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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 17 out of 98

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VAERS ID: 197618 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Washington  
Vaccinated:2002-09-05
Onset:2002-09-26
   Days after vaccination:21
Submitted: 2003-02-10
   Days after onset:137
Entered: 2003-02-12
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 486817 / UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-09-26
   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: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy Results: Sudden infant death syndrome (LLT, SIDS)
CDC Split Type: HQWYE172204FEB03

Write-up: A nurse reported that a male infant received a dose of Prevnar along with DTaP, IPOL and hep B vaccines on 9/5/02 at 4 months of age. On 9/26/02 at 5 months of age, the infant died. SIDS was the reported cause of death. No further info was available at the date of this report. This report of a serious, labeled event is being submitted in a 15-day time frame as requested. Info regarding this event has been forwarded to manufacturer of IPOL vaccine. From initial information received at manufacturer on 03/03/2003 from another manufacturer regarding an event that happened in the U.S. concerning a 4-month-old male patient who received IPOL on 02/05/2002. The lot number and site/route for the vaccination was not reported. The patient died on 09/26/2002 from SUDDEN INFANT DEATH SYNDROME. From additional information received at manufacturer on 04/24/2003, it was reported that the patient also received Prevnar, DTaP and Hepatitis B Vaccine on 09/05/2002. The manufacturer, lot number and route/site were all not reported for Hepatitis B Vaccine and DTaP. Prevnar was given intra-muscular. Autopsy results showed Sudden Infant Death Syndrome (LLT, SIDS) as reported cause of death. From additional information received on 05/13/2003 from manufacturer, it was reported that their manufacturer number be added to WAES 0305USA00241.


VAERS ID: 197715 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Louisiana  
Vaccinated:2002-01-28
Onset:0000-00-00
Submitted: 2003-02-11
Entered: 2003-02-13
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 532 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 480319 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T1446 / 2 LA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 483171 / 2 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: 2002-01-29
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:
CDC Split Type:

Write-up: Sudden infant death syndrome.


VAERS ID: 198342 (history)  
Form: Version 1.0  
Age: 1.08  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2003-02-14
Onset:0000-00-00
Submitted: 2003-02-19
Entered: 2003-02-26
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA791AA / 4 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 491186 / 3 LL / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Dehydration, Hyperthermia
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Accidents and injuries (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-02-17
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synagis
Current Illness: Otitis Media
Preexisting Conditions: Congenital hear disease; FTT; Prematurity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Child with congenital heart disease, twin gestation and prematurity. G-tube present about 50 hours after administration of vaccines with hyperthermia, dehydration and death.


VAERS ID: 199295 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Hampshire  
Vaccinated:2002-04-10
Onset:2002-04-16
   Days after vaccination:6
Submitted: 2003-03-11
   Days after onset:329
Entered: 2003-03-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 538A2 / 1 - / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR U0613 / 1 - / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR UA662AA / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 485048 / 1 - / 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: 2002-04-03
   Days after onset: 12
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nystatin 3/4/02; difucon 4/9/02; Cestriaxone (IM) 4/4/02
Current Illness: Thrush
Preexisting Conditions: Thrush 3/4/02, ear infection 4/4/02
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: NH0303

Write-up: SIDS


VAERS ID: 199432 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Massachusetts  
Vaccinated:2003-03-07
Onset:2003-03-07
   Days after vaccination:0
Submitted: 2003-03-12
   Days after onset:5
Entered: 2003-03-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0849CA / 2 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA736AB / 2 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR V0536 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 490096 / 2 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Irritability, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-03-09
   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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt received vaccinations on 3/7/03 in am. At 7:22pm pt''s mother called the urgent care dept to report pt had 102.2 fever and was fussy-no rash or redness was present. Pt was seen that evening. On 3/8/03 pt was reported to look better. On 3/9/03 pt was found deceased in crib.


VAERS ID: 199645 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Florida  
Vaccinated:2003-02-21
Onset:0000-00-00
Submitted: 2003-03-14
Entered: 2003-03-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0849CA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA797AA / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0460 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 491167 / 1 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-02-23
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:
Allergies:
Diagnostic Lab Data: Specimen(s) submitted: Blood and stomach contents; blood in culture bottles; culture swabs of heart, spleen, left lung and right lung.
CDC Split Type:

Write-up: According to the death investigation report, this 2 month old white female infant was transported to the hospital ER at about 21:21. CPR was performed by ER service for 30 minutes. The patient was found unresponsive by her mother at about 20:30 after being put down for a nap on the parent''s bed at about 18:30. The infant was pronounced dead at 21:30 by the doctor. The doctor estimated the length of time that the infant was unresponsive was from 30 minutes to 2.5 hours. The said decedent died of Sudden Infant Death Syndrome. Children in the early months of infancy can often die without any pathological changes seen at autopsy. The only injury seen at autopsy was a very small dot-like purple abrasion of the chin to the left of the midline. This injury was the result of blunt trauma and did not contribute to the patients death. Postmertem blood alcohol test and drug screen were negative. The manner of death is classified as Natural.


