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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 5 out of 98

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VAERS ID: 168012 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Hampshire  
Vaccinated:2000-12-04
Onset:2000-12-07
   Days after vaccination:3
Submitted: 2001-03-10
   Days after onset:93
Entered: 2001-04-02
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 972A2 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5153C9 / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA549AB / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0395 / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 476724 / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Blood gases abnormal, Pulse absent, Respiratory arrest, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Lactic acidosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Neonatal disorders (narrow), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-12-07
   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: PH-6.29
CDC Split Type:

Write-up: This patient died on 12/07/01. He went to the ER pulseless, no respiratory effort, no response to resuscitative efforts. The coroner unofficial report- SIDS. Autopsy states cause of death as SIDS.


VAERS ID: 168014 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Indiana  
Vaccinated:2001-01-05
Onset:2001-01-06
   Days after vaccination:1
Submitted: 2001-03-18
   Days after onset:71
Entered: 2001-04-02
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 469395 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 468487 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R0691 / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473346 / 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: 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS


VAERS ID: 168361 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: New York  
Vaccinated:2001-03-24
Onset:2001-03-26
   Days after vaccination:2
Submitted: 2001-03-30
   Days after onset:4
Entered: 2001-04-06
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0356CA / 3 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS 5166A2 / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA578AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 474729 / 3 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (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), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-03-26
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: The mother found the baby in the crib in cardiac arrest and not breathing suddenly and unexpectedly. He had a tem of 101 in the AM. He was acting fine with good feeding.


VAERS ID: 168648 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: New Jersey  
Vaccinated:2001-04-04
Onset:2001-04-05
   Days after vaccination:1
Submitted: 2001-04-05
   Days after onset:0
Entered: 2001-04-13
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1527K / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0484 / 2 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 474728 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Blood creatinine increased, Blood sodium decreased, Blood urea increased, Coma, Hydrocephalus, Hypertonia, Hypotonia, Staring
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hyponatraemia/SIADH (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-04-16
   Days after onset: 11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness:
Preexisting Conditions: Increased tone; developmental delay; bilateral dilated frontal horns
Allergies:
Diagnostic Lab Data: CT scan of head in ER on 4/5/01-hydrocephalus; labs-Na-128; K-5.2; CR-99; C02-21; Bun-40; CR-1.1; Gluc-90; Ca-8.8 Left kidney-dystrophic calcification; right kidney-focal acute inflammation; right adrenal-dystrophic calcificaton; right lung-congestion and focal aspiration; left lung-congestion; thymus-dystrophic calcification
CDC Split Type:

Write-up: About 20 hours after receiving immunizations, at about 8:30 AM; at home the baby started tonic / clonic movements lasting about 25 minutes according to family. the eyes staring and unresponsive. At the ER 3 hours later the events reappear. Follow-up received on 4/26/01 states that the baby has died.


VAERS ID: 169643 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: Michigan  
Vaccinated:2001-04-25
Onset:2001-04-27
   Days after vaccination:2
Submitted: 2001-04-30
   Days after onset:3
Entered: 2001-05-10
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 975A2 / 4 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1590K / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 477449 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Cardiac arrest, Cerebral haemorrhage, Cough, Dehydration, Dyspnoea, Ear disorder, Gastrointestinal haemorrhage, Gastrooesophageal reflux disease, Haematocrit decreased, Haemoglobin decreased, Hypoxia, Laboratory test abnormal, Necrosis, Nervous system disorder, Pulmonary oedema, Pyrexia, Respiratory disorder, Supraventricular tachycardia, Tachycardia
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Supraventricular tachyarrhythmias (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-04-27
   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: Pulmicort, Serevent, Aldectozide, Lasix, Zantac, NaCl, KCl, Prednisone taper; Albuterol; Aldactone, Prelone; home oxygen
Current Illness: Chronic illness only, no acute.
Preexisting Conditions: Bronchopulmonary dysplasia, severe prematurity, gastroesophageal reflux disease, reactive airway disease, retinopathy due to prematurity and possible right-sided heart failure, pulmonary stenosis; numerouse hospitalizations due to respiratory disease (last visit 4/25/01) 3 days prior to death
Allergies:
Diagnostic Lab Data: T- 40.2 on admit to ED, HR - 190, Pulse Ox 94%, EKG with SVT. Hemoglobin-7; Hematocrit-22 and thought to have a GI bleed
CDC Split Type:

Write-up: Heavy breathing and pulling at ears the night before carrying her to the ER, some cough. In the ED, T to 40.2 on the evening of 04/27/01. Normally uses 0.5 L prn O2 at home, in ED pulse ox 94% on R.A. coffee ground material from G-tube. Initially hemoccult neg, but later when rechecked was hemoccult positive. Initially tachycardia, became SVT after albuterol, developed diminished respiratory effort, cardiac arrest and death at 9:10 PM. Autopsy report states cause of death as medical complications of prematurity: dehydration, bronchopulmonary dysplasia and edema, s/p Nissen fundoplasty for esophageal reflux, gliosis and extensive neuronal necrosis of the brain (brain atrophy) , small subdural hemorrhage (manner of death - natural). Cause of death-medical complications of prematurity.


