Amoung 13,033,274 vaccinated people, 15,455 deaths occurred between 0 and 60 daysfollowing vaccination. The mortality rate within 60 days of a vaccination visit was 442.5 deaths per
100,000 person-years. Rates were highest in the group aged≥ 85 years, and increased from the 0–1-
day to the 0–60-day interval following vaccination. Eleven of the 15 leading causes of death in the
VSD and NCHS overlap in both systems, and the top four causes of death were the same in both systems