VAERS ID: 199647 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: California  
Vaccinated:2003-01-30
Onset:2003-02-08
   Days after vaccination:9
Submitted: 2003-03-12
   Days after onset:32
Entered: 2003-03-17
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR - / UNK - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Accidental overdose, Cyanosis, Pneumonia, Pulse absent, Respiratory distress
SMQs:, Anaphylactic reaction (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Drug abuse and dependence (broad), Acute central respiratory depression (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-02-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Born at 26-27 weeks gestation, birth weight 1lb and 15 ounces; Tylenol overdose treated with MucoMist; Treated with Caffeine for apnea and bradycardia; Ventricular septal defect - asymptomatic; Pneumonia treated with Amoxicillin; Diaper Rash.
Allergies:
Diagnostic Lab Data: Autopsy results: External appearance - there is some diaper rash involving the labia majora and the buttocks. There is a ploypoid skin lesion in the anterior neck, and it is not clear whether this represents some residual lesion from neonatal therapy. Internal organs - the pleural cavities contain small serous sanguineous effusions. Lymphoreticular System - no generalized lymphadenopathy. Respiratory system - the larynx, trachea, and main bronchi show is seropurulent exudate, but there are no signs of injury. Both lungs are heavy, and there are areas of hemorrhagic consolidation throughout both lungs. Sections of the right lower lobe show areas of discrete, punched-out, hemorrhagic infarction. Gastrointestinal System - the liver weights 200gm. The cut surface show mild steatosis, but there is no necrosis or cirrhosis. Cardiovascular System - the great veins and arteries, valves, chambers, and myocardium are unremarkable. Central Nervous System: the scal, skull, dura and meninges are unremarkable. Microscopic Description: Lung - sections show evidence of acute and on-going aspiration. Many of the alveoli contained large numbers of lipid-laden macrophages, which are typical of chronic aspiration. In addition, many of the airways and bronchi contain large amount of particulate esosinophilic material, which almost certainly represent gastric content. There is also widespread hemorrhagic infarction of both lungs, but no evidence of viral infection is seen. Bone marrow - the bone marrow shows non-specific hyperplastic reactive changes. There is no evidence of leukemia or any other kind of bone marrow infiltrate. Hospital course: This is a 3 month old that was born at 27 weeks premature, female who was referred to our hospital from poison control after it was found that the mother was giving double the amounts of Tylenol over the course of 3 days. The admission Tylenol level was 104. The baby was asymptomatic at the time. The baby''s liver enzymes were normal throughout the hospitalization as well as clotting studies. She did have a chest x-ray done for cough and this showed a right lower lobe pneumonia for which the baby was treated with Amoxicillin. After admission, the baby was started on Mucomyst through a nasogastric tube. Subsequent Tylenol levels were continuing to drop. The baby''s condition continued to be benign. After approximately 24 hours of Mucomyst, the Mucomyst was discontinued as the Tylenol levels were within normal ranges and there was no evidence of clotting disorder or hepatitis by laboratory studies. Social service was contacted and interviewed the family and felt to be in honest mistake on the mother''s part. She was not intending to hurt the child. The baby was sent home with the parents to have a follow up in the outpatient department. At the time of discharge, the baby''s pulse oximetry readings were 100% with 1/8th L of oxygen by nasal cannula.
CDC Split Type: U200300080

