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From the 6/11/2021 release of VAERS data:

Found 385 cases where Vaccine is MMR and Patient Died and Vaccination Date on/before '2015-01-31'



Case Details

This is page 17 out of 39

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VAERS ID: 306817 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Illinois  
Vaccinated:2008-02-23
Onset:2008-02-27
   Days after vaccination:4
Submitted: 2008-03-03
   Days after onset:5
Entered: 2008-03-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0808U / 1 LL / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1491U / 1 RL / SC

Administered by: Private       Purchased by: Private
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-02-27
   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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None Performed. Labs: Microscopic exam (+) for foci of neutrophils and eosinophils in walls of bronchi and scattered neutrophils in peribronchiolar alveoli; congestion. Otherwise NPC. Blood cx (+) for Enterobacter aerogenes, Enterobacter cloacae, Staph aureus, and Virididans streptococcus group. Blood glucose 132. Creatinine 0.0. K+ 16.0. Cl- 116
CDC Split Type:

Write-up: On 2/23/08 child received MMR and Varicella vaccinations during routine one year check up. No adverse events reported to physician prior to death on 2/27/08. 6/25/2008 Postmortem examination report received. COD-Acute Febrile Illness. DX based on exam: Pale doughy lungs. Bite marks on lower lip. Febrile illness by history. Acute inflammatory cells in walls of bronchi in peribronchial alveoli.


VAERS ID: 308828 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-04-01
Entered: 2008-04-03
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Autism, Death
SMQs:

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA04115

Write-up: Information has been received from a consumer concerning her neighbor''s son who on an unspecified date was vaccinated with a dose of MMR II (Enders-Edmonston, Jeryl Lynn, Wistar RA 27/3). On an unspecified date, post vaccination, the patient developed autism and eventually jumped in a lake and died. A product quality complaint was not involved. The adverse event autism was considered an Other Medically Important Event (OME). Additional information has been requested. 4/4/08 Received via email from FDA & manufacturer: The reporter is a consumer who reported on a neighbor''s child. The reporter refused to provide information beyond what was on the VAERS form . The reporter refused to provide the name and telephone number of the actual parents of the child. This is unevaluable.


VAERS ID: 320862 (history)  
Form: Version 1.0  
Age: 50.0  
Sex: Female  
Location: Montana  
Vaccinated:2007-09-26
Onset:2007-10-26
   Days after vaccination:30
Submitted: 2008-07-30
   Days after onset:278
Entered: 2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 6185U / UNK RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2734AA / UNK RA / UN

Administered by: Public       Purchased by: Unknown
Symptoms: Chemotherapy, Death, Diplegia, Fall, Lung neoplasm malignant, Myelitis transverse
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Accidents and injuries (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Non-haematological malignant tumours (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-01-06
   Days after onset: 72
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 18 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PPD
Current Illness: None
Preexisting Conditions: HX: Lung cancer 8/11/08-records received-PMH:obesity adenocarcinoma of lung.
Allergies:
Diagnostic Lab Data: Lung cancer 2 years with chemotherapy 8/11/08-records received- NCV abnormal evidence of primary muscle disorder. Glucose elevated, AST and ALT elevation of 144 and 177. MRI normal. CSF leukocytosis. Culture negative. on 1/6/08 began hypotensive with oxygen saturation 82%.
CDC Split Type:

Write-up: Brother states patient developed "Transverse myelitis" from the MMR vaccine then the patient "Fell down and died". Developed paralysis in legs one week after shot. 8/11/08-records received for DOS 12/12/07-1/6/08- DX: Paraparesis secondary to transverse myelitis. Death secondary to pulmonary embolism. Admitted for evaluation of lower extremity weakness for 2-3 weeks, with shooting pain in feet on 12/14/07-balance difficulties noted, tingling in left upper extremity prior to hospitalization Upgoing plantar reflex noted on right side, lower extremity reflex loss at ankles and left patella. Autopsy refused by family.


