Cot-death   Suffocation

CDC Lists 131 Ways for an Infant to Die: Vaccines and Sudden Death (SIDS)


Neil Miller


May 18, 2015


There are 130 official ways for an infant to die. These official categories of death, sanctioned by the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO), are published in the International Classification of Diseases (ICD).[1-3] When a baby dies, coroners must choose from among these 130 categories.


The official causes of death listed in the ICD include nearly every imaginable — and tragic — possibility. However, there is NO category for infant deaths caused by vaccines.[4] This is odd because the federal government is aware that vaccines permanently disable and kill some babies — the very reason Congress established a “death and disability” tax on childhood vaccines more than 25 years ago when the National Childhood Vaccine Injury Act of 1986 (Public Law 99-660) created the National Vaccine Injury Compensation Program (VICP).

Many parents don’t realize that when they purchase vaccines for their babies, the cost is taxed and the money goes into a special fund to compensate them if and when those vaccines seriously injure or kill their babies. As of November 1, 2013, more than $2.5 billion was granted for thousands of injuries and deaths caused by vaccines. [Updated 5/4/15 details here showing $3,159,410,649.38] Numerous cases are still pending. Awards were issued for permanent injuries such as learning disabilities, seizure disorders, mental retardation, paralysis, and numerous deaths, including many that were initially misclassified as sudden infant death syndrome (SIDS).[5]


Since vaccine-related deaths are officially recognized by the federal government but there is NO official classification for vaccine-related deaths in the ICD, two important questions must be asked:


1) Are some deaths that are listed within the 130 infant mortality death categories really deaths that are associated with vaccination?


2) Are some vaccine-related deaths hidden within the death tables?

Sudden Infant Death Syndrome (SIDS)

Prior to the introduction of organized vaccination programs, ‘crib death’ was so rare that it was not mentioned in infant mortality statistics. In the United States, national immunization campaigns were initiated in the 1960s when several new vaccines were introduced and promoted. For the first time in history, most U.S. infants were required to receive several doses of DPT (diphtheria, pertussis, tetanus), polio, and measles vaccines.[6] By 1969, an alarming epidemic of sudden unexplained infant deaths impelled researchers to create a new medical term — sudden infant death syndrome(SIDS).[7] By 1972, SIDS had become the leading cause of post-neonatal mortality (deaths of infants from 28 days to one year old) in the United States.[8] In 1973, the National Center for Health Statistics, operated by the CDC, created a new cause-of-death category to document deaths due to SIDS.[9,10]


SIDS is defined as the sudden and unexpected death of an infant which remains unexplained after a thorough investigation, including performance of an autopsy and review of the clinical history.[11] Although there are no specific symptoms associated with SIDS, an autopsy often reveals congestion and edema of the lungs and inflammatory changes in the respiratory system.[9,12]


In 1984, Congress held a hearing on vaccine safety. The suspected link between vaccines and sudden infant deaths was addressed. The following excerpt is from a statement made by a distraught grandmother testifying before the Congressional Committee on Labor and Human Resources:

“My name is Donna Gary. I am a constituent of Senator Kennedy’s from Massachusetts. Our family should have celebrated our very first granddaughter’s first birthday last month. Instead, we will commemorate the anniversary of her death at the end of this month.


“Our granddaughter, Lee Ann, was just 8 weeks old when her mother took her to the doctor for her routine checkup. That included, of course, her first DPT inoculation and oral polio vaccine. In all her entire 8 weeks of life this lovable, extremely alert baby had never produced such a blood-curdling scream as she did at the moment the shot was given. Neither had her mother ever before seen her back arch as it did while she screamed. She was inconsolable. Even her daddy could not understand Lee Ann’s uncharacteristic screaming and crying.

“Four hours later, Lee Ann was dead. ‘Crib death,’ the doctor said — ‘SIDS.’


‘Could it be connected to the shot?’ her parents implored.




‘But she just had her first DPT shot this afternoon. Could there possibly be any connection to it?’


‘No, no connection at all,’ the emergency room doctor said definitely.