VAERS ID: 169932 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Kentucky  
Vaccinated:2000-11-14
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2001-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 296A12 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0285K / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R1433 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473342 / 1 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-11-15
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: To give Tylenol after shots for fever.
Current Illness: Nasal congestion
Preexisting Conditions: Bilateral Inguinal hernias 11/1/00
Allergies:
Diagnostic Lab Data:
CDC Split Type: KY2001034

Write-up: Death within 24 hours. (According to death certificate, undetermined cause and manner of death). Autopsy states cause of death as undetermined. Infant was found in bassinet in prone position.


VAERS ID: 169933 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: North Carolina  
Vaccinated:2001-05-15
Onset:2001-05-16
   Days after vaccination:1
Submitted: 2001-05-16
   Days after onset:0
Entered: 2001-05-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 992A2 / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1474K / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 477381 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0562 / 1 LA / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472547 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Haemorrhage, Pulmonary congestion
SMQs:, Cardiac failure (broad), Haemorrhage terms (excl laboratory terms) (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-05-16
   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: NONE
CDC Split Type:

Write-up: This patient was seen for a well child check on 05/15/01. First office visit since birth. No previous immunizations. Received DTaP, IPV, HIB, Prevnar, and Hep B. The patient was found dead in the crib 05/16/01 in the AM. Autopsy shows congestion in lungs. A cause of death could not be determined. Petechial hemorrhages were found on several serosal surfaces raising the possibility of SIDS but suffocation by overlying cannot be excluded.


VAERS ID: 169943 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: California  
Vaccinated:2001-04-24
Onset:2001-04-25
   Days after vaccination:1
Submitted: 2001-04-25
   Days after onset:0
Entered: 2001-05-18
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 473343 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Coma, Pneumonitis
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Interstitial lung disease (narrow), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-04-25
   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: CA010049

Write-up: Infant died in his sleep. Infant found unresponsive. Autopsy states cause of death as undetermined. Interstitial pneumonitis was a contributing factor in the death. Also noted were subdural neomembranes.


VAERS ID: 172279 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Male  
Location: Delaware  
Vaccinated:2001-05-02
Onset:2001-05-04
   Days after vaccination:2
Submitted: 2001-05-21
   Days after onset:17
Entered: 2001-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U034113A / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 582953A / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0471 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 474723 / 2 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Cough, Nasal congestion, Upper respiratory tract infection
SMQs:, Anaphylactic reaction (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-05-21
   Days after onset: 17
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Reglan, Zantac, Xopenex
Current Illness: NONE
Preexisting Conditions: laryngotracheomalacia, bronchomalacia, gastroesophageal reflux, atrioseptal defect, vascular ring
Allergies:
Diagnostic Lab Data: Autopsy - pending
CDC Split Type:

Write-up: The pt was seen on 5/7 with 3 day hx of a loose productive cough and marked nasal congestion. This was thought to be a URI. Cough persisted in spite of inhalation therapy and steroids. Pt was seen on 5/16 and started on Biaxin with improvement.


VAERS ID: 170058 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: New York  
Vaccinated:2001-04-13
Onset:2001-04-22
   Days after vaccination:9
Submitted: 2001-05-13
   Days after onset:21
Entered: 2001-05-22
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0394K / UNK - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 4 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1155K / UNK - / SC

Administered by: Private       Purchased by: Other
Symptoms: Albumin globulin ratio abnormal, Blood calcium increased, Blood lactate dehydrogenase increased, Cardiac arrest, Dehydration, Erythema multiforme, Haemoglobinaemia, Meningitis, Pyrexia, Red blood cell sedimentation rate increased, Respiratory arrest, Sepsis, Shock, Skin necrosis, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Haemolytic disorders (narrow), Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (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), 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), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-04-28
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Chinese herbs (unspecified)
Current Illness:
Preexisting Conditions: History of allergies and eczema; on 6/12/00, the pt had a hematoma on the forehead (CT Scan was nml)
Allergies:
Diagnostic Lab Data: Full blood work-up and blood cultures were negative; temperature 101F; CBC-nml except for a few extra bands. PCR and VZV analysis-neg; WBC-8.4 and 8.1; serum calcium-10.8 (high); albumin-4.4 (high); mean corpuscular hemoglobin concentration of 33.9 (high); LDH-541 (high); neutrophil ct-19%; hematology-14%; ESR-34; antistreptolysis O antigen test-5.0; skin biopsy-clusters of necrotic keratinocytes in the superficial epidermis and a small amt with also exocytosis of mononuclear cells and some extravascated erythrocytes and these features are difficult to interpret and is being tested for viran DNA
CDC Split Type: WAES01050031

