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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 8 out of 172

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VAERS ID: 114230 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Arkansas  
Vaccinated:1998-09-10
Onset:1998-09-10
   Days after vaccination:0
Submitted: 1998-09-11
   Days after onset:1
Entered: 1998-09-21
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 453846 / 2 LL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0942550 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N00321 / 2 RL / 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: 1998-09-10
   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: Lactalose;Cardac Dm
Current Illness: nasal congestion
Preexisting Conditions: constipation
Allergies:
Diagnostic Lab Data:
CDC Split Type: AR9852

Write-up: pt was seen in the office on 10SEP98 for 4mo check up;recv vax died early evening on 10SEP98;15SEP98 MD reports poss SIDS:vaccine related pending;


VAERS ID: 114925 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Michigan  
Vaccinated:1998-09-23
Onset:1998-09-25
   Days after vaccination:2
Submitted: 1998-10-07
   Days after onset:12
Entered: 1998-10-13
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453844 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M240RK / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N10351 / 1 LL / SC

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Anaemia, Apnoea, Cardiac arrest, Dyspnoea, Gaze palsy, Laboratory test abnormal, Respiratory alkalosis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Asthma/bronchospasm (broad), Haematopoietic erythropenia (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), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Ocular motility disorders (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-09-26
   Days after onset: 1
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 but was 36wk SGA infant
Allergies:
Diagnostic Lab Data: hgb 3.0;bld PH 6.5;NA140;cl 113;plts 91;K+ 7.0;co2 6.5;
CDC Split Type:

Write-up: pt recv vax 23SEP98 & was fussy 25SEP98;26SEP98 early hr of AM pt noted to be gasping w/eyes deviated;unsuccessful full resuscitation on immed arrival @ ER;pt was in cardiorespiratory arrest;


VAERS ID: 114975 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: New York  
Vaccinated:1998-10-07
Onset:1998-10-08
   Days after vaccination:1
Submitted: 1998-10-08
   Days after onset:0
Entered: 1998-10-15
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 454759 / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 361453A / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N01462 / 1 RL / -

Administered by: Private       Purchased by: Private
Symptoms: Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1998-10-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: sniffles
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: found, pink but unresponsive, could not be revived-prev noc fed well;


VAERS ID: 115261 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:1998-10-19
Onset:1998-10-19
   Days after vaccination:0
Submitted: 1998-10-20
   Days after onset:1
Entered: 1998-10-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 451500 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0438H / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 0079H / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0292 / 1 RL / -

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: 1998-10-19
   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: pt recv hep b vax @ birth;
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: infant died of possible SIDS 4-5hr p/vax;


VAERS ID: 115709 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Michigan  
Vaccinated:1998-05-27
Onset:1998-05-30
   Days after vaccination:3
Submitted: 1998-10-23
   Days after onset:146
Entered: 1998-11-04
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 841A2 / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1272E / 2 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. M1352 / 2 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Cardiovascular disorder
SMQs:, Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-05-30
   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: healthy exam 27MAY98
Preexisting Conditions: tetralogy of fallot, complicated;rt aortic arch
Allergies:
Diagnostic Lab Data: 24JAN98 echocardiogram EKG 20JAN98, 26FEB98, 19MAR98, 28APR98;
CDC Split Type:

Write-up: father got up @ 3-4Am for work, child fine, given formula;mom woke @ 530, child dead;autopsy report not recv as to 23OCT98;heart disease felt to be significant probable cause of death;


VAERS ID: 116533 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Mississippi  
Vaccinated:1998-10-21
Onset:1998-11-05
   Days after vaccination:15
Submitted: 1998-11-10
   Days after onset:5
Entered: 1998-11-19
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0942540 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0738H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0032 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site oedema, Pyrexia, Sudden infant death syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Neonatal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-11-05
   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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: MS98028

Write-up: pt had no know hlth problems;recv 2mo vax only local rxn of redness, swelling lt thigh which subsided;only sl fever p/inj relieved per mom w/APAP;was found dead 2wk later local daycare;CPR performed;autopsy revealed pt died of SIDS;


VAERS ID: 117599 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Maryland  
Vaccinated:1998-09-25
Onset:1998-10-05
   Days after vaccination:10
Submitted: 1998-12-07
   Days after onset:63
Entered: 1998-12-22
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0944770 / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0973960 / 3 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0597 / 3 LL / -

Administered by: Private       Purchased by: Other
Symptoms: Depressed level of consciousness, Hypotonia, Myelitis, Oedema, Quadriplegia, Vomiting
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-01-14
   Days after onset: 101
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax 25SEP98 & 5OCT vomiting & flacid quadraplegia spinal cord swelling tx w/5 days of steroids then 3wk wean 5 days IVIG. Per annual followup pt passed away from complications from myliatis resulting from the hepatitis B vaccine.


VAERS ID: 117840 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: New Jersey  
Vaccinated:1998-10-28
Onset:1998-11-02
   Days after vaccination:5
Submitted: 1998-12-18
   Days after onset:46
Entered: 1998-12-31
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 454759 / 2 LL / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER 361453A / 2 RL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0597 / 2 RL / -

Administered by: Private       Purchased by: Private
Symptoms: Condition aggravated, Diarrhoea, Hepatic neoplasm, Hypertonia, Hypotonia, Pyrexia, Skin odour abnormal, Sudden infant death syndrome, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Neonatal disorders (narrow), Liver tumours of unspecified malignancy (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Non-haematological tumours of unspecified malignancy (narrow), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-11-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp diarrhea, sweating @ 2mo w/DTP dose 1;~ ()~~~In patient
Other Medications: APAP on 28OCT98
Current Illness: sniffles, cough
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax 28OCT98 & exp sl fever, stretching, stiffening, cough, sniffles, very loose bowel movements, vomiting, odor on head;


VAERS ID: 117867 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Minnesota  
Vaccinated:1998-11-27
Onset:1998-12-08
   Days after vaccination:11
Submitted: 1998-12-30
   Days after onset:22
Entered: 1999-01-04
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 939790 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 361503A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0498 / 1 LL / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-12-08
   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: autopsy pending
CDC Split Type:

Write-up: death-found in crib cyanotic;


VAERS ID: 117973 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Female  
Location: New York  
Vaccinated:1998-12-07
Onset:1998-12-08
   Days after vaccination:1
Submitted: 1998-12-23
   Days after onset:15
Entered: 1999-01-11
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES 0944770 / 1 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2699AZ / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M240RIC / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. NO651 / 1 RL / -

Administered by: Public       Purchased by: Unknown
Symptoms: Asphyxia, Cardiac arrest, Haemorrhage intracranial, Infection, Injury, Pharyngitis
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Oropharyngeal infections (narrow), Acute central respiratory depression (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1998-12-08
   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: URI
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv in Emergency Department in cardiac arrest;


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