VAERS ID: 323037 (history)  
Form: Version 1.0  
Age: 4.0  
Sex: Female  
Location: California  
Vaccinated:2002-09-26
Onset:0000-00-00
Submitted: 2008-08-16
Entered: 2008-08-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR U0296AC / 5 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UA745AA / 4 - / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR W0010 / 2 RA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 LA / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Autopsy, Congestive cardiomyopathy, Deafness, Death, Developmental delay, Mutism
SMQs:, Psychosis and psychotic disorders (broad), Cardiomyopathy (narrow), Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-12-05
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 15 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: hearing loss x 4 yrs, verbal skills & coordination loss & dx w/autism.
Allergies:
Diagnostic Lab Data: Autopsy: Coroners case no. 2007-08810 Hospital LABS: ESR 95 (H), Hep A (+), blood culture (-). ANA (-). Urine c/s (+). Echocardiogram abnormal w/ejection fraction 35%, severe mitral regurgitation & tricuspid regurgitation, dilated cardiomyopathy. EKG w/conduction abnormalities.
CDC Split Type:

Write-up: Child developed mutism, deafness, developmental delay and diluted cardiomyopathy possibly following vaccination several years before death. 10/3/08 Autopsy states COD as idiopathic dilated cardiomyopathy & contributing condition of chronic sequelae of encephalomyelitis. 9/26/08 Reviewed hospital medical records of 11/20-12/05/2008. FINAL DX: dilated cardiomyopathy, pulmonary edema, cardiac arrest. Records reveal patient experienced cough, DOE, weakness, extreme fatigue, excessive sleeping, rhinorrhea, sore throat & 1 day of diarrhea x 1 week w/newly dx cardiomegaly on CXR at outlying hospital. Weight loss over 1 month noted by family. Exam showed holosystolic heart murmur. Felt to have had dilated cardiomyopathy worsened by or caused by myocarditis. Tx w/IVIG empiracally for viral myocarditis. During intubation attempt in cardiac cath lab, had cardiac arrest & expired despite attempted resuscitation.


VAERS ID: 327331 (history)  
Form: Version 1.0  
Age: 1.1  
Sex: Male  
Location: New York  
Vaccinated:2008-10-01
Onset:2008-10-02
   Days after vaccination:1
Submitted: 2008-10-03
   Days after onset:1
Entered: 2008-10-07
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0428U / 1 UN / SC

Administered by: Private       Purchased by: Public
Symptoms: Computerised tomogram abnormal, Death, Haemorrhage intracranial, Respiratory arrest, Resuscitation, Scan brain, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Haemorrhagic central nervous system vascular conditions (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-10-03
   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: Polyvitamins with fluoride
Current Illness: No
Preexisting Conditions: Ex 31 wk preemie, patent foramen ovale
Allergies:
Diagnostic Lab Data: Intracranial bleed on head CT
CDC Split Type:

Write-up: Pt found unresponsive & not breathing after nap. Resuscitated by EMS & in ER, never regained consciousness & later died in PICU at hospital. Intracranial bleed on head CT. 10/9/2008 Forensic Autopsy Summary Sheet received, COD pending further studies. Infant found unresponsive and transported to ER & dx with subdural hematoma. Transferred to higher level of care. Despite resuscitation efforts, infant pronounced dead. Autopsy findings of 2 small abraded contusions to L side of head, subdural hematoma overlying the L temporal lobe. Marked brain edema and pulmonary edema. Otherwise unremarkable


VAERS ID: 331191 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-03
Entered: 2008-11-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0810USA04770

Write-up: Information has been received from a study conducted concerning a patient (age and gender not reported) who was vaccinated with a dose of MMR II (date, dose, route and lot #''s not reported). Concomitant suspect vaccine therapy included a dose of VARIVAX (date, dose, route and lot #''s not reported). It was reported that the patient died within 30 days of receiving the vaccines (date and cause of death not reported). This is one of several reports from the same source. No further information is available.


