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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 3 out of 172

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VAERS ID: 101316 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Georgia  
Vaccinated:1997-06-27
Onset:0000-00-00
Submitted: 1997-07-08
Entered: 1997-08-07
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 434808 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1538A2 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0443 / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-07-05
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: GA97089

Write-up: pt found dead @ home-no further details available @ this time;


VAERS ID: 102088 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: California  
Vaccinated:1997-08-20
Onset:1997-08-26
   Days after vaccination:6
Submitted: 1997-08-27
   Days after onset:1
Entered: 1997-09-03
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES MA81601 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2230A / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M305PN / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0847 / 1 LA / SC

Administered by: Private       Purchased by: Public
Symptoms: Dermatitis exfoliative, Rash, Skin discolouration
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-08-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Nystatin ointment;HC 1% cr
Current Illness: yeast diaper rash
Preexisting Conditions: seborrheic dermatitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt died on 26AUG97;


VAERS ID: 102335 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Oklahoma  
Vaccinated:1997-09-02
Onset:1997-09-03
   Days after vaccination:1
Submitted: 1997-09-04
   Days after onset:1
Entered: 1997-09-12
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 446770 / 2 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0571E / 2 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0938 / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Lung disorder, Oedema, Otitis media, Sepsis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-09-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: OM
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: SIDS


VAERS ID: 102476 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Arkansas  
Vaccinated:1997-08-05
Onset:1997-08-10
   Days after vaccination:5
Submitted: 1997-08-22
   Days after onset:12
Entered: 1997-09-15
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0861850 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0115E / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 0861850 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0461 / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-08-10
   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: APAP for fever
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: AR9773

Write-up: pt ran fever 100 to 101 for 2 days p/vax but was well day a/died;mom states no signs of illness;taken to hosp suspected SIDS;autopsy being performed;


VAERS ID: 102565 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Texas  
Vaccinated:1997-08-04
Onset:1997-08-05
   Days after vaccination:1
Submitted: 1997-09-04
   Days after onset:30
Entered: 1997-09-19
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6F81441 / 3 RL / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M195RJ / 3 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0461 / 1 RA / SC

Administered by: Other       Purchased by: Public
Symptoms: Dyspnoea, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-08-05
   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: NA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt found in resp distress on 5AUG97 & subsequently died on way to hosp;


VAERS ID: 102627 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: North Carolina  
Vaccinated:1997-09-02
Onset:1997-09-02
   Days after vaccination:0
Submitted: 1997-09-16
   Days after onset:14
Entered: 1997-09-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2251A2 / 2 RA / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private       Purchased by: Other
Symptoms: Anorexia, Rash maculo-papular, Somnolence, Stupor, Sudden infant death syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-09-02
   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: APAP
Current Illness: runny nose x 1wk;
Preexisting Conditions: pt had sl runny nose for about 1wk;
Allergies:
Diagnostic Lab Data:
CDC Split Type: 970217071

Write-up: immed p/vax 9AM pt went into a deep sleep;woke 30min later still in a light sleep;10AM would not take bottle from a babysitter;APAP given 1230PM w/feeding;sitter checked child 2PM appeared fine;3PM pt found expired; poss SIDS & vax therapy;


VAERS ID: 102984 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Oregon  
Vaccinated:1997-08-26
Onset:1997-09-07
   Days after vaccination:12
Submitted: 1997-09-25
   Days after onset:18
Entered: 1997-10-07
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 445539 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1554D / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M300PN / 1 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0843 / 1 LL / -

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: 1997-09-17
   Days after onset: 10
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:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy
CDC Split Type:

Write-up: pt died of SIDS on 17SEP97;pt recv vax 26AUG97;


VAERS ID: 103029 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Florida  
Vaccinated:1997-07-18
Onset:0000-00-00
Submitted: 1997-09-23
Entered: 1997-10-08
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7H81507 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0358E / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M005PF / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0443 / 1 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Asphyxia, Injury
SMQs:, Acute central respiratory depression (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-08-07
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL97070

Write-up: died of asphyxia;compression of neck & chest according to death certificate;


VAERS ID: 103313 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Michigan  
Vaccinated:1997-10-01
Onset:1997-10-02
   Days after vaccination:1
Submitted: 1997-10-03
   Days after onset:1
Entered: 1997-10-21
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6D81396 / 2 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 7B91590 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M1191 / 2 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Stupor, Sudden infant death syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-10-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: unk
CDC Split Type:

Write-up: taken to ER/amb, mom called 911 when unable to arouse p/nap;no visible trauma noted by ER MD:


VAERS ID: 103882 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Minnesota  
Vaccinated:1997-10-03
Onset:1997-10-06
   Days after vaccination:3
Submitted: 1997-10-23
   Days after onset:17
Entered: 1997-10-28
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B91821 / 2 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 7D91846 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0031 / 2 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Infection, Lung disorder, Pneumonia, Sepsis, Sudden infant death syndrome
SMQs:, Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-10-06
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Amoxicillin
Current Illness: OM
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy results not available
CDC Split Type:

Write-up: pt was found, dec, p/a nap @ daycare;presumed SIDS;no apparent illness, asymptomatic;autopsy results not available @ this time;


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