
   Days after vaccination:42
Submitted: 2002-12-12
   Days after onset:106
Entered: 2002-12-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 553A2 / 1 RA / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 522609 / 2 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA675AA / 1 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR UA823 / 1 RA / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484151 / 1 LL / IM

Administered by: Other       Purchased by: Private
Symptoms: Acidosis, Atrioventricular block, Cardiac failure, Cardiomyopathy, Hypotension, Lung disorder, Pneumonia, Respiratory distress
SMQs:, Cardiac failure (narrow), Anaphylactic reaction (narrow), Lactic acidosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Conduction defects (narrow), Acute central respiratory depression (broad), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tumour lysis syndrome (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-08-28
   Days after onset: 0
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: UNK
Current Illness: Diaphragmatic paralysis; Lung Disorder, Pylorospasm; Feeding problem in newborn
Preexisting Conditions: Meconium aspiration; Pulmonary hypertension
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: HQ5598004DEC2002

Write-up: Information has been received from an investigator concerning a 3 month old female. On 7/17/02, at 2 months of age, she received her first dose of Prevnar as part of a post-marketing safety surveillance trial. That same day, she also received first doses of DTaP, IPV, and ACT-HIB, with a second dose of Hep B. On 8/28/02, she was hospitalized with acute respiratory distress and a diagnosis of pneumonia was made. Later that day, the child expired due to A/V block complete, acute respiratory failure and heart failure with primary cardiomyopathy and other cardiac dysrhythmias, hypotension, acidosis, and other lung disorders. Resuscitation attempts were unsuccessful. The child''s medical history consisted of diaphragmatic/phrenic paralysis with mechanical ventilation leading to chronic lung disease, meconium aspiration and pulmonary hypertension which required extracorporeal circulation membrane oxygenation, pylorospasm, and feeding problems which required feedings via N-J tube. The investigator''s assessment of relatedness of these events (all except pneumonia, unexpected as per USPI) to the vaccines administered was *not related.* *Add''l info received as result of combining duplicate cases on 12/13/02 provided an investigator''s assessment of NOT RELATED."*


VAERS ID: 195278 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2003-01-17
Entered: 2002-12-20
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Infection, Sepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

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: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy results-Pneumococcal sepsis
CDC Split Type: HQ4151110SEP2002

Write-up: A pediatrician reported that a child who received an injection of Prevnar developed pneumococcal sepsis two days post-immunization and subsequently died. No further info was available at the date of this report. *F/UP report on 3/31/03: Add''l info received on 1/14/03 from an MD provided further info about the event. Upon contacting the MD, the MD said that "he heard this story from a PT anecdotally." He had no info about the PT and indicated that he doesn''t even know if this is a true story. The MD advised to disregard this report. No further info was available at the date of this report.


VAERS ID: 195314 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Virginia  
Vaccinated:2002-07-16
Onset:2002-09-15
   Days after vaccination:61
Submitted: 2002-10-24
   Days after onset:39
Entered: 2002-12-23
   Days after submission:60
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES - / 3 - / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR - / 3 - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / 3 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484198 / 3 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Coma, Diarrhoea, Infection, Pharyngitis, Pyrexia, Rhinitis, Sepsis, Vomiting
SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-09-18
   Days after onset: 3
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:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: 9/18/02 blood culture positive-for Streptococcus pneumoniae serotype 19A; lumbar puncture-revealed open pressure, blew tube and stoppe dat 40cm, turbid fluid, protein 250, glucose 20, 8 white cells; white blood cell count 2000; 19/18/02 CSF culture positive-for Streptocuccus penumoniae serotype 19A, blood immunoglubulin G normal, blood immunoglobulin M normal, blood immunoglobulin A normal
CDC Split Type: HQ4485803OCT2002

Write-up: Follow-up info received from the physician on 10/23/02 provided serotype. A physician reported that a 6 month old male received his third dose of Prevnar on 7/16/02. Concomitant therapy included Act-Hib, Tripedia, IPOL and Recombivax-HB. On 9/15/02, at 8 months of age, he developed a fever. On 9/17/02, he was seen by the physician; he had a one week history of a cold and presented with vomiting, diarrhea, and a fever of 103.5 deg F. He was treated with acetaminophen. On the morning of 9/18/02, he was found unresponsive. He was taken to the ER and admitted to the ICU. His temperature ranged from 102.2 to 104 deg F. A white blood cell count was 2000. A spinal tap revealed open pressure, blew tube and stopped at 40cm, turbid fluid, protein 250, glucose 20, 8 white blood cells. A blood cultures and cerebrospinal fluid culture revealed Streptococcus pneumoniae serotype 19A. Serotype results are pending. Later that same day, he died.


VAERS ID: 195539 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2002-11-26
Onset:2002-11-29
   Days after vaccination:3
Submitted: 2002-12-20
   Days after onset:21
Entered: 2002-12-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 568A9 / 3 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA756AA / 3 RA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 489473 / 3 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Screaming
SMQs:, Hostility/aggression (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-11-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI; Conjunctivitis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abdominal US and X-ray; Autopsy
CDC Split Type:

Write-up: Mother called answering service at 01:56, that baby is screaming in pain. On call doctor referred baby to ER where the baby was coded and passed away at 07:30.


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