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Found 1406 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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Table

   
AgeVaccine CountCountPercent
< 3 Years1402.84%
215911.31%
347133.5%
454038.41%
51067.54%
6151.07%
total133194.67%
3-6 Years110.07%
250.36%
340.28%
420.14%
520.14%
total141%
9-12 Years210.07%
310.07%
total20.14%
12-17 Years610.07%
total10.07%
17-44 Years110.07%
210.07%
320.14%
410.07%
530.21%
610.07%
710.07%
total100.71%
44-65 Years120.14%
210.07%
320.14%
510.07%
total60.43%
65-75 Years420.14%
total20.14%
Unknown140.28%
2141%
390.64%
4110.78%
520.14%
total402.84%
TOTAL1406100%

Case Details

This is page 1 out of 141

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VAERS ID: 43601 (history)  
Age: 0.3  
Gender: Female  
Location: Pennsylvania  
Vaccinated:1992-05-15
Onset:1992-06-14
   Days after vaccination:30
Submitted: 1992-07-05
   Days after onset:21
Entered: 1992-07-20
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0238V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M185HF / 0 LL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 0 LA / SC

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

Life Threatening? No
Died? Yes
   Date died: 1992-06-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: fluoriode drops, Proventil inhaler
Current Illness: undergoing eval for resp prob
Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis
Diagnostic Lab Data: post mortem;
CDC Split Type:

Write-up: found dead in crib;


VAERS ID: 52579 (history)  
Age: 0.2  
Gender: Female  
Location: Unknown  
Vaccinated:1993-04-15
Onset:1993-04-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1993-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 2F41092 / - - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1555V / - - / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M025JE / - - / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0083 / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Bradycardia, Cardiac arrest, Haematemesis, Hypoventilation, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness:
Preexisting Conditions: premature pt w/apnea of prematurity nearing discharge from hosp; NKA;
Diagnostic Lab Data: aminophylline;
CDC Split Type:

Write-up: pt became ashen, bradycardic, & hypoventilated; blood tinged vomitus was noted; pt was intubated & given CPR; pt did not respond to resuscitation & died; temporally related to vax administration (2hrs);


VAERS ID: 53484 (history)  
Age: 0.4  
Gender: Male  
Location: Illinois  
Vaccinated:1993-05-19
Onset:0000-00-00
Submitted: 1993-05-20
Entered: 1993-06-01
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 1 LL / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 68515OK / 1 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M100HP / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0210 / 1 LL / IM

Administered by: Public       Purchased by: Public
Symptoms: Anorexia, Apnoea, Cardiac arrest, Cough, Petechiae, Rhinitis, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Cardiomyopathy (broad), Neonatal disorders (narrow), Respiratory failure (narrow)

Life Threatening? No
Died? Yes
   Date died: 1993-05-20
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: IL93082

Write-up: most likely unrelated but pt died of SIDS; pt exposed to HIV; born premature 30 wks gestation;


VAERS ID: 56175 (history)  
Age: 5.0  
Gender: Male  
Location: Texas  
Vaccinated:1993-07-23
Onset:1993-08-10
   Days after vaccination:18
Submitted: 1993-09-14
   Days after onset:35
Entered: 1993-09-20
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 3J41061 / 0 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. J0225 / 0 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Condition aggravated, Infection, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp flu like sx, little red dots all over body probable leukemia w/ 1st flu
Other Medications: TB-PPD lederle lot# 350924;
Current Illness: 1st NONE-2nd Leukemia
Preexisting Conditions: NONE
Diagnostic Lab Data: Leukemia MD confirmed by bone marrow test;
CDC Split Type:

Write-up: pt became ill w/acute lymphocytic leukemia on 223OCT93 very soon p/receiving a flu shot; relapsed p/receiving school vax; relapse confirmation was 10AUG93; pt exp fever, blood test results indicated many abn cells; exp viral infect;


