Found 1483 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

Age	Vaccine Count	Count	Percent
< 3 Years	1	43	2.9%
	2	174	11.73%
	3	488	32.91%
	4	560	37.76%
	5	112	7.55%
	6	15	1.01%
	total	1392	93.86%
3-6 Years	1	1	0.07%
	2	6	0.4%
	3	4	0.27%
	4	2	0.13%
	5	2	0.13%
	total	15	1.01%
9-12 Years	2	1	0.07%
	3	1	0.07%
	total	2	0.13%
12-17 Years	2	1	0.07%
	6	1	0.07%
	total	2	0.13%
17-44 Years	1	1	0.07%
	2	1	0.07%
	3	2	0.13%
	4	1	0.07%
	5	3	0.2%
	6	1	0.07%
	7	1	0.07%
	total	10	0.67%
44-65 Years	1	2	0.13%
	2	1	0.07%
	3	2	0.13%
	5	1	0.07%
	total	6	0.4%
65-75 Years	4	2	0.13%
	total	2	0.13%
Unknown	1	7	0.47%
	2	15	1.01%
	3	16	1.08%
	4	13	0.88%
	5	3	0.2%
	total	54	3.64%
TOTAL		1483	100%

Case Details

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VAERS ID: 43601 (history)   Form: Version 1.0   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 / 1 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M185HF / 1 LL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0123 / 1 LA / SC Administered by: Private       Purchased by: Private Symptoms: Unevaluable event SMQs: Life Threatening? No Birth Defect? No Died? Yes    Date died: 1992-06-14    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: fluoriode drops, Proventil inhaler Current Illness: undergoing eval for resp prob Preexisting Conditions: atrial septal defect; known obstructive hydronephrosis Allergies: Diagnostic Lab Data: post mortem; CDC Split Type: Write-up: found dead in crib;

VAERS ID: 52579 (history)   Form: Version 1.0   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 / UNK - / - HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1555V / UNK - / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M025JE / UNK - / - IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0083 / UNK - / - 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), Infective pneumonia (broad) Life Threatening? No Birth Defect? No Died? Yes    Date died: 0000-00-00 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: APAP Current Illness: Preexisting Conditions: premature pt w/apnea of prematurity nearing discharge from hosp; NKA; Allergies: 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)   Form: Version 1.0   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 / 2 LL / IM HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 68515OK / 2 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M100HP / 2 RL / IM IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0210 / 2 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 Birth Defect? No Died? Yes    Date died: 1993-05-20 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: Allergies: 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)   Form: Version 1.0   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 / 1 RA / IM IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. J0225 / 1 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 Birth Defect? No Died? Yes    Date died: 0000-00-00 Permanent Disability? No Recovered? No Office Visit? No ER Visit? 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~ ()~~~In patient Other Medications: TB-PPD lederle lot# 350924; Current Illness: 1st NONE-2nd Leukemia Preexisting Conditions: NONE Allergies: 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)   Form: Version 1.0   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 / 1 LL / IM HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0460W / 2 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M110KA / 1 RL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. G0489 / 1 LL / 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: 1993-10-21    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: NONE CDC Split Type: NH93028 Write-up: SIDS 21OCT93;

VAERS ID: 63834 (history)   Form: Version 1.0   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 / 2 LL / - HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1693W / 3 RL / - IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. J0690 / 2 RL / - 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 Birth Defect? No Died? Yes    Date died: 1994-06-07    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: Bactrim Current Illness: NONE Preexisting Conditions: Degeorge''s synd, congenital interrupted aortic arch; Allergies: 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)   Form: Version 1.0   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 / 1 LL / IM HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0417W / 1 RL / IM HIBV: HIB (HIBTITER) / PFIZER/WYETH M010KD / 1 RL / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0690 / 1 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 Birth Defect? No Died? Yes    Date died: 1994-06-28    Days after onset: 1 Permanent Disability? No Recovered? No Office Visit? No ER Visit? Yes ER or Doctor Visit? No Hospitalized? Yes, 1 days    Extended hospital stay? No Previous Vaccinations: NONE~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: 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)   Form: Version 1.0   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 / 2 - / IM HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1693W / 3 - / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. J0690 / 2 - / 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 Birth Defect? No Died? Yes    Date died: 1994-06-07    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: Bactrim Current Illness: Preexisting Conditions: surgery, aorta; defect, heart, congenital; Digeorge''s synd Allergies: 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)   Form: Version 1.0   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) / PFIZER/WYETH 428039 / 1 LL / IM HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1664B2 / 2 RL / IM IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. L0227 / 1 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 Birth Defect? No Died? Yes    Date died: 1995-11-04    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Dimetapp, APAP Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: Write-up: baby found blue & unresponsive

VAERS ID: 85376 (history)   Form: Version 1.0   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 / 1 - / IM HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1944A2 / 2 - / IM HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES 5H61156 / 1 - / IM IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. K1016 / 1 - / SC Administered by: Private       Purchased by: Public Symptoms: Sudden infant death syndrome, Unevaluable event SMQs:, Neonatal disorders (narrow) Life Threatening? No Birth Defect? No Died? Yes    Date died: 1996-04-19    Days after onset: 0 Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: NONE~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: Allergies: 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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