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From the 2/18/2021 release of VAERS data:

Found 2,801 cases where Vaccine is DPIPV or DPP or DTAP or DTAPH or DTAPHEPBIP or DTAPIPV or DTAPIPVHIB or DTP or DTPHEP or DTPHIB or DTPIHI or DTPIPV or DTPPHIB or PER or TDAP and Patient Died and Submission Date on/before '2015-09-30'

Case Details

This is page 7 out of 281

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VAERS ID: 27506 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Virginia  
Vaccinated:1991-01-08
Onset:1991-01-09
   Days after vaccination:1
Submitted: 1991-01-10
   Days after onset:1
Entered: 1991-01-22
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293947 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M705FE / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291964 / 2 MO / PO

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: 1991-01-09
   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: Tylenol drops PRN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: other pending autopsy at hospital. No lab work done 8JAN91
CDC Split Type: VA91001

Write-up: Pt vaccinated with DTP/OPV/HIB phone call from ER 9JAN91 at 1210PM requesting info re: child''s status on visit 8JAN91. Informed ER child well-given 2nd DTP, OPV & 1st HBCV - ER stated child "SIDS" found by mother - brought to ER via rescue.


VAERS ID: 27690 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Florida  
Vaccinated:1991-01-18
Onset:1991-01-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1991-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0B21173 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FD / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0623A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-25
   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:
Current Illness:
Preexisting Conditions: High T-4 lst PKU - Normal testing results rec.
Allergies:
Diagnostic Lab Data: Autopsy Done-no results at this time
CDC Split Type:

Write-up: Child rec 1st DTP shot OPV & HIBtiter vax on 18JAN91, child expired on 25JAN91 cause of death unknown at this point autopsy done - no results at this time 30JAN91


VAERS ID: 27691 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Minnesota  
Vaccinated:1991-01-17
Onset:1991-01-23
   Days after vaccination:6
Submitted: 1991-01-24
   Days after onset:1
Entered: 1991-02-01
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0A21149 / 3 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M090FF / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-23
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Septra
Current Illness: otitis media
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Autopsy - no evidence for abnormalities.
CDC Split Type:

Write-up: Crib Death; Felt to be sids.


VAERS ID: 28070 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: South Dakota  
Vaccinated:1990-10-12
Onset:1990-10-15
   Days after vaccination:3
Submitted: 1991-01-10
   Days after onset:87
Entered: 1991-02-12
   Days after submission:33
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 1 MO / PO

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: 1990-10-15
   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: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Autopsy report- Mild inflammatory change w/in liver, Mild nonspecific respiratory or gastrointestinal infect; No evidence of underlying trauma. No evidence to suggest any element of abuse and/or neglect.
CDC Split Type: SD91002

Write-up: SIDS.


VAERS ID: 28073 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Arizona  
Vaccinated:1990-12-19
Onset:1990-12-22
   Days after vaccination:3
Submitted: 1990-12-26
   Days after onset:4
Entered: 1991-02-12
   Days after submission:48
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11081 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190FO / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291938 / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-12-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: In sister; high fever; DTP/OPV; 1 dose.~ ()~~~In Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: Resolved otitis media
Allergies:
Diagnostic Lab Data: Autopsy consistent with SIDS.
CDC Split Type:

Write-up: Baby found dead in crib early in tha AM on 22DEC90; Sudden Infant Death Syndrome.


VAERS ID: 28091 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Virginia  
Vaccinated:1990-10-09
Onset:1990-10-09
   Days after vaccination:0
Submitted: 1991-02-07
   Days after onset:121
Entered: 1991-02-14
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283914 / 1 RL / -

Administered by: Private       Purchased by: Private
Symptoms: Sudden infant death syndrome, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-10-14
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: lt congenital hip dysplasia
Allergies:
Diagnostic Lab Data: Cause of death SIDS - no autopsy performed.
CDC Split Type:

Write-up: Died 5 days p/1st DTP vax; Noticed spitting-up increased p/vax.


VAERS ID: 28321 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Oregon  
Vaccinated:1991-02-05
Onset:1991-02-06
   Days after vaccination:1
Submitted: 1991-02-07
   Days after onset:1
Entered: 1991-02-15
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285918 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M200FE / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291938 / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-02-06
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tylenol poss.
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Autopsy-$g no cause found
CDC Split Type:

Write-up: sids death 16-24 hrs /p administration of imm.


VAERS ID: 28327 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: Louisiana  
Vaccinated:1990-12-27
Onset:1991-01-02
   Days after vaccination:6
Submitted: 1991-01-15
   Days after onset:13
Entered: 1991-02-15
   Days after submission:31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287954 / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Agitation, Dehydration, Eye disorder, Pyrexia
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Corneal disorders (broad), Retinal disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-02
   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: Tylenol
Current Illness:
Preexisting Conditions: 26 wks preme, hx of hyaline membrane disease, sepsis, necrotizing enterocolitis /w small bowel resec, malabsorption, formula intolerance
Allergies:
Diagnostic Lab Data: CSF-clear, WBC-0, RBC-5, 0-Segs & Lymphs
CDC Split Type: LA910203

Write-up: Mom noted listlessness & dark circles around eyes in am 2Jan, pt taken Hosp arrived @ 11am, found to have T 103, T escalating, pt died @ 1130 am, cause of death - dehydration, No fever noted @ time of Immun. to arrival @ hosp, no neuro S+S


VAERS ID: 28357 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: California  
Vaccinated:1991-01-28
Onset:1991-01-31
   Days after vaccination:3
Submitted: 1991-02-13
   Days after onset:13
Entered: 1991-02-18
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 291931 / 3 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M085FF / 2 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Lung disorder, Petechiae, Pulmonary oedema, Sudden infant death syndrome
SMQs:, Cardiac failure (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy underway- preliminary Dx- Sids
CDC Split Type:

Write-up: Pt found dead in crib am 31Jan91, pt asymptomatic prior to death.


VAERS ID: 28432 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Connecticut  
Vaccinated:1991-01-15
Onset:1991-01-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M090FF / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287942 / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Abdominal distension, Apnoea, Cardiac arrest, Infection, Lung disorder, Personality disorder, Pulmonary oedema
SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-01-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: no~ ()~~~In patient
Other Medications: synthroid
Current Illness: hypothyroidism, cranialsynostosis, herni
Preexisting Conditions: hypothyroidism, cranialsynostosis, hernia repair X 2, bronchopulmanary dysplasia
Allergies:
Diagnostic Lab Data: blood drawn post immun-all normal, blood drawn in ER possible for alpha strep
CDC Split Type: CT911

Write-up: pulmonary congestion & edema,bronchopulmonary dysplasia, Child not acting right all day, as per family, stopped breathing in front of mom, found in cardiac arrest by EMT who began CPR,pt found /w distended abdomen, decompressed manually


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