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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 6 out of 172

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VAERS ID: 110237 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Nevada  
Vaccinated:1998-04-17
Onset:0000-00-00
Submitted: 1998-04-20
Entered: 1998-04-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 450739 / 1 - / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 250BA2 / 2 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M165RH / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1180 / 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-04-17
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt expired @ 10PM (cause) pending autopsy report;


VAERS ID: 110238 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Tennessee  
Vaccinated:1998-04-20
Onset:1998-04-21
   Days after vaccination:1
Submitted: 1998-04-21
   Days after onset:0
Entered: 1998-04-27
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7L81673 / 2 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 7D91716 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. L1217 / 2 LL / 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: 1998-04-21
   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-present for well child check;
Preexisting Conditions: mom tx for group B strep during perinatal period/hx constipation/hemangioma on rt lat heel;
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt recv vax 20APR & pt found dead morning of 21APR apparent SIDS;


VAERS ID: 110675 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: California  
Vaccinated:1998-03-24
Onset:1998-04-04
   Days after vaccination:11
Submitted: 1998-05-06
   Days after onset:31
Entered: 1998-05-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 450639 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2404A2 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M285RJ / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1163 / 1 LA / SC

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: 1998-04-04
   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: pt recv pneumo study vax on 24MAR98 by Lederle, lot# B110
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: unk what tests were ordered;
CDC Split Type:

Write-up: pt recv vax 24MAR98 & pt died from SIDS 4APR98 presented @ hosp;


VAERS ID: 111280 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Oregon  
Vaccinated:1998-03-24
Onset:1998-04-01
   Days after vaccination:8
Submitted: 1998-04-02
   Days after onset:1
Entered: 1998-06-01
   Days after submission:59
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7L81673 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2405A2 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M305PN / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0461 / 1 RL / SC

Administered by: Public       Purchased by: Public
Symptoms: Stupor, Sudden infant death syndrome, Unevaluable event
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: 1998-04-01
   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: NONE
Preexisting Conditions: discharged from hosp for RSV 13MAR98;
Allergies:
Diagnostic Lab Data: unk
CDC Split Type: OR9805

Write-up: pt mom reported finding pt unresponsive @ 10AM on 1APR98;911 was dispatched;pt was pronounced SIDS by medical examiner @ home;


VAERS ID: 111281 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Oregon  
Vaccinated:1998-02-17
Onset:1998-02-26
   Days after vaccination:9
Submitted: 1998-03-18
   Days after onset:20
Entered: 1998-06-01
   Days after submission:74
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 444071 / 3 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M200RJ / 3 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0443 / 3 LL / SC

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: 1998-02-26
   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: fluoride drops
Current Illness: nasal congestion only
Preexisting Conditions: diastasis recti, yeast diaper rash
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: OR9803

Write-up: no adverse effects noted in period immed p/vax;pt died SIDS death 26FEB98 @ home;


VAERS ID: 111282 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Alabama  
Vaccinated:1998-05-14
Onset:1998-05-19
   Days after vaccination:5
Submitted: 1998-05-20
   Days after onset:1
Entered: 1998-06-01
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 847A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1226E / 1 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 7E91927 / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0843 / 1 RL / SC

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: 1998-05-19
   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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: AL984

Write-up: death-19MAY98;coroner says SIDS-unable to obtain death certificate d/t state privacy laws


VAERS ID: 111504 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Michigan  
Vaccinated:1998-05-18
Onset:1998-05-19
   Days after vaccination:1
Submitted: 1998-06-02
   Days after onset:14
Entered: 1998-06-08
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 451497 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2420A2 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 44779D / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1351 / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Atelectasis, Cardiac arrest, Lung disorder, Pneumothorax
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), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-05-19
   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: mild URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt presented to ER in full arrest p/a nap 19MAY98 1 day p/vax;


VAERS ID: 111830 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Wisconsin  
Vaccinated:1998-03-11
Onset:1998-03-12
   Days after vaccination:1
Submitted: 1998-04-24
   Days after onset:42
Entered: 1998-06-15
   Days after submission:52
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 826A2 / 1 - / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0002H / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M12942 / 1 - / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-03-12
   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: hepatitis B 1st dose @ hosp 1JAN98
Current Illness: NONE
Preexisting Conditions: reflux GE
Allergies:
Diagnostic Lab Data: cult from autopsy were negative grade II reflux UGI x-ray done on 22JAN98 positive results;
CDC Split Type: WI98020

Write-up: died of SIDS COD per autopsy report 30MAR98;pt recv vax 11MAR98;


VAERS ID: 112005 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Arkansas  
Vaccinated:1998-05-13
Onset:1998-05-31
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 1998-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 841A2 / 1 RL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2368A2 / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0216H / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0031 / 1 RL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-05-31
   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:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: autopsy was done;
CDC Split Type: AR9836

Write-up: pt was red 1130Pm placed on abd on waterbed;pt was discovered by grandfather when pt had not awaken by 8AM; taken to hosp pronounced dead by MD;


VAERS ID: 112192 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Mississippi  
Vaccinated:1998-03-12
Onset:1998-03-14
   Days after vaccination:2
Submitted: 1998-05-01
   Days after onset:47
Entered: 1998-06-26
   Days after submission:56
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7B91821 / 1 LL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0571E / 1 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 1 RL / -

Administered by: Public       Purchased by: Public
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: 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: unk
Current Illness: NONE
Preexisting Conditions: NONE-rash on face-oily-probably secondary to immature sweat gland
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: MS98008

Write-up: mom states tried to wake pt 14MAR98 but pt did not wake up;pt okay when went to sleep;


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