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

Found 978 cases where Vaccine is PNC and Patient Died

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Case Details

This is page 3 out of 98

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VAERS ID: 164713 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Female  
Location: Massachusetts  
Vaccinated:2001-01-05
Onset:2001-01-06
   Days after vaccination:1
Submitted: 2001-01-08
   Days after onset:2
Entered: 2001-01-16
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0313AA / UNK RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 471876 / UNK RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1327J / UNK LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473341 / UNK RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1869J / UNK LL / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-01-06
   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: Poliovax by Connaught, Lot #R0692 given SC
Current Illness: Constipation
Preexisting Conditions: Cerebral dysgenesis, congenital CMV, developmental delay
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 1/8/01, the physician received a phone call stating that the pt died on 1/6/01 in the A.M.


VAERS ID: 164715 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: Arizona  
Vaccinated:2000-10-19
Onset:2000-10-23
   Days after vaccination:4
Submitted: 2000-10-24
   Days after onset:1
Entered: 2001-01-16
   Days after submission:84
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0328B4 / UNK LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0788K / UNK RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0160 / UNK LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471226 / UNK RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Chills, Coma, Cyanosis, Pneumonitis, Pulmonary congestion
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-10-23
   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: NONE
Current Illness:
Preexisting Conditions: Baby was a twin.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 10/23/00 at 17:15, doctor received a phone call from ER stating baby brought in. Found in bed, already had some rigor/cyanosis; coded but pronounced dead. Autopsy states the cause of death as interstitial pneumonitis. Also states baby girl was found unresponsive in her play pen, lung congestion


VAERS ID: 165630 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Tennessee  
Vaccinated:2000-12-12
Onset:2000-12-23
   Days after vaccination:11
Submitted: 2001-01-08
   Days after onset:16
Entered: 2001-02-07
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 960A2 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0297K / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T01862 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473338 / 1 RL / IM

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: 2000-12-23
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN00052

Write-up: Immunization was given on 12/12/2000; weight 11lbs 10ozs, temperature 97.0. The infant died of SIDS on 12//23/2000.


VAERS ID: 165790 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: South Carolina  
Vaccinated:2001-01-11
Onset:2001-01-11
   Days after vaccination:0
Submitted: 2001-02-05
   Days after onset:25
Entered: 2001-02-13
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Cyanosis, Shock
SMQs:, Anaphylactic reaction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-01-14
   Days after onset: 3
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:
Current Illness:
Preexisting Conditions: prematurity (29 weeks), ROP
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This patient presented to ED in shock. The patient was then transported to PICU. The patient in shock requiring cardiopulmonary resuscitation. The patient expired approximately 72 hours after admission. The patient had received Prevnar the day prior to admission. Autopsy shows baby was cyanotic, not breathing


VAERS ID: 165791 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Male  
Location: Alabama  
Vaccinated:2001-01-05
Onset:2001-01-06
   Days after vaccination:1
Submitted: 2001-01-19
   Days after onset:13
Entered: 2001-02-13
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0341BA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 3233C9 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 473379 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472045 / 1 RL / IM

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: 2001-01-06
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The pt died from sudden infant death syndrome on 1/6/01 within 18 hours of vaccine administration.


VAERS ID: 165922 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Florida  
Vaccinated:2000-12-12
Onset:0000-00-00
Submitted: 2001-02-13
Entered: 2001-02-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH 581253 / 3 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0580K / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 475382 / 2 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1249K / 1 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Cardio-respiratory arrest, Encephalopathy
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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Chronic kidney disease (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-12-13
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flovent, albuterol
Current Illness: Gastroenteritis
Preexisting Conditions: Chronic lung disease; prematurity
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This infant died of cardiopulmonary arrest of unknown etiology; at this time autopsy is pending. Autopsy stated cause of death as acute encephalopathy.