“My husband and I hurried to the hospital the following morning after Lee Ann’s death to talk with the pathologist before the autopsy. We wanted to make sure he was alerted to her DPT inoculation such a short time before her death — just in case there was something else he could look for to make the connection. He was unavailable to talk with us. We waited two-and-a-half hours. Finally, we got to talk to another doctor after the autopsy had been completed. He said it was SIDS


“In the months before Lee Ann was born, I regularly checked with a friend as to the state of her grandchild’s condition. He is nearly a year-and-a-half older than Lee Ann. On his first DPT shot he passed out cold for 15 minutes, right in the pediatrician’s office.


“‘Normal reaction for some children,’ the pediatrician reassured. The parents were scared, but they knew what a fine doctor they had. They trusted his judgment. When it was time for the second shot, they asked ‘Are you sure it’s alright? Is it really necessary?’ Their pediatrician again reassured them. He told them how awful it was to experience, as he had, one of his infant patient’s bout with whooping cough. That baby had died. They gave him his second DPT shot that day. He became brain-damaged.


“This past week I had an opportunity to read through printed copies of the hearings of this committee. I am dismayed to learn that this same talk has been going on for years, and nothing has seemed to progress to incorporate what seems so obvious and necessary to keep from destroying any more babies, and to compensate financially those who have already been damaged for life. How accurate are our statistics on adverse reactions to vaccines when parents have been told, are still being told, ‘No connection to the shot, no connection at all.’?


“What about the mother I have recently talked with who has a 4-year-old brain-damaged son? On all three of his DPT shots he had a convulsion in the presence of the pediatrician. ‘No connection,’ the pediatrician assured.


“I talked with a father in a town adjoining ours whose son died at the age of 9 weeks, several months before our own granddaughter’s death. It was the day after his DPT inoculation. ‘SIDS’ is the statement on the death certificate.


“Are the statistics that the medical world loves to quote to say, ‘There is no connection,’ really accurate, or are they based on poor diagnoses, poor record keeping? What is being done to provide a safer vaccine? Who is overseeing? Will it be the same scientists and doctors who have been overseeing in the past? How much longer does the public have to wait? How are physicians and clinics going to be held accountable to see that parents are informed of the possible reactions? And how are those children who should not receive the vaccine to be identified before they are damaged — or dead?


“Today is the National Day of Prayer. My prayer is that this committee be instrumental in doing what needs to be done — and soon. May there not be yet another year pass by with more children afflicted, and some dead, because those who can do so refuse to make the right connection.”[13]

Back to Sleep

Throughout the 1980s, sudden infant deaths continued to skyrocket. Parental concerns about an apparent link between childhood vaccines and SIDS reached a fever pitch. Many parents were afraid to vaccinate their babies. Authorities sought to reassure parents that vaccines are safe and claimed that sudden unexplained infant deaths following vaccines were merely coincidental.


In 1992, the American Academy of Pediatrics (AAP) came up with a plan to reduce the unacceptable SIDS rate while reassuring concerned moms and dads that sudden unexplained infant deaths were not related to vaccines. The AAP initiated a national ‘Back to Sleep’ campaign, telling parents to place their infants supine, rather than prone, during sleep.


From 1992 through 2001, the post-neonatal SIDS rate dropped by an average annual rate of 8.6%. It seemed as though the ‘Back to Sleep’ campaign was successful and that the real cause of SIDS was due not to vaccinations but from babies sleeping on their bellies. However, a closer inspection of the ICD — the 130 official ways for an infant to die — revealed a loophole. Medical certifiers, such as coroners, could choose from among several categories of death when a baby suddenly expired. They didn’t have to list the death as SIDS. Although the post-neonatal SIDS rate dropped by an average annual rate of 8.6% from 1992 through 2001 following the AAP’s seemingly successful ‘Back to Sleep’ campaign, the post-neonatal mortality rate from ‘suffocation in bed’ (ICD-9 code E913.0) increased during this same period at an average annual rate of 11.2.  Sudden, unexplained infant deaths that were classified as SIDS prior to the ‘Back to Sleep’ campaign, were now being classified as deaths due to suffocation in bed!


