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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 5 out of 172

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VAERS ID: 108647 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: California  
Vaccinated:1998-03-13
Onset:1998-03-14
   Days after vaccination:1
Submitted: 1998-03-16
   Days after onset:2
Entered: 1998-03-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0916470 / 2 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0907910 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0652 / 2 LL / SC

Administered by: Public       Purchased by: Public
Symptoms: Lung disorder, Pharyngitis, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Cardiac failure (narrow), Agranulocytosis (broad), Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-14
   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: Cispride;Nystatin cream
Current Illness: minor candidal neck rash
Preexisting Conditions: choking/desaturation w/feeds-dysmaturity vs reflux
Allergies:
Diagnostic Lab Data:
CDC Split Type: CA980032

Write-up: pt died less than 24hr p/vax;


VAERS ID: 108655 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: North Carolina  
Vaccinated:1998-03-12
Onset:1998-03-13
   Days after vaccination:1
Submitted: 1998-03-16
   Days after onset:3
Entered: 1998-03-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7C91935 / 2 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2392A2 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M165RH / 2 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0939 / 2 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Congenital anomaly, Encephalopathy, Sudden infant death syndrome
SMQs:, Congenital, familial and genetic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Neonatal disorders (narrow), Chronic kidney disease (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: 1998-03-13
   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: 13MAR98 pt found deceased in crib 830AM;parents put to bed 11:30PM on 12MAR98;well check up done 12MAR98;all nl findings;


VAERS ID: 108656 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: New York  
Vaccinated:1998-02-27
Onset:1998-03-05
   Days after vaccination:6
Submitted: 1998-03-10
   Days after onset:5
Entered: 1998-03-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0907380 / 2 - / IM L
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2500A2 / 2 - / IM L
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0915240 / 2 - / IM L
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M0939 / 2 - / IM L

Administered by: Private       Purchased by: Private
Symptoms: 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 (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Respigam
Current Illness: NONE
Preexisting Conditions: prematurity-hx ROS/anemia
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt expired on 5MAR98 presented to ER in full C-R arrest;


VAERS ID: 108787 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: North Carolina  
Vaccinated:1998-01-28
Onset:1998-01-28
   Days after vaccination:0
Submitted: 1998-03-12
   Days after onset:43
Entered: 1998-03-23
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 446956 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M260RJ / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M11891 / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Brain oedema, Haemorrhage, Meningitis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Noninfectious meningitis (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-02-07
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP PRN
Current Illness: cold sx
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient died;COD unk by reporter;


VAERS ID: 108797 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Hampshire  
Vaccinated:1997-10-16
Onset:1997-11-10
   Days after vaccination:25
Submitted: 1998-03-19
   Days after onset:129
Entered: 1998-03-24
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2408A2 / 2 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0461 / 1 LL / -

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-19
   Days after onset: 129
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Respigam Ig given IV 5NOV97;pt recv hep B vax 12SEP97;
Current Illness: NONE
Preexisting Conditions: NKA;no defects;prematurity
Allergies:
Diagnostic Lab Data:
CDC Split Type: NH9732

Write-up: SIDS-6 lbs 3oz @ time of death;


VAERS ID: 108799 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Washington  
Vaccinated:1998-03-17
Onset:1998-03-18
   Days after vaccination:1
Submitted: 1998-03-18
   Days after onset:0
Entered: 1998-03-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B91821 / 2 LL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1484E / 2 RL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. M1070 / 2 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Agitation, Chills, Oral candidiasis, Otitis media, Stupor, Sudden infant death syndrome, Unevaluable event
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Neonatal disorders (narrow), Hypoglycaemia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-18
   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: Amox given 17MAR98;Nystatin oral susp
Current Illness: URI & OM
Preexisting Conditions: eczema & seborrhea dermatitis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt found deceased in crib this AM <24hr p/vax;


VAERS ID: 109218 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Tennessee  
Vaccinated:1998-01-23
Onset:1998-01-23
   Days after vaccination:0
Submitted: 1998-02-20
   Days after onset:28
Entered: 1998-04-03
   Days after submission:42
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B91821 / 1 RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0907880 / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1294 / 1 LL / -

Administered by: Private       Purchased by: Public
Symptoms: Cerebrovascular disorder, Congenital anomaly, Encephalopathy, Hydrocephalus, Respiratory disorder, Spina bifida
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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: 1998-01-23
   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: Trimethoprim-sulfa
Current Illness: NONE
Preexisting Conditions: hydrocephalus, chiari malformation myelomeningocele
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN98008

Write-up: pt died of suspected SIDS-pt had underlying severe hydrocephalus & chiari malformation was in good baseline hlth was found in prone position pt had very poor tone & head control at baseline;


VAERS ID: 109219 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Tennessee  
Vaccinated:1998-01-28
Onset:1998-01-29
   Days after vaccination:1
Submitted: 1998-01-30
   Days after onset:1
Entered: 1998-04-03
   Days after submission:63
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 6F81445 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1308D / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M200RC / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M10702 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Lung disorder, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Cardiac failure (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-01-29
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN98006

Write-up: mom reported that baby died yesterday AM @ some time between 7 & 10AM;pt was in bed w/mom;mom reported she wondered about the shots causing this;however was told by coroner that it was SIDS;reporter unsure whether autopsy done/complete;


VAERS ID: 109867 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Iowa  
Vaccinated:1998-04-14
Onset:0000-00-00
Submitted: 1998-04-16
Entered: 1998-04-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 448451 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2333A2 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M195RC / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M09391 / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-04-15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Engerix hep B lot# 2333A2 given 20FEB98;
Current Illness: NONE
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: auutopsy performed;
CDC Split Type: IA98010

Write-up: pt recv vax 14APR98 @ approx 1130AM;pt was found dead 15APR98 approx 830AM;


VAERS ID: 110009 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1998-03-26
Onset:1998-03-27
   Days after vaccination:1
Submitted: 1998-04-16
   Days after onset:19
Entered: 1998-04-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 448451 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M255RJ / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0032 / 1 RA / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-27
   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: NONE
Current Illness: NONE
Preexisting Conditions: +suspected sepsis @ birth treated x 7 days
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: pt recv vax 26MAR98 & died 27MAR98;


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