VAERS ID: 166139 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: Unknown  
Vaccinated:2000-07-19
Onset:2000-08-27
   Days after vaccination:39
Submitted: 2001-02-21
   Days after onset:178
Entered: 2001-02-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 961A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0427K / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 470140 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R06684 / 1 LA / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472542 / 1 RL / 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: 2000-08-27
   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:
Preexisting Conditions: Gastroesophageal reflux disease (The child experienced a life-threatening event due to GERD at 12 days of age.
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: HQ7326116FEB2001

Write-up: Information has been received from an investigator concerning a 3 month old female who received her 1st injection of Prevnar, Hib-Titer, Infanrix and IPV vaccines and her 2nd injection of Recombivax-HB vaccine on 7/19/00, as part of a study trial. On 8/27/00, the child died due to sudden infant death syndrome. Both the investigator and the medical monitor agree that this event was not related to vaccine administration.


VAERS ID: 166140 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Unknown  
Vaccinated:2000-04-25
Onset:2000-06-14
   Days after vaccination:50
Submitted: 2001-02-20
   Days after onset:251
Entered: 2001-02-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 921A2 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 469398 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P03013 / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471213 / 1 LL / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dermatitis, Pulmonary congestion, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Cardiac failure (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-06-14
   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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy
CDC Split Type: HQ7326316FEB2001

Write-up: Information was received from an investigator regarding a 2 month old male who received his vaccinations on 04/25/2000. On 06/14/00, at age of 4 months, the patient died. An autopsy revealed the cause of death to be Sudden Infant Death Syndrome. Both the investigator and medical monitor consider this event not related to vaccine administration. This report of a serious, labeled event is being submitted to the FDA in a 15-day time frame, as requested by FDA. Autopsy also stated the infant had dermatitis, pulmonary edema and congestion.


VAERS ID: 166170 (history)  
Form: Version 1.0  
Age: 1.25  
Sex: Male  
Location: Unknown  
Vaccinated:2000-08-07
Onset:2001-01-09
   Days after vaccination:155
Submitted: 2001-02-22
   Days after onset:44
Entered: 2001-02-27
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 961A2 / 3 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1736J / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 470140 / 3 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472542 / 1 LL / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Cardio-respiratory arrest, Coma, Hypoxia, Sepsis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (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), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Hypoglycaemia (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-01-11
   Days after onset: 2
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:
Preexisting Conditions: 2/20-bronchiolitis and given Albuterol; 1/4/01-croup; 1/7/01-inner ear infection and given Vantin
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: HQ7324416FEB2001

Write-up: Information has been received from an investigator concerning a 15 month old male who received his first injection of Prevnar, his second injection of Recombivax-HB, and his third injection of Hib-Titer and Infanrix vaccines on 08/07/00. The child was found in his crib one morning not breathing and in cardiac arrest. The child was taken to a local emergency room where a heartbeat was re-established following a long code. The child was placed on a ventilator, but was unresponsive to light and painful stimuli. The patient was removed from the ventilator and died due to "SIDS-LIKE SYNDROME" on 01/11/01. Both the investigator and the medical monitor agree that this event was not related to vaccine administration. NOTE: This report is being submitted in a 15-day time frame as requested by FDA. F/U received on 4/25/02 from the study investigator contained autopsy results. The reported cause of death has been changed from "Sids-like syndrome" to "cardiorespiratory failure (cardio-respiratory arrest) secondary to possible sepsis, etiology unknown" as found upon autopsy. The investigator considered the event not related to vaccine administration.


VAERS ID: 166211 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Washington  
Vaccinated:2001-01-25
Onset:2001-01-29
   Days after vaccination:4
Submitted: 2001-02-01
   Days after onset:3
Entered: 2001-02-28
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 956A2 / 2 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 522AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R02352 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472046 / 2 RL / IM

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: 2001-01-29
   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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy - SIDS
CDC Split Type:

Write-up: Pt died of SIDS on 1/29/01, in the afternoon. She had no preceding symptoms was breast fed about 1 1/2 hour before the event where she was found dead in a crib. Pathologist''s autopsy findings consistent with SIDS.


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