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Found 143 cases where Vaccine is FLU(H1N1) or FLUN(H1N1) or FLUX(H1N1) and Patient Died and Submission Date on/before '2015-09-30'

Case Details

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VAERS ID: 375144 (history)  
Form: Version 1.0  
Age: 94.0  
Gender: Male  
Location: North Dakota  
Vaccinated:2009-12-23
Onset:2009-12-27
   Days after vaccination:4
Submitted: 2009-12-28
   Days after onset:1
Entered: 2009-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)) / NOVARTIS VACCINES AND DIAGNOSTICS 102131P1 / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Death, Dizziness, Malaise, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-12-27
   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:
Current Illness: none
Preexisting Conditions: sick sinus syndrome,coronary artery disease, type 2 diabetes, hyperlipidemia, chronic anemia, hypertension,
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Resident complained of being dizzy and not feeling well, went unresponsive and passed away at 9:30 PM. Resident was a comfort care only resident no medical attention was necessary. 01/12/2010 Death Certificate received. DOD 12/27/09. Cause of Death: Congestive Heart Failure as a consequence of CAD. Additional information abstracted: Contributing factors - Diabetes mellitus.


VAERS ID: 375507 (history)  
Form: Version 1.0  
Age: 70.0  
Gender: Male  
Location: Maryland  
Vaccinated:2009-12-09
Onset:2009-12-10
   Days after vaccination:1
Submitted: 2009-12-30
   Days after onset:20
Entered: 2009-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP008AA / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Death, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-12-10
   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: ASPIRIN; ENALAPRIL; GLYBURIDE; VIAGRA; METOPROLOL; SIMVASTATIN; VIT D
Current Illness: Congestion; Sneezing.
Preexisting Conditions: Allergies: coated aspirin; history of diabetes - type II; coronary artery disease; HASCVD
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient reported cold-like symptoms (congestion and sneezing) and was seen for that and for blood in his semen. He was given H1N1 vaccine and was released. The next morning he was found dead of a suspected heart attack.


VAERS ID: 375527 (history)  
Form: Version 1.0  
Age: 79.0  
Gender: Female  
Location: Illinois  
Vaccinated:2009-12-04
Onset:2009-12-11
   Days after vaccination:7
Submitted: 2009-12-30
   Days after onset:19
Entered: 2009-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)) / NOVARTIS VACCINES AND DIAGNOSTICS 10127803 / UNK LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Blood product transfusion, Electromyogram abnormal, Endotracheal intubation, Fatigue, Guillain-Barre syndrome, Muscular weakness, Nerve conduction studies abnormal, Respiratory distress
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-12-31
   Days after onset: 20
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 15 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unfortunately the vaccination took place at an outside facility, and information regarding the vaccine and lot number has not been available. Medications prior to admission on 12/13/09 include: alendronate carbidopa-levodopa diltiazem enta
Current Illness: Parkinson''s disease, atrial fibrillation, neurogenic bladder, Ig A deficiency
Preexisting Conditions: Penicillins - rash Blood products that contain E antigen - transfusion reaction/hemolysis since the patient has alloantibody anti-E.
Allergies:
Diagnostic Lab Data: EMG / NCV from 12/17/09: Impression: Findings are abnormal, widespread, consisting of segmental demyelination, distal and proximal conduction blocks-a pattern typically seen in Guillain Barre Syndrome
CDC Split Type:

Write-up: Patient presented to the emergency department on 12/13/09 with 2-3 days of fatigue and lower extremity weakness. The patient was admitted to the hospital and experienced progressive ascending paralysis with subsequent respiratory distress which required intubation on 12/15/09. Per the immunology physicians note on 12/17, diagnosis was Acute Inflammatory Demyelinating neuropathy consistent with Guillain-Barre Syndrome. The patient received a course of five plasmapheresis treatments, followed by one treatment of IVIG.


VAERS ID: 376066 (history)  
Form: Version 1.0  
Age: 55.0  
Gender: Male  
Location: Arizona  
Vaccinated:2009-12-12
Onset:2009-12-14
   Days after vaccination:2
Submitted: 2010-01-06
   Days after onset:23
Entered: 2010-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)) / NOVARTIS VACCINES AND DIAGNOSTICS 102133P1 / 1 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Dyspnoea, Endotracheal intubation, Gastrostomy, Plasmapheresis, Renal failure acute
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (broad), Angioedema (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Tumour lysis syndrome (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-09
   Days after onset: 26
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 30 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA, Diabetes, HTN, Hx CVA.
Allergies:
Diagnostic Lab Data: LABS and DIAGNOSTICS: Troponin - Elevated. Chest X-Ray - Abnormal. ECG - Abnormal. CT Head - Abnormal. CT Thorax - Abnormal. EEG - Abnormal. CBC - WBC 17.5 K/MM3 (H) RBC 3.76 K/MM3 (L) HGB 11.2 g/dL (L) HCT 33.4% (L) Segs 88% (H) Lymphs 5% (L) Neut# 15.4 X10^9/L (H). CHEM - Glucose 182 mg/dL (H) BUN 34 mg/dL (H) Creatinine 0.55 mg/dL (L) BUN/Creat Ratio 62 (H) Potassium 3.0 mmol/L (L) Albumin 2.5 g/dL (L) Alb/Glob Ratio 0.7 (L). Arterial Blood Gases - Abnormal. Sputum Culture (+) for Alpha Hemolytic Streptococci. Sputum Gram stain (+) for Gram Positive Cocci and Gram Negative Rods. Vancomycin-Trough 27.8 ug/mL (H).
CDC Split Type:

Write-up: Weakness, Shortness of breath, elevated troponins, acute renal failure - Diagnosis per neurology Guillane Barre 2'' vaccination? - Patient received plasmaphoresis x5 days, required intubation and subsequent trach and PEG and discharge to SNF.