The post-neonatal mortality rate from ‘suffocation other’ (ICD-9 code E913.1-E913.9), from ‘unknown and unspecified causes’ (ICD-9 code 799.9), and from ‘intent unknown’ (ICD-9 code E980-E989), all increased during this period as well.[10] In Australia, a similar subterfuge seemed to occur. Researchers observed that when the SIDS rate decreased, deaths attributed to asphyxia increased.[14-16]


From 1999 through 2001, the number of U.S. deaths that were attributed to ‘suffocation in bed’ and ‘unknown causes’ increased significantly. Although the post-neonatal SIDS rate continued to decline, there was no significant change in the total post-neonatal mortality rate. In a recent paper (Malloy and MacDorman) published in Pediatrics, SIDS researchers made the following observation:

“If death-certifier preference has shifted such that previously classified SIDS deaths are now classified as ‘suffocation,’ the inclusion of these suffocation deaths and unknown or unspecified deaths with SIDS deaths then accounts for about 90 percent of the decline in the SIDS rate observed between 1999 and 2001 and results in a non-significant decline in SIDS.”[10]

Reclassification of SIDS Deaths to “Suffocation in Bed” and “Unknown Causes”

Figure 1. The postneonatal SIDS rate appears to have declined from 61.6 deaths (per 100,000 live births) in 1999 to 50.9 in 2001. However, during this period there was a significant increase in post-neonatal deaths attributed to “suffocation in bed” and due to “unknown causes.” When these sudden unexpected causes of infant deaths are combined with SIDS deaths, the total SIDS rate remains relatively stable, resulting in a non-significant decline.

Other Evidence Linking SIDS to Vaccines

Although some studies were unable to find positive correlations between SIDS and vaccines[17-19], there is other evidence that a subset of infants may be more susceptible to SIDS shortly after being vaccinated. For example, as early as 1933 the Journal of the American Medical Association (JAMA)published a paper by Madsen documenting the sudden deaths of two infants soon after pertussis vaccination. The first child developed cyanosis and convulsions 30 minutes after vaccination and died suddenly a few minutes later. The second child developed cyanosis 2 hours after vaccination and then died suddenly.[20]


In 1946, Werne and Garrow published a paper in JAMA documenting the sudden deaths of identical twins 24 hours after pertussis vaccination. The babies had symptoms of shock throughout the night prior to their fatal reactions.[21]


In the 1960s and 1970s Aborigine infants began to mysteriously die at astonishing rates. In some regions of Australia, 1 of every 2 babies succumbed to an unexplained death — a fatality rate of 50 percent! Kalokerinos solved the riddle when he realized that the deaths were occurring shortly after the babies were vaccinated. Health officials had recently initiated a mass vaccination campaign to ‘protect’ Aborigine babies; their deaths corresponded with the vaccination program. Kalokerinos realized that these babies were severely malnourished, including a vitamin C deficiency. Their undeveloped immune systems couldn’t handle the additional stress of vaccination. Kalokerinos was able to save other babies from the same fate by administering small quantities of vitamin C (100mg per month of age) prior to their vaccines.[22]


In Japan, from 1970 through 1974, there were 37 documented sudden infant deaths following pertussis vaccinations, inciting parents and doctors to reject the shot. In 1975, Japanese authorities reacted to these events by raising the age of vaccination from three months to two years. As a result, the number of vaccine injury compensation claims that were paid out for sudden deaths following vaccination dropped from 37 cases during a 5-year period to just 3 cases during the next 6-and-a-half years (from 1975 through August of 1981). The sudden death rate following vaccination dropped from 1.47 to 0.15 deaths per million doses — a 90% improvement.[23,24] In addition, from the early 1970s (a period when 3-month-old infants were vaccinated) to the mid-1980s (ten years after the age of vaccination was raised to 2 years) the Japanese infant mortality rate (infant deaths per 1,000 live births) dramatically declined from 12.4 to 5.0 — a 60 percent drop![25]


