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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 7 out of 172

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VAERS ID: 112251 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Michigan  
Vaccinated:1998-05-05
Onset:1998-05-06
   Days after vaccination:1
Submitted: 1998-06-23
   Days after onset:48
Entered: 1998-07-01
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 420629 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 45190 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M0212 / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cyanosis, Sudden infant death syndrome
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-05-06
   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: Dimetapp;pt recv HBV 22MAR98;
Current Illness: Trismy 5, nasal congestion
Preexisting Conditions: Trisomy 5;
Allergies:
Diagnostic Lab Data: unk
CDC Split Type:

Write-up: pt reported by mom to have turned blue in car seat p/coming from hosp visit;911 called CPR done pt was taken to hosp;


VAERS ID: 112660 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Washington  
Vaccinated:1998-06-01
Onset:1998-06-04
   Days after vaccination:3
Submitted: 1998-07-13
   Days after onset:39
Entered: 1998-07-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 7G81489 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 7L91652 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1070 / 2 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-06-20
   Days after onset: 16
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy was done & findings to explain death;probably SIDS;
CDC Split Type:

Write-up: pt recv vax 1JUN98 & pt had gastroenteritis on 4JUN98 which resolved;gastroenteritis reoccurred on 19JUN98;pt died of SIDS on 20JUN98;


VAERS ID: 113301 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: North Carolina  
Vaccinated:1998-04-22
Onset:1998-04-25
   Days after vaccination:3
Submitted: 1998-07-01
   Days after onset:67
Entered: 1998-08-10
   Days after submission:40
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 7C91935 / 1 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2392AZ / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 4165RH / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. 41295 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Anorexia, Apnoea, Dyspnoea, Infection, Influenza, Pneumonia, Unevaluable event
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-04-25
   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: Pediazole
Current Illness: Pneumonia
Preexisting Conditions: Prematurity
Allergies:
Diagnostic Lab Data: On 4/24/98 grandparents noted pt. holding his breath. On 4/25/98, pt. not breathing. Resuscitation not successful. Post mortem-Pneumonia/H.Influenza.
CDC Split Type:

Write-up: Pt. recv. vax. on 04/22/98. On 4/24/98, pt. slept between his two grandparents in the same bed. On 4/25/98, grandparents awoke and noted that the infant was no longer breathing. EMS called. Pt. taken to hospital.


VAERS ID: 113425 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Virginia  
Vaccinated:1998-07-23
Onset:1998-07-25
   Days after vaccination:2
Submitted: 1998-08-07
   Days after onset:13
Entered: 1998-08-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453845 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0435H / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M010RN / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0291 / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Cardiac arrest, Cyanosis, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), 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), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-07-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 7/27/98-Autopsy by VA Chief Medical Examiner, Richmond, VA
CDC Split Type:

Write-up: Pt recv vax on 7/23/98; on 7/25/98 pt found blue in bed. Pt exp cardiopulmonary arrest; autopsy c/w SIDS.


VAERS ID: 113440 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Ohio  
Vaccinated:1998-07-21
Onset:1998-07-22
   Days after vaccination:1
Submitted: 1998-07-24
   Days after onset:2
Entered: 1998-08-17
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 451498 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0326H / UNK LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0147 / 1 LL / 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: 1998-07-22
   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: OH98051

Write-up: SIDS;


VAERS ID: 113718 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1998-07-15
Onset:1998-07-15
   Days after vaccination:0
Submitted: 1998-08-27
   Days after onset:43
Entered: 1998-08-31
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0925880 / 2 LL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 094642 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N02912 / 2 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Apnoea, Cardiac arrest
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-07-19
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: pt reported to have been mildly irritable the day & the day p/vax;on the 4th day p/vax pt had bottle in AM (8AM) & was put down for a nap around noon & was found dead about 30min later;


VAERS ID: 113721 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: New Jersey  
Vaccinated:1998-08-14
Onset:1998-08-23
   Days after vaccination:9
Submitted: 1998-08-26
   Days after onset:3
Entered: 1998-08-31
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 934790 / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 2699H2 / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0492 / 2 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-08-23
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: gross autopsy reported to have shown no identifiable cause of death;pathology/tissue report pending;
CDC Split Type:

Write-up: pt found lifeless in bed;head reported to have been wedged between mattress & wall;


VAERS ID: 113800 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Missouri  
Vaccinated:1998-07-25
Onset:1998-07-29
   Days after vaccination:4
Submitted: 1998-08-04
   Days after onset:6
Entered: 1998-09-01
   Days after submission:28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456295 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1221E / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M255RJ / 1 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0032 / 1 RL / -

Administered by: Public       Purchased by: Public
Symptoms: Lung disorder, Petechiae, Sudden infant death syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-07-29
   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: variety done on post mortem exam;some still pending;
CDC Split Type: MO98041

Write-up: death certificate recv by hlth dept 30JUL;pt recv vax 25JUL98 per nurse @ local hosp;pt arrived DOA per pathologist probable cause of death SIDS;


VAERS ID: 113916 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Alaska  
Vaccinated:1998-07-27
Onset:1998-08-13
   Days after vaccination:17
Submitted: 1998-08-14
   Days after onset:1
Entered: 1998-09-08
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 451498 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238H / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1177E / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M12952 / 1 LL / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-08-13
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: unk~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE (infant-prenatal hx of drug use by mom)
Allergies:
Diagnostic Lab Data: autopsy performed-unk results as to cause of death
CDC Split Type: AK9199811

Write-up: no adverse events reported by grandmo (caregiver) she stated did fine & no problems;


VAERS ID: 114109 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Idaho  
Vaccinated:1998-06-16
Onset:1998-06-24
   Days after vaccination:8
Submitted: 1998-08-27
   Days after onset:64
Entered: 1998-09-14
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 449098 / 1 - / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2428A2 / 2 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1295 / 1 - / SC

Administered by: Private       Purchased by: Public
Symptoms: Conjunctivitis, Drug ineffective, Infection, Influenza, Lymphadenopathy, Neoplasm, Pneumonia, Pulmonary oedema
SMQs:, Cardiac failure (narrow), Severe cutaneous adverse reactions (broad), Lack of efficacy/effect (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological tumours of unspecified malignancy (narrow), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-06-24
   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: positive haemophilus influenzae cult both lung (autopsy);
CDC Split Type: ID98039

Write-up: pt died 24JUN98;death certificate lists haemophilus influenzae/interstitial pneumonia;pt asymptomatic noc a/death;found dead in AM;SIDS ruled out ?;


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