Write-up: From initial information received at manufacturer on 2/28/03, it was reported that a female, date of birth 10/12/02, received Daptacel on 12/17/02 and 1/30/03 as part of a post-marketing phase IV study. She also received IPV, PRP-T, Hepatitis B, and Pneumo Conjugate vaccines on 1/30/03. The patient presented to the ER on 2/8/03 at 13:35 in severe respiratory distress and cyanosis. Her respiratory rate was in the 60''s and oxygen saturation in the low 80''s. Initial capillary refill was greater than three seconds. The labs were consistent with infection, and her chest x-ray showed three large infiltrates. The electrolytes were remarkable for a very high potassium level and the CBC showed a very high white cell count with a picture that was subsequently interpreted by the hematologist as being a leuko-erythromblastic response. She was intubated by an anesthesiologist who reported child was very hard to ventilate. Child then lost pulse and cardiac rhythmn. Resuscitation measures taken including Epinephrine, Normal Saline, Albumin, Calcium Chloride, Atropine, Albuterol, and Vaporephrine. The patient was pronounced dead at 15:35. The pathologist indicates patient had been regurgitating gastric content and aspirating. The event was considered by the investigator as unlikely/not related to the vaccines. The patient was born at 26-27 weeks gestation with a complicated post-natan NICU course for two months. Eventually discharged to home on oxygen and was first tried off oxygen on 12/28/02. Then re-admitted to the hospital on 12/18/02 for pneumonia and was found to have high dose of acetaminophen accidentally, she was given a wrong dose over a one-week duration during febrile illness requiring Mucomist to Detoxify. She had been off of this medication for two weeks prior to this last illness when there was recurrence of viral illness before she expired. Case is closed.


VAERS ID: 199945 (history)  
Form: Version 1.0  
Age: 0.08  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2002-04-25
Onset:2003-03-05
   Days after vaccination:314
Submitted: 2003-03-19
   Days after onset:14
Entered: 2003-03-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Sepsis
SMQs:, Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2003-03-05
   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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Lumbar puncture for Streptoccus pneumoniae
CDC Split Type:

Write-up: Pt admitted to hospital for MS change. Had lumbar puncture and transferred to another hospital. Pt had Streptococcal meningitis and died. pt had received 3/4 of Prevnar vaccine.


VAERS ID: 200330 (history)  
Form: Version 1.0  
Age: 0.08  
Sex: Male  
Location: Unknown  
Vaccinated:2002-10-17
Onset:2002-11-06
   Days after vaccination:20
Submitted: 2003-03-25
   Days after onset:139
Entered: 2003-03-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES C072544 / 1 RL / -
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5353B2 / 2 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA741AA / 1 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR U1082 / 1 LA / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 487390 / 1 LL / IM

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: 2002-11-06
   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: UNK
Allergies:
Diagnostic Lab Data: Blood ethanol toxicology report - no ethanol detected in heart blood sample; Blook ketone body toxicology report - no acetone detected in heart blood sample; X-ray - total body x-rays show no recent or healing fractures, bony malformations or projectiles
CDC Split Type: HQWYE140718MAR03

Write-up: An investigator reported that a 2 month old male received his 1st dose of Prevnar on 10/17/02, at 1 month of age, as part of the Prevnar Post-Marketing Safety Surveillance Trial, "Post-Marketing Evaluation of Prevnar-Pneumococcal 7 Valent Conjugate Vaccine: Safety of Prevnar Administerred Cconcurrently with Routine Infanr Vaccinations at 2, 4, 6, and 12 to 15 months of Age." On 10/17/02, the infant also received Tripedia, Polio Vaccine, ActHIB, and Engerix B vaccines. On 11/6/02, 20 days post-immunization, the pt expired due to SIDS. Autopsy findings confirmed the cause of death as SIDS. Post-mortem total body x-rays revealed "no recent or healing fractures, bony malformations or projectiles." Toxicology results from a sample of heart blood were negative for ethanol and acetone. Per the autopsy report: "The presence of lymphocytic inflammatory infiltrates in many of the organs, especially the lungs and CNS, and the lymphoid hypertrophy noted in the GI tract, suggest a viral syndrome, which is considered coincidental. The clinical history and scene investigation do not reveal evidence of an overwhelming infection. The decedent was asystolic and apneic when encountered by paramedics." Both the investigator and the medical monitor assessed the SIDS as "not related" to the study vaccine. This report of a serious (OMIC), labeled event is being submitted in a 15-day time frame, as requested by FDA.


VAERS ID: 201048 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Kentucky  
Vaccinated:2003-03-17
Onset:2003-03-19
   Days after vaccination:2
Submitted: 2003-04-02
   Days after onset:14
Entered: 2003-04-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 583B2 / 1 LL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0641M / UNK RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0062 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 490364 / 1 LL / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-03-19
   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: NONE
Current Illness: NONE
Preexisting Conditions: Milk Allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient died on 3/19/03. Cause of death SIDS. Death occurred two days after immunizations. No problems reported before or after shots.


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