VAERS ID: 58900 (history)  
Age: 0.1  
Gender: Male  
Location: New Hampshire  
Vaccinated:1993-10-13
Onset:1993-10-21
   Days after vaccination:8
Submitted: 1993-12-20
   Days after onset:60
Entered: 1994-01-10
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 355901 / 0 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0460W / 1 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M110KA / 0 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0489 / 0 LL / IM

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

Life Threatening? No
Died? Yes
   Date died: 1993-10-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: NH93028

Write-up: SIDS 21OCT93;


VAERS ID: 63834 (history)  
Age: 0.4  
Gender: Male  
Location: Maryland  
Vaccinated:1994-06-06
Onset:1994-06-07
   Days after vaccination:1
Submitted: 1994-06-10
   Days after onset:3
Entered: 1994-06-24
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 4H51058 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1693W / 2 RL / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. J0690 / 1 RL / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Apnoea, Cyanosis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Died? Yes
   Date died: 1994-06-07
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Bactrim
Current Illness: NONE
Preexisting Conditions: Degeorge''s synd, congenital interrupted aortic arch;
Diagnostic Lab Data: blood & organ cultures-results pending;
CDC Split Type: MD94018

Write-up: pt had no sx following injects; had acute onset of cyanosis & resp arrest 1 day p/immun; pt had congenital birth defect, Degeorge''s synd w/aortoplasty done 17MAY94;


VAERS ID: 64863 (history)  
Age: 0.2  
Gender: Male  
Location: Texas  
Vaccinated:1994-06-27
Onset:1994-06-27
   Days after vaccination:0
Submitted: 1994-07-05
   Days after onset:8
Entered: 1994-07-22
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 355901 / 0 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0417W / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M010KD / 0 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0690 / 0 LL / SC

Administered by: Private       Purchased by: Public
Symptoms: Agitation, Apnoea, Hypotonia, Pallor, Stupor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Died? Yes
   Date died: 1994-06-28
   Days after onset: 1
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax & went home midly fussy & 4 to 6 hrs later p/feeding & being laid supine was found limp/pale/apnic; irritable, cry, pale, unresponsive, not breathing


VAERS ID: 65748 (history)  
Age: 0.4  
Gender: Male  
Location: Maryland  
Vaccinated:1994-06-06
Onset:1994-06-07
   Days after vaccination:1
Submitted: 1994-07-29
   Days after onset:52
Entered: 1994-08-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 4H51058 / 1 - / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1693W / 2 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0690 / 1 - / SC

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Cyanosis
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Died? Yes
   Date died: 1994-06-07
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Bactrim
Current Illness:
Preexisting Conditions: surgery, aorta; defect, heart, congenital; Digeorge''s synd
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES94070425

Write-up: Pt recvd vax 7JUN94 & 7JUN94 had an acute onset of apnea, cyanosis & resp arrest & died; @ the time of the report the results of blood & organ cultures were pending; addtl info has been requested;


VAERS ID: 79601 (history)  
Age: 0.2  
Gender: Female  
Location: Utah  
Vaccinated:1995-11-03
Onset:1995-11-04
   Days after vaccination:1
Submitted: 1995-11-07
   Days after onset:3
Entered: 1995-11-28
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / LEDERLE LABORATORIES 428039 / 0 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1664B2 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. L0227 / 0 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Cyanosis, Stupor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 1995-11-04
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Dimetapp, APAP
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: baby found blue & unresponsive


VAERS ID: 85376 (history)  
Age: 0.1  
Gender: Male  
Location: California  
Vaccinated:1996-04-18
Onset:1996-04-19
   Days after vaccination:1
Submitted: 1996-04-22
   Days after onset:3
Entered: 1996-04-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 5H61047 / 0 - / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1944A2 / 1 - / IM
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 5H61156 / 0 - / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. K1016 / 0 - / SC

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

Life Threatening? No
Died? Yes
   Date died: 1996-04-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt was found dead in crib on 19APR96;pt recv vax 18APR96;pt was laid on belly to sleep


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