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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 7 out of 98

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VAERS ID: 172985 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Wisconsin  
Vaccinated:2001-06-11
Onset:2001-06-13
   Days after vaccination:2
Submitted: 2001-06-18
   Days after onset:5
Entered: 2001-07-06
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0309BA / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA558AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T0697 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 479233 / 2 LL / SC

Administered by: Private       Purchased by: Other
Symptoms: Hernia, Pulmonary haemorrhage, Sudden infant death syndrome
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-06-13
   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: NONE
Current Illness: NONE
Preexisting Conditions: Prematurity; Apnea and Bradycardia
Allergies:
Diagnostic Lab Data: Autopsy pending
CDC Split Type:

Write-up: Found dead/possible SIDS. Autopsy pending. When found baby was still warm. Tried CPR to no avail. Autopsy report states final anatomic diagnoses: hemorrhges, lungs; s/p ligaton of patent ductus arteriosus; umbilical hernia, small. Death certificate states cause of death to be SIDS.


VAERS ID: 173039 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Female  
Location: Unknown  
Vaccinated:2000-09-15
Onset:2000-10-14
   Days after vaccination:29
Submitted: 2001-07-05
   Days after onset:264
Entered: 2001-07-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 956A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0494K / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 591403A / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. R06684 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 472542 / 1 - / IM

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: 2000-10-14
   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:
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autopsy-SIDS
CDC Split Type: HQ3879417NOV2000

Write-up: A physician reported that a 2 month old female received Prevnar, Hib-Titer, Infanrix, IPV and Recombivax-HB vaccines on 9/15/00 as part of a study. On 10/14/00, at the age of 3 months, the child died. The cause of death was presumed to be Sudden Infant Death Syndrome. Both the medical monitor and the investigator agree that Sudden Infant Death Syndrome is not related to vaccine administration. Follow-up information received on 6/22/01, indicated that an autopsy revealed the cause of death as Sudden Infant Death Syndrome. The original assessment remained the same.


VAERS ID: 173272 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New York  
Vaccinated:2001-07-03
Onset:2001-07-04
   Days after vaccination:1
Submitted: 2001-07-10
   Days after onset:6
Entered: 2001-07-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 991A2 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1761K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0787 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 477455 / 1 RL / IM

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: 2001-07-04
   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: Tylenol Rx written day of vaccines
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Pt succumbed to Sudden Infant Death Syndrome (SIDS) 1 day post vax. Confirmed by autopsy results.


VAERS ID: 173550 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Michigan  
Vaccinated:2001-07-16
Onset:2001-07-17
   Days after vaccination:1
Submitted: 2001-07-18
   Days after onset:1
Entered: 2001-07-25
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM - / 2 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / 2 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0595 / 2 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 477454 / 2 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Coma
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-07-17
   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: Cystic adenoma malformation/PDA/Prematurity at 35 weeks
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt found unresponsive by baby sitter on 7/17/01. He was taken to ER and pronounced DOA. Unknown reason for death at this time. COD as per autopsy report-- undeterminable


VAERS ID: 173767 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Texas  
Vaccinated:2001-07-10
Onset:2001-07-10
   Days after vaccination:0
Submitted: 2001-07-20
   Days after onset:10
Entered: 2001-08-01
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U0503AA / 2 LL / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 03242 / 3 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA577AA / 3 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T0786 / 3 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 479233 / 3 RL / -

Administered by: Public       Purchased by: Private
Symptoms: Apnoea, Atelectasis, Bacterial infection, Brain oedema, Convulsion, Cough, Cyanosis, Electroencephalogram abnormal, Emphysema, Encephalopathy, Eye movement disorder, Gait disturbance, Heart rate increased, Hypotonia, Pulmonary congestion, Pulmonary haemorrhage, Pyrexia, Renal disorder, Respiratory rate increased, Spleen disorder
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2002-04-15
   Days after onset: 279
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Per F/U 7/31/02: Amoxil 125mg for cough
Current Illness: Per F/U 7/31/02: coughing
Preexisting Conditions: Per F/U 7/31/02: history of seizure disorder. The pt is a twin and both have suffered from seizure disorder. The 1st twin died on 12/28/01. Prematurity (36 weeks)
Allergies:
Diagnostic Lab Data: CBC:1st borderline normal; x-ray: peribronchial coughing. Per F/U 7/31/02: EEG; MRI
CDC Split Type:

