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From the 11/26/2021 release of VAERS data:

Found 1,713 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 2 out of 172

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VAERS ID: 94658 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Oregon  
Vaccinated:1996-10-16
Onset:1996-11-08
   Days after vaccination:23
Submitted: 1997-01-28
   Days after onset:81
Entered: 1997-02-05
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 438620 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. L1112 / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-11-08
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy
CDC Split Type:

Write-up: SIDS death-8NOV96;pt recv vax 16OCT96;


VAERS ID: 95601 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Maryland  
Vaccinated:1997-02-25
Onset:0000-00-00
Submitted: 1997-03-10
Entered: 1997-03-12
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 436791 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2211A2 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0843 / 1 LL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-03-06
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: found dead face-down in crib by babysitter, probably SIDS;


VAERS ID: 96337 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:1997-01-16
Onset:1997-01-21
   Days after vaccination:5
Submitted: 1997-02-03
   Days after onset:13
Entered: 1997-03-20
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 433360 / 1 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 0614315 / 1 RA / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. L1197 / 1 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Cardiomegaly, HIV test positive
SMQs:, Cardiac failure (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-01-22
   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: Bactrim;Polyvisol
Current Illness: NONE
Preexisting Conditions: HIV positive (PCR negative) VSD;SGA/ positive toxicology cocaine;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt found dead in crib on 21JAN97;


VAERS ID: 96568 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Florida  
Vaccinated:1997-02-10
Onset:1997-02-12
   Days after vaccination:2
Submitted: 1997-03-20
   Days after onset:36
Entered: 1997-03-31
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6M71184 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2116A2 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M035PE / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0359 / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest
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 (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-02-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 27JAN97 haemophilus influenzae b meningitis;d/c 5FEB97;
CDC Split Type:

Write-up: pt remained afeb & asymptomatic following vax, but was found apneic & asystolic w/in 48hr of vax by daycare worker;efforts to resuscitate pt were unsuccessful;


VAERS ID: 96698 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Missouri  
Vaccinated:1997-03-10
Onset:1997-03-20
   Days after vaccination:10
Submitted: 1997-03-25
   Days after onset:5
Entered: 1997-04-04
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0795470 / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1555D / 2 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 0795470 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0216 / 1 LL / SC

Administered by: Private       Purchased by: Other
Symptoms: Apnoea, Lung disorder, Petechiae, Pulmonary oedema, Pyrexia
SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-03-20
   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: NONE
Current Illness: pt was being monitored for weight gain;
Preexisting Conditions: 1 wt loss 2 bilat conjunctivitis;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MO97014

Write-up: pt recv word that pt had died on 20MAR97;pt had been sent to ER for fever of 103 approx;


VAERS ID: 97432 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: North Carolina  
Vaccinated:1997-04-15
Onset:1997-04-17
   Days after vaccination:2
Submitted: 1997-04-21
   Days after onset:4
Entered: 1997-05-07
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 444260 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M035PE / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. MD443 / 2 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cardiac arrest, Delirium, Hyperkinesia, Lung disorder, Pneumonia, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Akathisia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-04-18
   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: Amoxicillin
Current Illness: BOM
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy in process, viral pneumonia noted;
CDC Split Type: NC97033

Write-up: found by babysitter to be apneic & startled, vomited & loss consciousness, needed CPR:


VAERS ID: 98471 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1996-12-02
Onset:1996-12-07
   Days after vaccination:5
Submitted: 1997-05-30
   Days after onset:173
Entered: 1997-06-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 6B71087 / 1 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 6B71087 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. L1112 / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Congenital anomaly, Sudden infant death syndrome
SMQs:, Congenital, familial and genetic disorders (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1996-12-07
   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: Mult vitamins w/iron;APAP
Current Illness: NONE
Preexisting Conditions: poss cranosinostosis, maternal syphlis-treated;
Allergies:
Diagnostic Lab Data: 5Dec96 skull x-ray - bradycephalic; poss mid inf coronal suture closure
CDC Split Type: CO7291

Write-up: pt recv vax 2DEC96 & 4 days post vax 7DEC96 pt died as a sudden infant death;It was also reported that skull x-ray done on 5DEC showed the pt was bradycephalic;poss mid inf coronal suture closure;


VAERS ID: 99483 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Georgia  
Vaccinated:1997-04-10
Onset:1997-04-23
   Days after vaccination:13
Submitted: 1997-06-25
   Days after onset:63
Entered: 1997-07-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 433566 / 1 - / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1438D / 2 - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER M0843 / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Lung disorder, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), 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 (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-04-23
   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: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death 23APR97; nl emergency procedures-trach tube, CPR;


VAERS ID: 100228 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: New York  
Vaccinated:1997-06-30
Onset:1997-07-06
   Days after vaccination:6
Submitted: 1997-07-10
   Days after onset:4
Entered: 1997-07-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7J81535 / 1 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M300PN / 1 LL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0443 / 1 LA / SC

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

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1997-07-06
   Days after onset: 0
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: pt recv vax; was found not breathing; brought to hosp; pt pronounced dead on arrival; presumed SIDS 6 days posy vax;


VAERS ID: 100355 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:1997-06-10
Onset:1997-06-12
   Days after vaccination:2
Submitted: 1997-07-15
   Days after onset:33
Entered: 1997-07-21
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B81602 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1438D / 2 LL / -
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 7A91570 / 1 RL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. L1108 / 1 LL / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-06-12
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: full autopsy results not available yet;
CDC Split Type:

Write-up: apparent SIDS;


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