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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 9 out of 98

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VAERS ID: 178718 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Female  
Location: Utah  
Vaccinated:2001-09-27
Onset:2001-10-14
   Days after vaccination:17
Submitted: 2002-03-19
   Days after onset:156
Entered: 2001-12-07
   Days after submission:102
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0537AB / 1 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0776L / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T1390 / 1 - / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 476385 / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Apnoea, Asphyxia, White blood cell count decreased
SMQs:, Haematopoietic leukopenia (narrow), Systemic lupus erythematosus (broad), Acute central respiratory depression (narrow), Hostility/aggression (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-10-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: NONE
Preexisting Conditions: Premature baby, poor weight gain
Allergies:
Diagnostic Lab Data: CFS culture-neg, Blood culture-neg, Culture NOS-neg, Autopsy results-SIDS vs. Asphyxia; WBC-3,000
CDC Split Type: WAES0201USA00430

Write-up: A pediatrician reported that a 2 month old female received a dose of Prevnar, DTaP, Comvax and IPV vaccines on 27-SEP-2001. On 14-OCT-2001, at the age of three months, the child was found apneic. Resuscitation measures were performed by the child''s mother and by emergency personnel prior to transporting the child to a local ER where she was pronounced dead. Bacterial CSF and blood and viral culture samples yielded negative results. An autopsy returned inconclusive but sudden infant death syndrome was possible. This report of a serious, labeled event is being submitted in a 15-day time frame as requested by the FDA. COD as per autopsy report -- undetermined. Follow-up info from a physician stated that her practice, "did not have any concerns regarding the haemophilus b conjugate vaccine hepatitis b vaccine recombinant. Additional info from a nurse in the physician''s office stated that this pt, who was previously healthy, received haemophilus b conjugate vaccine hepatitis b vaccine recombinant. Additional info from a nurse in the physician''s office stated that another infant (WAES 0203USA00661) also received Hib + Hep-B (lot 638216/1539K) and Prevnar and died of SIDS. The physician''s office reported that they did not believe there was any association with Hib + Hep-B, but that both infants received the same lot of Prevnar. This report was also received from the Center for Biologics and Evaluation and Research and was assigned Vaers Id 180019. F/U info noted that there was no illness at the time of vaccination. The pt died of apparent SIDS, 2 1/2 weeks, post vax. The autopsy report was SIDS vs. anphyxia. The reporter listed the cause of death as SIDS. No further information is available. The follow up info received on 12/30/02 indicated that the pt''s birth weight was 4 lbs 15 oz, it was also reported that the pt was a "second twin," had hyyperglycemia, hyperbilirubinemia and was premature at 35 weeks gestation. No further info is available. Follow up on 10/20/2003: "This report was received from Wyeth Ayerst for streptococcus pneumoniae vaccine (Prevnar) and assigned manufacturer report number HQ9063604DEC2001 (also noted to be HQ9063504NOV2001, HQ7304118OCT2001 & HQ0646611FEB2002). This report is concerning a 10 week old female." A 15-day report received 10/24/2003 adds no new info.


VAERS ID: 178756 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2001-11-30
Onset:2001-12-03
   Days after vaccination:3
Submitted: 2001-12-03
   Days after onset:0
Entered: 2001-12-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 516A2 / 1 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0952L / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T0395 / 1 - / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 418320 / 1 - / 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: 2001-12-03
   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 31 weeks. Post gestational age 39 weeks.
Allergies:
Diagnostic Lab Data: Autopsy pending
CDC Split Type:

Write-up: Infant given 2 month immunizations on Friday 11/30/2001. Monday 12/03/2001 infant was found dead in crib. Paramedics called and were unable to resuscitate. Medical examiner called. Autopsy pending. COD as per autopsy report -- SIDS