Write-up: Immunizations at 11am. At 2:30pm in ER for seizure activity(limp, eyeballs got rolled up). Temp 100 deg. F with some coughting. Diagnosed with bronchial infection. Per F/U 7/31/02: This pt is a twin. The pt was found unresponsive at home and transported to a hospital, arriving at 21:00 on 4/12/02. She was pronounced dead at 12:49 on 4/15/02. The other twin died on 12/28/01. Four hours, post vax, she developed onset of apnea, cyanosis and seizure-like activity with dragging of her left leg, prgressing to becoming limp. Per autopsy: There are petechial hemorrhages on the lower lobe of the left lung; bronchopneumonia with hyaline membrane formation, capillary congestion, subpleural emphysema alternating with atelectasis. Kidney: acute congestion and the spleen also shows acute congestion. Pathological findings: hypoxic ischemic encephalopathy (clinicaol); severe cerebral edema, marked. Nearly all neurons contained within sections of gray matter show eosinophilic degeneration. White matter vacuolation is seen in all sections. Discharge DX: Seizure reaction to immunization. In ER, pulse-197, RR-44, BP-115/79 and repeat BP-104/65. DX: hypocalcemia; ventricular septal defect.


VAERS ID: 174134 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Tennessee  
Vaccinated:2001-03-21
Onset:2001-03-24
   Days after vaccination:3
Submitted: 2001-07-24
   Days after onset:121
Entered: 2001-08-10
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 950A2 / 4 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 474726 / 3 RL / IM

Administered by: Private       Purchased by: Other
Symptoms: Abnormal sleep-related event, Asphyxia
SMQs:, Acute central respiratory depression (broad), Hostility/aggression (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-03-24
   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: NONE
Current Illness: recent pulmonary congestion and questionable ear infection
Preexisting Conditions: Intracranial cysts
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN01035

Write-up: Child had intracranial cysts dx''d on 2/14/01. Child received vaccines 3 days before death, which was noted as asphyxia death (facial compression), face down sleeping position in bed with mother. Office felt this should be reported. Death certificate and autopsy reports states cause of death to be positional asphyxia.


VAERS ID: 174135 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Male  
Location: Tennessee  
Vaccinated:2001-07-12
Onset:2001-07-18
   Days after vaccination:6
Submitted: 2001-07-23
   Days after onset:5
Entered: 2001-08-10
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 989A2 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1525K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0841 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480978 / 1 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Asphyxia, Aspiration, Atelectasis, Infection, Pulmonary oedema
SMQs:, Cardiac failure (narrow), Acute central respiratory depression (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Respiratory failure (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-07-18
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN01032

Write-up: On 7/18/01 at 04:30, infant was found by mother, not breathing. She had checked on twins at 01:30 and both were fine. Father called 911, while mother initiated CPR. Baby was DOA at ER. Autopsy findings report: proximate cause of death to be sever infectious process of perianal nd perineal area; immediate cause of death atelectasis and pulmonary edema; mechanism of death aspiration asphyxia with pulmonary inadequacy.


VAERS ID: 174715 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Kentucky  
Vaccinated:2001-07-12
Onset:2001-07-18
   Days after vaccination:6
Submitted: 2001-08-22
   Days after onset:35
Entered: 2001-08-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 995A2 / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0779K / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0760 / 2 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480978 / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-07-18
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS


VAERS ID: 174843 (history)  
Form: Version 1.0  
Age: 1.4  
Sex: Female  
Location: Colorado  
Vaccinated:2000-10-18
Onset:2000-10-26
   Days after vaccination:8
Submitted: 2001-08-28
   Days after onset:306
Entered: 2001-08-31
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK - / SC

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2000-10-26
   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: UNK
Current Illness: Autopsy report was negative
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ5280128AUG2001

Write-up: A pediatrician reported that a 17 month old female received injections of Prevnar, MMR, and varicella vaccines on 10/18/2000. She was noted to be a healthy child with no past history of illness and no pre-exititng illness at this time of vaccination. The child was found dead in her crib on 10/26/2000. Sudden Infant Death Syndrome was reported. An autopsy was reported to be negative. NOTE: this report of a serious, labeled event (SIDS) is being submitted in a 15 day time frame as requested by the FDA.


VAERS ID: 175626 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: West Virginia  
Vaccinated:2001-09-06
Onset:0000-00-00
Submitted: 2001-09-17
Entered: 2001-09-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 506A2 / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1588K / 2 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. T0790 / 2 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480567 / 2 RL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-09-08
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Note: First time in this clinic but 2nd immunizations. Had same immunizations, 2 months before at another clinic. Autopsy results state cause of death to be SIDS.


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