According to a special task force (Cherry et al) that investigated the Japanese data and published their summary in Pediatrics:

“The category of ‘sudden death’ is instructive in that the entity disappeared following both whole-cell and acellular vaccines when immunization was delayed until a child was 24 months of age.”[24]

Cherry et al also made the following observation:

“It is clear that delaying the initial vaccination until a child is 24 months, regardless of the type of vaccine, reduces most of the temporally associated severe adverse reactions.”[24]

There is other more recent evidence that delaying vaccinations until a later age could save babies from severe vaccine-related adverse reactions, including sudden deaths. For example, the Sage journal Human and Experimental Toxicology published a study by Goldman and Miller that investigated more than 38,000 infant reports filed with the Vaccine Adverse Event Reporting System (VAERS). (This federally mandated vaccine safety surveillance program collects information about possible adverse reactions from vaccines.) Cases that listed either ‘hospitalization’ or ‘death’ were evaluated relative to all infant reports, including those that were non-serious. The hospitalization rate for infants that were vaccinated shortly after birth was an astonishing 20.1% but decreased in a statistically significant linear fashion to 10.7% for infants that were vaccinated just prior to their first birthday. This study also revealed a statistically significant lower mortality rate for infants that were vaccinated between 6 months and 1 year of age when compared to infants vaccinated between birth and 6 months of age.[26]


In 1982, William Torch, MD, director of Child Neurology, Department of Pediatrics, University of Nevada School of Medicine, presented a study at the 34th Annual Meeting of the American Academy of Pediatrics showing that two-thirds of babies who had died from SIDS had been vaccinated against DPT prior to death. Of these, 6.5% died within 12 hours of vaccination; 13% within 24 hours; 26% within 3 days; and 37%, 61%, and 70% within 1, 2, and 3 weeks, respectively. (Figure 2)

The Pertussis Vaccine and Sudden Infant Death Syndrome

Figure 2. In a study of 103 children who died of SIDS, more than two-thirds had been vaccinated with pertussis prior to death. Of these, 6.5 percent died within 12 hours of vaccination; 13 percent within 24 hours; 26 percent within three days; and 37, 61, and 70 percent within one, two, and three weeks, respectively.


Torch also found that unvaccinated babies who died from SIDS did so most often in the fall or winter while vaccinated babies died most often at 2 and 4 months — the same ages when initial doses of DPT were given to infants. He concluded that:

“DPT may be a generally unrecognized major cause of sudden infant and early childhood death, and that the risks of immunization may outweigh its potential benefits. A need for re-evaluation and possible modification of current vaccination procedures is indicated by this study.”[27]

In 1983, Pediatric Infectious Diseases published a study by Baraff et al that analyzed 17 infants that had been vaccinated within 28 days prior to their sudden deaths, which were classified as SIDS. They calculated the expected frequency of SIDS deaths per day and compared that with the actual number of sudden deaths in each of the 28 days after vaccination. A statistically significant number of excess deaths happened in the first week following vaccination (6.75 sudden deaths were expected and 17 actually occurred) — a 250% increase. The greatest number of excess deaths happened within 24 hours after vaccination (0.96 sudden deaths were expected and 6 actually occurred) — a 625% increase over statistical expectations.[28]


In 1987, the American Journal of Public Health published a paper by Walker et al, once again confirming an apparent link between vaccination and sudden deaths. Babies died at a rate more than seven times greater than normal within 3 days after getting a DPT vaccination.[29]


In 1991, Scheibner and Karlsson presented strong evidence of an association between DPT injections and cot death (SIDS) at the Second National Immunisation Conference in Canberra, Australia. They were able to develop a sophisticated microprocessor that was placed under infants’ mattresses to precisely measure their breathing patterns before and after vaccination. The microprocessor generated computer printouts in integrals of a weighted apnea (cessation of breathing) hypopnea (abnormally shallow breathing) density (WAHD). The data clearly revealed that pertussis vaccination caused an inordinate increase in episodes where breathing either nearly ceased or stopped completely.[30-32] (Figure 3)

The Pertussis Vaccine and Stress-Induced Breathing Patterns: A Link to SIDS

Figure 3

Figure 3. This chart represents a 17-day record of one child’s breathing patterns before and after receiving the pertussis vaccine. Values above 1000 indicate acute stress-induced breathing. The author of this study concluded that “vaccination is the single most prevalent and most preventable cause of infant deaths.”