VAERS ID: 178757 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: North Carolina  
Vaccinated:2001-11-28
Onset:2001-11-29
   Days after vaccination:1
Submitted: 2001-11-29
   Days after onset:0
Entered: 2001-12-10
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR UO536CA / 1 LL / -
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 480935 / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T1031 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480395 / 1 RL / -

Administered by: Private       Purchased by: Public
Symptoms: Cardiac arrest, Sudden infant death syndrome
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), Neonatal disorders (narrow), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-29
   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: Post mortem exam
CDC Split Type:

Write-up: Pt found asystolic at approximately 2 AM in his crib on 11/29/2001. COD as per autopsy report --SIDS/sr


VAERS ID: 178821 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Maine  
Vaccinated:2001-11-12
Onset:2001-11-15
   Days after vaccination:3
Submitted: 2001-12-10
   Days after onset:25
Entered: 2001-12-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER UO151A / 2 - / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 1028K / 2 - / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER 1643K / 2 - / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER T1390 / 2 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH T1390 / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Coma
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 11/15/01 at 01:00, pt was fed and laid on her back. At 03:00, checked baby and determined that she was not breathing. There was no response and no pulse. Called 911 and CRP was performed. Ambulance came and transported to the hospital.


VAERS ID: 178822 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Mississippi  
Vaccinated:2001-06-13
Onset:2001-06-13
   Days after vaccination:0
Submitted: 2001-12-03
   Days after onset:173
Entered: 2001-12-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 988A2 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1522K / 1 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR R14372 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 477450 / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Sudden infant death syndrome
SMQs:, Acute central respiratory depression (narrow), Neonatal disorders (narrow), Respiratory failure (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:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: I was told that the mother placed him in his baby bed around 20:00. About an hour later, when she checked on him, he was not breathing. I was told he died at home. COD as per autopsy report -- SIDS


VAERS ID: 178823 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Female  
Location: Ohio  
Vaccinated:2001-11-14
Onset:2001-11-17
   Days after vaccination:3
Submitted: 2001-11-29
   Days after onset:12
Entered: 2001-12-11
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 484131 / 2 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-11-17
   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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: OH0071

Write-up: The evening of 11/16/01, the child vomited X 1 and no other symptoms were present. The child died in her sleep that night. Cause of Death as per autopsy report was SIDS with focal epiglotitis.


VAERS ID: 179127 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Male  
Location: Missouri  
Vaccinated:2001-11-27
Onset:2001-12-12
   Days after vaccination:15
Submitted: 2001-12-13
   Days after onset:1
Entered: 2001-12-18
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 514A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1067L / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA604AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T13902 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480900 / 1 RL / IM

Administered by: Public       Purchased by: Public
Symptoms: Atelectasis, Coma, Eye discharge, Liver disorder, Nasal congestion, Nephritis, Petechiae, Pulmonary congestion, Pulmonary oedema
SMQs:, Acute renal failure (broad), Cardiac failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Completed antibiotic therapy 1 week ago for upper respiratory infection.
Current Illness: NONE
Preexisting Conditions: Respiratory infection 2-3 weeks ago.
Allergies:
Diagnostic Lab Data: Autopsy results pending
CDC Split Type:

Write-up: The parent reports the pt did not have any problems after his shots. He had an upper respiratory infection about 2-3 weeks ago and completed antibiotics about 1 week ago. He was seen in ER. The ER dx''d URI with nasal congestion. He had green matter in both eyes and that was dx''d as conjunctivitis and treated with Polysporin optical ointment. The child was fed a bottle of Enfamil with Iron about 10:00 and was found unresponsive and pronounced DOA at 11:41 at the hospital. The hospital will fax Health Dept report. The baby was found by coroner with a bottle propped in the crib with a pillow and stuffed animals. COD as per autopsy report -- undetermined. Per F/U 4/13/02: Pleural surfaces have focal petechiae and are atelectatic. Lungs show edema and congestion, the liver shows congestion and the kidneys show a focal area of chronic inflammation.


