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Found 2703 cases where Vaccine targets Haemophilus (6VAX-F or DTAPH or DTAPIPVHIB or DTPHIB or DTPIHI or DTPPHIB or HBHEPB or HBPV or HIBV or MENHIB or MNQHIB) and Patient Died and Vaccination Date on/before '2019-03-31'

Case Details

This is page 11 out of 271

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VAERS ID: 35727 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Colorado  
Vaccinated:1991-07-16
Onset:1991-07-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1991-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 300921 / UNK - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M165FH / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0631D / UNK MO / PO

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

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt had 4mo vax & 4 days a/being brought in DOA w/probable SIDS; MD didn''t feel this was a rxn to the vax but thought it should be reported;


VAERS ID: 35975 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:1991-10-14
Onset:1991-10-15
   Days after vaccination:1
Submitted: 1991-10-16
   Days after onset:1
Entered: 1991-11-04
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 304920 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0629A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-10-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: UNKNOWN
Current Illness: Well baby;
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: 910194901

Write-up: 2 mo well infant recd 1st DTP/HibTITER/OPV on 14OCT91; 14 hours p/vax, pt died 15OCT91; cause of death diagnosed as SIDS;


VAERS ID: 35987 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: South Carolina  
Vaccinated:1991-09-04
Onset:0000-00-00
Submitted: 1991-10-10
Entered: 1991-11-04
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 297908 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M120HA / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 306964 / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-09-27
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: SC91162

Write-up:


VAERS ID: 36008 (history)  
Form: Version 1.0  
Age: 0.1  
Sex: Male  
Location: Tennessee  
Vaccinated:1991-09-12
Onset:1991-10-07
   Days after vaccination:25
Submitted: 1991-10-11
   Days after onset:4
Entered: 1991-11-04
   Days after submission:24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 306925 / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M190HE / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0639H / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-10-07
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: 32 wk SGA-apnea ofprematurity-resolved; coag-staph; UTI-resolved;
Allergies:
Diagnostic Lab Data:
CDC Split Type: TN91193

Write-up: DTP/OPV/HIB #1 given 12SEP91-clinically well @ time; pt DOA @ Hosp 7OCT91; unresponsive to resuscitative efforts;


VAERS ID: 36133 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Utah  
Vaccinated:1991-10-11
Onset:1991-10-11
   Days after vaccination:0
Submitted: 1991-10-28
   Days after onset:17
Entered: 1991-11-07
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HE / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cardiac arrest
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), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-10-13
   Days after onset: 2
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: multiplebirth defects,tracheostomy on respirator @ home;
Allergies:
Diagnostic Lab Data: autopsy was non-revealing of cause;
CDC Split Type: CO3993

Write-up: Arrested 1 1/2 hrs post inject; resuscitated & put on respirator; 24 hrs later MD discusssed w/parents about d/c life support because pt multiple problems & was non-responsive to current tx; Life support systems d/c pt allowed to die;


VAERS ID: 36455 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Male  
Location: Texas  
Vaccinated:1991-10-24
Onset:1991-10-26
   Days after vaccination:2
Submitted: 1991-11-12
   Days after onset:17
Entered: 1991-11-18
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Public       Purchased by: Other
Symptoms: Apnoea, Brain oedema, Cardiac arrest, Diabetic ketoacidosis, Hyperglycaemia, Infection, Pyrexia, Subarachnoid haemorrhage
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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), Acute central respiratory depression (narrow), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-10-29
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES91110183

Write-up: Recd vax 24OCT91; 26OCT91 devel thirst, tiredness & sleepiness; 27OCT91 to ER w/serum glucose 800mg%; hospitalized; dx: diabetic ketoacidosis & cerebral edema which led to respiratory & cardiac arrest; to ICU, pt unresponsive; pt died;


VAERS ID: 36536 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Female  
Location: Maryland  
Vaccinated:1991-06-25
Onset:1991-07-04
   Days after vaccination:9
Submitted: 1991-11-18
   Days after onset:137
Entered: 1991-11-20
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / 3 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Atelectasis, Pneumothorax, Respiratory disorder
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-07-04
   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: Amoxicillin
Current Illness: OM
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: xray showed total lung atelectasis, ipsilateral retraction of the mediastinum, pneumothorax & pneumomediastinum;
CDC Split Type: WAES91110463

Write-up: Pt recvd 1st & 2nd dose of vax & later booster dose HIB vax; On 4JUL91 pt found not breathing; rescusitation was unsuccessful; during intubation, formula noted in trachea;


VAERS ID: 36725 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Ohio  
Vaccinated:1991-11-20
Onset:1991-11-22
   Days after vaccination:2
Submitted: 1991-11-25
   Days after onset:3
Entered: 1991-12-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 300921 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670HH / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 310957 / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest
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 (narrow), Cardiomyopathy (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-11-22
   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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt recvd vax 20NOV91 & had no sx until 22NOV91 when pt was placed for nap @ 12PM checked 30 min & found to have no respirations or heart rate; CPR administered but was unsuccessful;


VAERS ID: 37801 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Indiana  
Vaccinated:1991-10-24
Onset:1991-11-02
   Days after vaccination:9
Submitted: 1991-12-03
   Days after onset:31
Entered: 1991-12-06
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1M11009 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M125HF / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0635E / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Apnoea, Pneumonia
SMQs:, Acute central respiratory depression (narrow), Eosinophilic pneumonia (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1991-11-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: cold sz w/o fever
Preexisting Conditions: mild upper resp infect @ MD''s office 21OCT91
Allergies:
Diagnostic Lab Data: Autopsy performed-pneumonia was cause of death;
CDC Split Type: IN9132

Write-up: Pt found face down & not breathing on 2NOV91 AM; an ambulance was called but the pt could not be revived;


VAERS ID: 38008 (history)  
Form: Version 1.0  
Age: 0.9  
Sex: Male  
Location: Missouri  
Vaccinated:1990-11-16
Onset:1990-11-20
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1991-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M650FB / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cardiac arrest, Respiratory disorder
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), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1991-11-21
   Days after onset: 366
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: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: no prior hx of rxn to DTP/OPV; hx of reactive airway disease;
Allergies:
Diagnostic Lab Data: Autopsy report
CDC Split Type: 900208701

Write-up: Pt recvd vax 16NOV90 & approx 4 days later, 20NOV90 pt had cardiac arrest; Hospitalized & supported by ventilator died 21NOV90;


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