These episodes continued for months following DPT vaccinations. The lead author of the paper concluded that “vaccination is the single most prevalent and most preventable cause of infant deaths.”[31]


In 2006, Ottaviani et al published a paper in Virchows Archiv (European Journal of Pathology) documenting the case of a 3-month-old infant who died suddenly and unexpectedly shortly after being given six vaccines in a single injection. After dissecting the brainstem and examining the cardiac conduction system, authors of the study made the following observation: “This case offers a unique insight into the possible role of hexavalent vaccine in triggering a lethal outcome in a vulnerable baby.” They also noted that “any case of sudden unexpected death occurring…in infancy, especially soon after a vaccination, should always undergo a full necropsy study,” otherwise a true association between vaccination and death may escape detection.[33]


That same year, another team of scientists (Zinka et al) published a paper in Vaccine documenting six cases of SIDS that occurred within 48 hours following the administration of a hexavalent vaccine. At postmortal examination, these cases showed “unusual findings in the brain” that appeared compatible with an association between hexavalent vaccination and sudden infant death syndrome.[34]


In 2011, Statistics in Medicine published a paper by Kuhnert et al that examined an association between multi-dose vaccinations and death. Authors of the paper demonstrated a 16-fold increase in sudden unexpected death after the fourth dose of a pentavalent shot (five different vaccines in one injection) or hexavalent shot (six different vaccines in one injection).[35]


Today, unsuspecting parents continue to experience the heartbreak of losing healthy children after vaccinations. Here is another unnecessary death labeled as SIDS, as reported by a distraught mother:

“Our beautiful 2-month-old daughter recently died. What was unusual was that earlier on the day that she died, I had taken her to the military base hospital for her two-month checkup. The doctor told me that she was just perfect. Then he said that she needed four shots. I replied, ‘Four!’? She assured me that it was completely normal.


“That evening after feeding our daughter, we laid her down to sleep. We checked on her 45 minutes later and discovered that she was dead. I told the police, coroner, and investigators that I thought it was from the shots because she was perfectly fine that day and before the shots. But after three weeks we finally got an answer from the autopsy that it was SIDS. To this day, I believe that her death was caused by the shots. No one can convince me otherwise.”[36]

More Vaccine Fatalities Hidden in the Death Tables

‘SIDS,’ ‘suffocation in bed,’ and death due to ‘unknown and unspecified causes,’ are just three of the 130 official cause-of-death categories that might be concealing fatalities that were really caused by vaccination. Several other ICD categories are possible candidates for incorrect infant death classifications: unspecified viral diseases, diseases of the blood, diseases of the nervous system, unspecified diseases of the respiratory system, and shaken baby syndrome. All of these official categories may be repositories of vaccine-related infant deaths reclassified as common fatalities.


For example, a vaccine against rotavirus-induced diarrhea (Rotarix) was licensed by the Food and Drug Administration (FDA) in 2008. However, in a clinical study that evaluated the safety of this vaccine, vaccinated babies died at a significantly higher rate than non-vaccinated babies — mainly due to a statistical increase in pneumonia fatalities.[37] (One biologically plausible explanation is that natural rotavirus infection might have a protective effect against respiratory infection.)[38] Although these deaths appear to be vaccine related, coroners are likely to misclassify them as pneumonia.


Some infant fatalities that occur shortly after vaccinations are incorrectly classified as shaken baby syndrome. Retinal and subdural bleeding can result from an adult that shook the baby or from vaccine damage. Expert testimony by medical practitioners has exonerated innocent parents of all charges against them.[39] This is just another example of how the true cause of death can be reclassified or hidden within the death tables.