VAERS ID: 179128 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Missouri  
Vaccinated:2001-11-28
Onset:2001-12-12
   Days after vaccination:14
Submitted: 2001-12-14
   Days after onset:2
Entered: 2001-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 516A2 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1067L / 2 RL / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UA604AA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T13902 / 1 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 480900 / 1 RL / IM

Administered by: Public       Purchased by: Public
Symptoms: Anorexia, Coma, Musculoskeletal stiffness, Rhinitis allergic, Somnolence
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol 24 hours after immunzation
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Autopsy results pending
CDC Split Type:

Write-up: Pt was fed Enfamil with Iron. At 20:15 the pt was asleep in his crib on his abdomen. He was found unresponsive at about 21:15. DOA at the hospital at about 21:20. Other family members were ill with vomiting for 2-3 days prior to his death. On 12/13/01 at 04:15, a call was received from the child''s mother, reporting that her son died last night and wanted to let the health dept know that Family Services will be calling us regarding immunizations given, dates and possible side effects. She expressed concern about Prevnar vaccine and infant''s death. She reported that "he just did not act like the same child after he got his shots." I asked her if he ran any fever after he received his shots and she said no. She was giving him Tylenol every 4 hours for 24 hours, post vax. She noticed his "appetite had decreased a little every day since he was immunized and that his muscles seemed tense. He was not really sick and sometimes he would laugh and smile but yesterday, he did not want to eat at all and just wanted to sleep all day." He was seen at ER with a "runny nose" (allergic rhinitis), no medications on 11/1/01. On 12/5/01, his 4 year old sister was vomiting 1/2 hour after eating. Grandmother sick with acute viral gastritis. Cause of Death as per autospy report - undetermined.


VAERS ID: 179886 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Utah  
Vaccinated:2001-10-11
Onset:2001-10-13
   Days after vaccination:2
Submitted: 2002-01-03
   Days after onset:82
Entered: 2002-01-11
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U037AA / 1 - / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1591K / 1 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T0595 / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 475385 / 1 - / 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: 2001-10-14
   Days after onset: 1
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; twin pregnancy, hyperbilirubinaemia, hypoglycaemia NOS
Allergies:
Diagnostic Lab Data: Autopsy results-pending
CDC Split Type: HQ7285218OCT2001

Write-up: A physician reported that a 2 month old infant received an injection of Prevnar (first dose) on 11-OCT-2001. Subsequently, the pt was hospitalized and on 14-OCT-2001, the infant died. No further information was available at the date of this report. This is 1 of 2 pts from this facility who died after receipt of Prevnar lot 475-385. Cause of Death as per autopsy report was SIDS. Initial autopsy showed no cause of death. Final results were not received. The reporter noted that this was the healthier twin.


VAERS ID: 179926 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Maryland  
Vaccinated:2001-12-26
Onset:2001-12-27
   Days after vaccination:1
Submitted: 2001-12-31
   Days after onset:4
Entered: 2002-01-14
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM 525A2 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 477385 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR T0909 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 481815 / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Abnormal sleep-related event, Feeding disorder neonatal, Feeling cold, Lung disorder, Nervous system disorder, Premature baby
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2001-12-27
   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: Fer-In-Sol; Poly-Vi-Sol; Synagis given on 12/17/01
Current Illness: NONE
Preexisting Conditions: Premature at (30 Wk); history of apnea/brady last 12/2/01 with no treatment
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fed poorly at midnight. Slept with mother. Mother found baby cold in mother''s bed when mother awoke. Taken to ER by ambulance. Baby DOA though some resuscitation attempted. COD: complications of prematurity as per autopsy report F/U on 5/22/02, shows changes in the lungs consistent with bronchopulmonary dysplasia with proliferation of the epithelium and uneven opening of the alveolar spaces. The brain is very small; it''s size is more appropriate for a neonate. This may be explained by history of prematurity.


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