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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 19 out of 174

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VAERS ID: 159916 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Texas  
Vaccinated:2000-09-11
Onset:2000-09-14
   Days after vaccination:3
Submitted: 2000-09-14
   Days after onset:0
Entered: 2000-09-20
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0317BB / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0555K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0120 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471655 / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Cyanosis, Respiratory arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-09-14
   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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 9/14/00, the baby was found blue and not breathing at 12:30 PM. Baby had been put to sleep at 10:30 am. Paramedics were unable to intubate due to rigor mortis. Taken to the ER and pronounced dead on arrival as pt was in asystole.


VAERS ID: 160203 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: Illinois  
Vaccinated:2000-08-31
Onset:2000-09-01
   Days after vaccination:1
Submitted: 2000-09-01
   Days after onset:0
Entered: 2000-09-29
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R1489 / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Hypernatraemia, Respiratory arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-09-01
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt was brought into the ER in full cardio respiratory arrest. Autopsy states cause of death as hypernatremia.


VAERS ID: 160417 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Kentucky  
Vaccinated:2000-09-22
Onset:2000-09-24
   Days after vaccination:2
Submitted: 2000-10-03
   Days after onset:9
Entered: 2000-10-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 467010 / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0554K / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0554K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R1433 / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Adrenal disorder, Pulmonary congestion, Pulmonary oedema, Renal disorder, Sudden infant death syndrome, Unevaluable event
SMQs:, Cardiac failure (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-09-24
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: KY2000033

Write-up: The reported states "Don''t know", understands the infant was DOA at the hospital but was not verified. Autopsy also states pulmonary edema, lung congestion, kidney congestion, congestion of adrenals. Cause of death given as sudden infant death syndrome.


VAERS ID: 161098 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Illinois  
Vaccinated:2000-10-25
Onset:2000-10-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2000-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 941A2 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1945J / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. R1433 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Asphyxia, Cardiac arrest, Coma, Pulmonary congestion, Renal disorder, Suffocation feeling
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-10-26
   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: Tylenol for fever
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Chest X-ray in ER-no cardiopulmonary process
CDC Split Type:

Write-up: Pt received vaccines on 10/25/00 and on 10/26/00, infant asleep with 16 year old sibling. Mother found arm of sibling across baby''s face and baby was not breathing. CPR was administered and intubation to no avail. Autopsy shows found unresponsive, congestion of lungs, kidneys congested. Final cause of death stated as suffocation by mechanical asphyxia.


VAERS ID: 161164 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Minnesota  
Vaccinated:2000-09-22
Onset:2000-09-26
   Days after vaccination:4
Submitted: 2000-10-18
   Days after onset:22
Entered: 2000-11-01
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0317BB / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0785K / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T01202 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472042 / 1 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Asphyxia, Somnolence, Sudden infant death syndrome
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Neonatal disorders (narrow), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-09-26
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt slept more for the first 2 days post vax. The pt died with a diagnosis of SIDS. Follow-up information received on 12/02/2002 from the autopsy report indicates the pt had position asphyxia.


VAERS ID: 161215 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Male  
Location: Indiana  
Vaccinated:2000-07-24
Onset:2000-07-25
   Days after vaccination:1
Submitted: 2000-10-27
   Days after onset:94
Entered: 2000-11-02
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 469395 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 560753A / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 0444 / 2 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 4712151 / UNK RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-07-25
   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: Raglan, Pantidne
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Found not breathing that night. Taken to ER, transferred to another hospital. Pronounced dead at 3:00 am.


VAERS ID: 161415 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Oregon  
Vaccinated:2000-08-22
Onset:2000-09-27
   Days after vaccination:36
Submitted: 2000-10-07
   Days after onset:10
Entered: 2000-11-07
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 472653 / UNK - / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 055K / UNK - / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R1345 / UNK - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471206 / 1 RL / IM

Administered by: Private       Purchased by: Other
Symptoms: Meningitis, Pneumonia
SMQs:, Noninfectious meningitis (narrow), 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: 2000-09-28
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF - pos for pneumococcus
CDC Split Type: OR200037

Write-up: The pt developed pneumococcal meningitis resulting in death 36 days post vax.


VAERS ID: 161439 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Oregon  
Vaccinated:2000-07-26
Onset:2000-07-29
   Days after vaccination:3
Submitted: 2000-08-03
   Days after onset:5
Entered: 2000-11-07
   Days after submission:96
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0173CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1738J / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R04442 / 1 RL / -

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: 2000-07-29
   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: NA
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy-pending
CDC Split Type: OR200036

Write-up: It was reported to a health department that a baby had died. An Autopsy is being done. The cause of death is probable SIDS. Further studies pending.


VAERS ID: 161720 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: New Jersey  
Vaccinated:2000-05-11
Onset:2000-05-13
   Days after vaccination:2
Submitted: 2000-11-02
   Days after onset:173
Entered: 2000-11-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 470525 / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 591313A / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0905 / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Dyspnoea, Influenza like illness, Irritability, Rhinorrhoea, Screaming, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-06-03
   Days after onset: 21
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: On 5/11/00, pt was given 3 shots; IPV, DTP, and HIB. Her problems started almost 2 days later. She was not the same little girl I know. She was very cranky and would cry for hours (non-stop) like she was in pain, then she started to get flu-like symptoms (runny nose and chest congestion) to where she couldn''t breathe. I called the pediatrician and he told me she was fine and it was because the weather was changing. She was like that for a while. I called again and he told me I was getting upset over nothing and that she was ok, because she had no fever. So I took his word for it and I even told him I think she is having a reaction to the shots and he said no, it''s the weather. That Friday night, I laid her down to sleep for the night and she never woke up. They told me it was SIDS and for some reason I just can''t believe that. She was fine until they gave her them shots.


VAERS ID: 161853 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Mississippi  
Vaccinated:2000-10-03
Onset:2000-10-09
   Days after vaccination:6
Submitted: 2000-11-06
   Days after onset:28
Entered: 2000-11-15
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 918A2 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0298K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R0668 / 1 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Cardio-respiratory arrest, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-10-09
   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: premature birth, twin
Allergies:
Diagnostic Lab Data: Autopsy - SIDS
CDC Split Type: MS00043

Write-up: The pt was presented to the ER on 10/9/00 in cardiopulmonary arrest. This occurred 6 days post vax. A full autopsy was performed and cause of death is SIDS.


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