The practice of reclassifying ICD data greatly concerns the CDC “because inaccurate or inconsistent cause-of-death determination and reporting hamper the ability to monitor national trends, ascertain risk factors, and design and evaluate programs to prevent these deaths.”[40] Thus, medical certification practices need to be monitored to determine how often vaccine-related infant deaths are being reclassified as ordinary mortality in the ICD. More importantly, parents need to be warned that vaccine safety is grossly overestimated when vaccine-related deaths are not being accurately documented.

Vaccine Safety, Informed Consent and Human Rights

There are 130 official ways for an infant to die (as categorized in the ICD), and one unofficial way for an infant to die: following an adverse reaction to one or more vaccines. When vaccine-related deaths are hidden within the death tables, parents are denied the ability to ascertain honest vaccine risk-to-benefit ratios and true informed consent to vaccinations is not possible. When families are urged to vaccinate their children without access to accurate data on vaccine-related deaths, their human rights have been violated. Medical health authorities, pediatricians, and the vaccine industry then become criminal accomplices to each infant death caused by vaccines — even when vaccines are not officially acknowledged as the cause of death. Finding ways to increase vaccine safety, providing families with true informed consent, and preserving human rights, must be the top priorities.


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2. WHO. International Statistical Classification of Diseases and Related Health Problems, 10th Revision. Geneva, Switzerland: World Health Organization, 1992.
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4. ICD-6, issued in 1948, and ICD-7, issued in 1955, included “Prophylactic inoculation and vaccination” as a separate cause of death category with subcategories (codes Y40-Y49) for death due to “vaccination against smallpox” (code Y40), “inoculation against whooping cough” (code Y42), “inoculation against other infectious disease” (code Y49), etc. The ICD-8, issued in 1965, deleted the subcategories for death due to inoculation against individual diseases while maintaining “Prophylactic inoculation and vaccination” (code Y42) as a separate cause of death category. When the ICD-9 was issued in 1979, authorities removed all cause of death classifications associated with vaccination.
5. Health Resources and Services Administration. National Vaccine Injury Compensation Program. U.S. Department of Health and Human Services. (Data as of May 1, 2013).
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10. Malloy MH and MacDorman M. Changes in the classification of sudden unexpected infant deaths: United States, 1992-2001Pediatrics 2005; 115: 1247-1253.
11. Willinger M, James LS, Catz C. Defining the sudden infant death syndrome (SIDS): deliberations of an expert panel convened by the National Institute of Child Health and Human DevelopmentPediatr Pathol 1991; 11: 677-84.
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22. Kalokerinos, A. Every Second Child Was Doomed to Death — Unless One Dedicated Doctor Could Open His Colleagues’ Eyes and Minds. New Canaan, CT: Keats Publishing, Inc., 1974.
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25. Congressional Budget Office. Factors contributing to the infant mortality ranking of the United States. CBO Staff Memorandum (February 1992): Table 2, International Infant Mortality Rates by Ranking.
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36. Unsolicited correspondence received by the Thinktwice Global Vaccine Institute.
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About the author:
Neil Z. Miller is a medical research journalist and the Director of the Thinktwice Global Vaccine Institute. He has devoted the last 25 years to educating parents and health practitioners about vaccines, encouraging informed consent and non-mandatory laws. He is the author of several books on vaccines, including Vaccine Safety Manual for Concerned Families and Health PractitionersMake an Informed Vaccine Decision for the Health of Your Child (with Dr. Mayer Eisenstein); and Vaccines: Are They Really Safe and Effective? Past organizations that he has lectured for include the International Chiropractic Pediatric Association, Maximized Living, the International College of Integrative Medicine, Autism One/Generation Rescue, the Hahnemann Academy of North America, and Dr. Gabriel Cousens’ Culture of Life Institute. Mr. Miller is a frequent guest on radio and TV talk shows, has a degree in psychology, and is a member of Mensa.


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