Relegated Derby are still without a win under manager Paul Jewell as West Ham luckily found victory at Upton Park.
A weak Dean Leacock challenge allowed Hammers striker Bobby Zamora to nod home on 25 minutes but Derby, showing rare creative intent, hit back.
Tyrone Mears powered a fine equaliser over Robert Green on 65 minutes and the Rams were looking likely winners.
But substitute Carlton Cole cushioned in a close-range volley 10 minutes later to leave the visitors desolate.
With just one win all campaign, morale-sapped Derby face the prospect of becoming the first club in English league football for 109 years with such a low total of victories.
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