Write-up: Information has been received from a physician concerning a 12 month old female who was vaccinated with MMRII and varicella virus vaccine live. Ten days later, the pt developed a fever and rash. The physician noted that under the microscope he can not determine what caused the rash. Follow-up from the physician indicated that he was the pathologist who had received the skin biopsy specimen of the rash from the pt''s dermatologist. He received the specimen, 3 days prior to the pt''s death. Additional information from the pt''s pediatrician, indicated that the child received MMRII, varicella and Prevnar on 4/13/01 and on 4/25/01, the pt was brought into the office with a fever of 101F associated vomiting, lethargy, dehydration and a generalized rash that looked like erythema multiforme. Another physician was working with the physician that day and they both agreed that it looked like erythema multiforme. The parents were told to bring the pt back on 4/26/01 for a follow-up visit. On 4/26/01, the rash still appeared as erythema multiforme, however, it was not as generalized and was more discrete. The parents reported that the child was also on a Chinese herbal medicine and the baby sitter reported that the child had eaten a new kind of fish that night. The pediatrician referred the pt to a dermatologist and when he saw the pt, he reported that he had never seen anything like the rash that the pt presented with and he did a skin biopsy. The next day, the pediatrician called the pt''s home to check her condition. The child''s baby sitter reported that the child was doing fine, eating, drinking and the rash was getting better. On 4/27/01, the pediatrician called the pt''s home again and wanted the child to come in to be seen, however, the family was reluctant because they reported the child was doing fine, the rash had faded and the child''s fever was gone. On the night of 4/28/01, the family took the child to the ER. The ER physician called the pt''s pediatrician and told her that the pt presented to the ER with fever, crying with no tears and dehydration and vomiting. The ER physicians were unable to get an IV line into the child, the child went into shock and arrested, with failure to revive. The family refused to autopsy. The cause of death on the death certificate was meningococcal meningitis. The pediatrician reported that the cause of death could not possibly be meningococcal meningitis because the blood cultures that she had done on the pt at the height of the rash on 4/25/01 were negative and the fever and rash had gone away without any prophylaxis treatment. The pt''s father could not tell the pediatrician the name of the Chinese medication, only that it was herbal Chinese medication. The pediatrician reported that a piece of the skin biopsy was sent for PCR analysis and the pediatrician was unsure if this would be conclusive or not. The pediatrician also reported that there was no blood obtained for IgG or IgM titers. The pediatrician noted that she did not know the cause of death. The child''s body was being taken to another country to be buried. Follow-up from another physician indicated that the pt had negative blood cultures taken in the PCP''s office and he was not sure where the dx of meningococcal meningitis came from without further lab support. He was questioned as to whether the community where the child lived may need prophylaxis and from the description of the child''s symptoms, he did not feel the symptoms were consistent with a meningococcal bacteria. The physician noted that the child looked septic on admission to the hospital and he wondered if the child was actually dehydrated. The physician was unsure if the child 1st respiratory or cardiac arrested, however, he did feel that it would be unusual for a child this age to 1st cardiac arrest. The physician confirmed that the child did eat a different type of fish and wondered if the child may have contracted a Vibrio infection from ingesting infected raw fish. Conflicting information from this physician indicated that the child was seen on 4/22/01 by the PCP and a maculopapular rash was dx''d as an atypical measles type rash. The child''s rash then reportedly improved however on admission to the ER, the child reportedly had a florrid, "violatious" rash. The physician wondered about the child''s immune status, since the child lived on a commune where group marriages occurred. The commune consisted of approx. 300-400 people. The physician noted that this was all just philosophical discussion since an autopsy was not performed and the cause of death will probably not be known. No further details were provided. Additional information received on 05/23/2001 indicated that PCR results from the parafin block extraction were negative for V2V. Additionally the specimen was concentrated down, in hopes of going further and making it more sensitive; however, it was still negative for V2V. The patient''s physician was planning to have a PCR done for measles, as "atypical measles" was one of the clinical diagnoses for the pt. The physician reaffirmed that she did not believe the child''s rash was varicella. The physician plans to have additional specimens sent for measles PCR. Additional info has been requested. Follow-up info has been received from a physician who stated that, according to the CDC, the skin tissue tested neg. for MMR. He also reported that the VZV was neg. Additional information has been requested.This is an amended report. The pt''s age was changed from 12 months to 13 months. This is a corrected report as amended.


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