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Found 1405 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 Years1402.85%
215911.32%
347033.45%
453938.36%
51067.54%
6151.07%
total132994.59%
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%
530.21%
total412.92%
TOTAL1405100%

Case Details

This is page 1 out of 141

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VAERS ID:43601 (history)  Vaccinated:1992-05-15
Age:0.3  Onset:1992-06-14, Days after vaccination: 30
Gender:Female  Submitted:1992-07-05, Days after onset: 21
Location:Pennsylvania  Entered:1992-07-20, Days after submission: 15
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0238V0IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM185HF0IMLL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.G01230SCLA
Administered by: Private     Purchased by: Private
Symptoms: Unevaluable event
SMQs:
Write-up: found dead in crib;

VAERS ID:52579 (history)  Vaccinated:1993-04-15
Age:0.2  Onset:1993-04-16, Days after vaccination: 1
Gender:Female  Submitted:0000-00-00
Location:Unknown  Entered:1993-05-13
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES2F41092   
HEP: HEP B (FOREIGN)MERCK & CO. INC.1555V IM 
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM025JE   
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)
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)  Vaccinated:1993-05-19
Age:0.4  Onset:0000-00-00
Gender:Male  Submitted:1993-05-20
Location:Illinois  Entered:1993-06-01, Days after submission: 12
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES2H310391IMLL
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER68515OK1IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM100HP1IMRL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.G02101IMLL
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)
Write-up: most likely unrelated but pt died of SIDS; pt exposed to HIV; born premature 30 wks gestation;

VAERS ID:56175 (history)  Vaccinated:1993-07-23
Age:5.4  Onset:1993-08-10, Days after vaccination: 18
Gender:Male  Submitted:1993-09-14, Days after onset: 35
Location:Texas  Entered:1993-09-20, Days after submission: 6
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES3J410610IMRA
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.J02250SCLA
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)
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)  Vaccinated:1993-10-13
Age:0.1  Onset:1993-10-21, Days after vaccination: 8
Gender:Male  Submitted:1993-12-20, Days after onset: 60
Location:New Hampshire  Entered:1994-01-10, Days after submission: 21
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES3559010IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0460W1IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM110KA0IMRL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.G04890IMLL
Administered by: Private     Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)
Write-up: SIDS 21OCT93;

VAERS ID:63834 (history)  Vaccinated:1994-06-06
Age:0.4  Onset:1994-06-07, Days after vaccination: 1
Gender:Male  Submitted:1994-06-10, Days after onset: 3
Location:Maryland  Entered:1994-06-24, Days after submission: 14
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
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES4H510581 LL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1693W2 RL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.J06901 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)
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)  Vaccinated:1994-06-27
Age:0.2  Onset:1994-06-27, Days after vaccination: 0
Gender:Male  Submitted:1994-07-05, Days after onset: 8
Location:Texas  Entered:1994-07-22, Days after submission: 17
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES3559010IMLL
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.0417W0IMRL
HIBV: HIB (HIBTITER)LEDERLE PRAXSISM010KD0IMRL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.J06900SCLL
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)
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:79601 (history)  Vaccinated:1995-11-03
Age:0.2  Onset:1995-11-04, Days after vaccination: 1
Gender:Female  Submitted:1995-11-07, Days after onset: 3
Location:Utah  Entered:1995-11-28, Days after submission: 21
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4280390IMLL
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1664B21IMRL
IPV: POLIO VIRUS, INACT. (NO BRAND NAME)PASTEUR MERIEUX INST.L02270SCRL
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)
Write-up: baby found blue & unresponsive

VAERS ID:85376 (history)  Vaccinated:1996-04-18
Age:0.1  Onset:1996-04-19, Days after vaccination: 1
Gender:Male  Submitted:1996-04-22, Days after onset: 3
Location:California  Entered:1996-04-29, Days after submission: 7
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:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)CONNAUGHT LABORATORIES5H610470IM 
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM1944A21IM 
HIBV: HIB (ACTHIB)CONNAUGHT LABORATORIES5H611560IM 
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.K10160SC 
Administered by: Private     Purchased by: Public
Symptoms: Sudden infant death syndrome, Unevaluable event
SMQs:, Neonatal disorders (narrow)
Write-up: pt was found dead in crib on 19APR96;pt recv vax 18APR96;pt was laid on belly to sleep

VAERS ID:94658 (history)  Vaccinated:1996-10-16
Age:0.2  Onset:1996-11-08, Days after vaccination: 23
Gender:Male  Submitted:1997-01-28, Days after onset: 81
Location:Oregon  Entered:1997-02-05, Days after submission: 8
Life Threatening? No
Died? Yes
   Date died: 1996-11-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: autopsy
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTPHIB: DTP + HIB (TETRAMUNE)LEDERLE LABORATORIES4386200IMLL
IPV: POLIO VIRUS, INACT. (POLIOVAX)CONNAUGHT LTD.L11120SCRL
Administered by: Unknown     Purchased by: Unknown
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)
Write-up: SIDS death-8NOV96;pt recv vax 16OCT96;

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