VAERS ID: 331192 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-03
Entered: 2008-11-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0810USA04771

Write-up: Information has been received from a study conducted concerning a patient (age and gender not reported) who was vaccinated with a dose of MMR II (date, dose, route and lot #''s not reported). Concomitant suspect vaccine therapy included a dose of VARIVAX (date, dose, route and lot #''s not reported). It was reported that the patient died within 30 days of receiving the vaccines (date and cause of death not reported). This is one of several reports from the same source. No further information is available.


VAERS ID: 331193 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-03
Entered: 2008-11-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0810USA04772

Write-up: Information has been received from a study conducted concerning a patient (age and gender not reported) who was vaccinated with a dose of MMR II (date, dose, route and lot #''s not reported). Concomitant suspect vaccine therapy included a dose of VARIVAX (date, dose, route and lot #''s not reported). It was reported that the patient died within 30 days of receiving the vaccines (date and cause of death not reported). This is one of several reports from the same source. No further information is available.


VAERS ID: 336785 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Illinois  
Vaccinated:2008-12-18
Onset:2008-12-19
   Days after vaccination:1
Submitted: 2009-01-07
   Days after onset:19
Entered: 2009-01-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2792CA / 1 RL / UN
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB319AB / 1 RL / UN
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1083X / 1 LL / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1317X / 1 LL / UN

Administered by: Public       Purchased by: Public
Symptoms: Death, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-12-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None, healthy
Preexisting Conditions: Extra digit both hands at birth - tied; H/O drugs use in, child was in D 2/17/09-records received-sickle cell anemia trait
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient seen on 12/18/08, received immunizations, had low grade fever next day and then was brought to ER lifeless. 2/17/09-records received COB bacterial sepsis. Other significant conditions contributing to death but not related to terminal conditions:sickle cell anemia trait. krk


VAERS ID: 337669 (history)  
Form: Version 1.0  
Age: 1.0  
Sex: Male  
Location: Michigan  
Vaccinated:2008-11-17
Onset:2008-11-24
   Days after vaccination:7
Submitted: 2009-01-19
   Days after onset:56
Entered: 2009-01-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2788FA / 1 RL / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB213AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF222AA / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0807U / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C50457 / 4 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1517U / 1 RL / SC

Administered by: Private       Purchased by: Public
Symptoms: Death, Dyspnoea, Hypotonia, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-11-24
   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 - normal
Preexisting Conditions: ? slight allergy 6-10-08; Hx otitis media . PMH: PCP records reveal normal childhood illnesses (OM, URI, bronchits) in 1st yr of life. Excessive wt gain noted at 3 months.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: CXR (+) for R pneumpthorax, pneumomediastinum, and probable L pneumothorax.
CDC Split Type:

Write-up: Pt given HIB #4; PREVNAR #4; Hepatitis A #1; MMR #1; Varicella #1 and Influenza #1 on 11-17-08. Pt presented one week later "barely breathing"; flacid and unresponsive to verbal-painful stimuli at 1755-transferred-died at local hospital a couple of hours later. 2/12/09 PCP and hospital records received from FDA. Pt with mild fever 11/24/08 put down to nap. Ptfound to be diaphoretic, limp, minimally breathing and non-interactive in crib. Upon arrival of EMS pt noted to be unresponsive to stim, satring with no blink response, pulse 160, RR 32 with rhonchi bilaterally R$gL. Dx with severe croup at local hospital with transport planned to higher level of care. In ER unresponsive in severe respiratory distress, skin mottled, O2 sats 80s-90s on pale toes. Arrived to transfer hospital unresposive to pain, lethargic, initially flaccid then posturing, (+) cervical lymphadenopathy, resp distress with stridor and rhonchi- intubated. Impression- Respiratory Failure. Cardiac arrest. CPR unsuccesful. 3/25/09 Autopsy report received with COD: Community Acquired Pneumonia. Manner of Death: natural. Final DX: 1) Acute hemorrhage pneumonia, multifocal, community acquired- a) Diffusely firm, edematous and hemorrhagic lungs, bilaterally. b) Histologic exam confirms purulent multifocal pneumonia. 2) Moderate Cerebral Edema. 3) Serous Pleural and Peritoneal Effusions.


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