VAERS ID: 376329 (history)  
Form: Version 1.0  
Age: 29.0  
Gender: Female  
Location: Georgia  
Vaccinated:2009-11-11
Onset:2009-11-14
   Days after vaccination:3
Submitted: 2010-01-08
   Days after onset:55
Entered: 2010-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP004AA / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Autopsy, Caesarean section, Death, Drug exposure during pregnancy, Shock haemorrhagic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypovolaemic shock conditions (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-11-15
   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: No
Preexisting Conditions: PT was 38wks 3days pregnant. Pt was morbidly obese and was diagnosed with Pregnancy Induced Hypertension.
Allergies:
Diagnostic Lab Data: Autopsy performed
CDC Split Type:

Write-up: Pt died of Hemorrhagic shock within minutes of non-emergent c/section.


VAERS ID: 376388 (history)  
Form: Version 1.0  
Age: 43.0  
Gender: Female  
Location: New Mexico  
Vaccinated:2009-10-21
Onset:0000-00-00
Submitted: 2010-01-07
Entered: 2010-01-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (MEDIMMUNE)) / MEDIMMUNE VACCINES, INC. 500756P / UNK NS / IN

Administered by: Public       Purchased by: Unknown
Symptoms: Death, Fatigue, Influenza like illness, Resuscitation, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Iron pills; Prenatal vitamins; Lisinopril
Current Illness: INFLUENZA
Preexisting Conditions: Iron deficiency anemia; Dysfunctional uterine bleeding; Hypertension.
Allergies:
Diagnostic Lab Data: No autopsy performed, apparently no recent influenza tests performed.
CDC Split Type:

Write-up: Seen in clinic 10/21/09 with cough, congestion, and "feels hot". Prescribed TAMIFLU on 10/21/09 and given intranasal H1N1 vaccine on 10/21. Subsequently apparently had flu-like symptoms and tiredness for unspecified period of time and apparently found unresponsive in home. Resuscitation unsuccessful.


VAERS ID: 376499 (history)  
Form: Version 1.0  
Age: 48.0  
Gender: Female  
Location: North Dakota  
Vaccinated:2009-12-14
Onset:2009-12-17
   Days after vaccination:3
Submitted: 2010-01-11
   Days after onset:25
Entered: 2010-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP050AA / 1 LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / SANOFI PASTEUR U3377AA / 2 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF457AA / 1 RA / IM

Administered by: Public       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2009-12-17
   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: unknown
Current Illness: unknown
Preexisting Conditions: unknown.
Allergies:
Diagnostic Lab Data: unknown.
CDC Split Type: ND0938

Write-up: Unknown if symptoms occured following vaccination but patient passed away 3 days later.


VAERS ID: 376969 (history)  
Form: Version 1.0  
Age: 75.0  
Gender: Female  
Location: Unknown  
Vaccinated:2010-01-06
Onset:2010-01-09
   Days after vaccination:3
Submitted: 2010-01-14
   Days after onset:5
Entered: 2010-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UP035BA / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Coagulopathy, Death, Drug interaction, International normalised ratio increased
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Haemorrhage laboratory terms (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-11
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: COUMADIN
Current Illness: NonHodgkins Lymphoma
Preexisting Conditions: lymphoma; chronic DVT
Allergies:
Diagnostic Lab Data: Increased INR
CDC Split Type:

Write-up: Suspect H1N1 caused interaction with COUMADIN/coagulation.


VAERS ID: 376990 (history)  
Form: Version 1.0  
Age: 38.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2010-01-08
Onset:2010-01-10
   Days after vaccination:2
Submitted: 2010-01-14
   Days after onset:4
Entered: 2010-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (NOVARTIS)) / NOVARTIS VACCINES AND DIAGNOSTICS 500805P / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-01-10
   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:
Current Illness: no
Preexisting Conditions: unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: unknown


VAERS ID: 377459 (history)  
Form: Version 1.0  
Age: 1.69  
Gender: Male  
Location: Colorado  
Vaccinated:2009-12-29
Onset:2009-12-31
   Days after vaccination:2
Submitted: 2010-01-20
   Days after onset:20
Entered: 2010-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(H1N1): INFLUENZA (H1N1) (H1N1 (MONOVALENT) (SANOFI)) / SANOFI PASTEUR UT030EA / 2 LL / IM

Administered by: Unknown       Purchased by: Public
Symptoms: Autopsy, Brain death, Death, Life support, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2010-01-01
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: Seizure~Pneumo (Prevnar)~3~0.50~Patient|Seizure~Influenza (Seasonal) (Fluzone)~1~0.50~Patient|Seizure~DTaP + IPV + Hib (Pentacel
Other Medications:
Current Illness: Some preceding gastroenteritis in the couple weeks prior to immunization. O/W no known significant illnesses.
Preexisting Conditions: Very serious neurological syndrome (Dravet''s Syndrome) involving intractable poorly controlled frequent seizures and poor prognosis. (Dx had been confirmed by DNA Probe).
Allergies:
Diagnostic Lab Data: Prelim autopsy results inconclusive for cause of death. Tentative dx is SUDEp. (Sudden Unexpected Death of Epilepsy).
CDC Split Type:

Write-up: DEATH. (Toddler was napping in crib during day. Parent found child in full arrest. (Unclear if he''d be seizing prior.) CPR/EMS achieved pulse with full interventions but pt was brain dead and life-support was withdrawn within 8 hours of resuscitation.


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