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From the 1/14/2022 release of VAERS data:

Found 498 cases where Vaccine is RV5 and Patient Died

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Case Details

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VAERS ID: 323510 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Female  
Location: Oklahoma  
Vaccinated:2008-08-25
Onset:2008-08-26
   Days after vaccination:1
Submitted: 2008-08-27
   Days after onset:1
Entered: 2008-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B143AA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF439AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C86142 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0302X / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-26
   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:
Current Illness: RUNNY NOSE, PARENT DENIED FEVER OR ACUTE ILLNESS
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PATIENT DIED 10/27/08-autopsy report received-COD undetermined. No injuries or natural causes identified. Toxicology, histology, culture, electrolyte, renal and metabolic screens non-contributory. History of co-sleeping with adult. Evidence of resuscitation attempt. krk


VAERS ID: 324474 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Michigan  
Vaccinated:2008-09-02
Onset:2008-09-03
   Days after vaccination:1
Submitted: 2008-09-08
   Days after onset:5
Entered: 2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B142AA / UNK LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF362AA / UNK LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68310 / UNK RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0207X / UNK MO / PO

Administered by: Private       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-03
   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: nystatin oral triple paste
Current Illness: thrush
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Mom GBS (+). Baby at birth had 7-10 days abx. LABS: Tox screen neg.
CDC Split Type:

Write-up: According to ME office next day after 7 AM bottle baby found dead. Post showed no trauma. 10/24/08 Autopsy report states COD as sudden unexpected death in infancy. Manner of death is undetermined. Report also states patient found unresponsive supine in bassinet.


VAERS ID: 324934 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Male  
Location: Ohio  
Vaccinated:2008-07-15
Onset:2008-08-12
   Days after vaccination:28
Submitted: 2008-09-10
   Days after onset:29
Entered: 2008-09-12
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2951BA / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0475X / 2 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF362AA / 1 LL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0996 / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45721E / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0142X / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Blood culture positive, Body temperature increased, CSF culture positive, Death, Drug ineffective, Irritability, Meningitis pneumococcal, Nystagmus, Pyrexia
SMQs:, Lack of efficacy/effect (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sepsis (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-08-28
   Days after onset: 16
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown 10/16/08-records received-PMH: Two weeks prior hospitalized for viral illness which consisted of vomiting. Left orchiectomy at one week of age.
Allergies:
Diagnostic Lab Data: Blood culture, 08/25/2008, positive for Pneumococcus; Body temperature, 08/25/2008, fever; CSF culture, 08/25/2008, positive for Pneumococcus; Reported cause of death, Meningitis pneumococcal, pneumococcal meningitis. 9/25/08-records received-Urine turbid with RBC present. Blood culture positive streptococcus pneumoniae. Urine culture no growth. Abdominal x-ray mildly abnormal nonspecific bowel gas pattern. Lymph percentage increased 51.8. 10/16/08-records received-CSF cloudy 150 red blood cells, 99 white blood cells, 91% neutrophils, protein 257.9, CSF gram positive cocci in pairs. WBC 3.1, platelets 700,000, fibrinogen 950, potassium 6.9, CT normal. MRI brain abnormal consistent with leptomeningeal infiltration and meningitis secondary complications of compromise of vasculature. EEG abnormal, seizure activity.
CDC Split Type: USWYEH05894708

Write-up: Information regarding PREVNAR was received from a pediatrician regarding a 15-week-old male patient who experienced Pneumococcal meningitis. At 15 weeks of age, the patient received the first dose on 15-Jul-2008. He also received the first doses of HIB (manufacturer unknown), Poliomyelitis Vaccine Inactivated (manufacturer unknown), DTaP and ROTATEQ (Merck & Co Inc) on 15-Jul-2008. Relevant medical history was not provided. Concomitant therapy included Hepatitis B Vaccine, HIB, ROTATEQ, DTaP and Poliomyelitis Vaccine Inactivated. On 25-Aug-2008, the patient presented with nystagmus, irritability and fever. He was hospitalized and diagnostic tests were performed (see test results), however serotyping was not performed. The blood culture and cerebral spinal fluid culture were positive for Pneumococcus. The patient was diagnosed as having Pneumococcal meningitis drug ineffective on 25-Aug-2008. Treatments were not reported. The patient died on 28-Aug-2008. The physician considered PREVNAR to be ineffective in preventing Pneumococcal meningitis, but stated that she realized that only receiving one dose in the series did not confer immunity to the disease. No further information was available at the time of this report. The cause of death was reported as meningitis Pneumococcal. On 25-Aug-2008 test results were: blood culture (results: positive for Pneumococcus); body temperature (results: fever); CSF culture (results: positive for Pneumococcus). 9/16/08-office notes received-8/12/08-well visit normal exam. C/O fussy and will not take bottle. Daycare provider was ill day prior to office visit. 8/25/08-fever and seizure. 9/25/08-records received-urgent care center visit 8/12/08-C/O irritability and vomiting without fever. Sent to ED. Presented to ED with vomiting and screaming. Large projectile emesis times 3, decreased oral intake. Admitted overnight. Returned to ED on 8/25/08-fever began day prior of 103.3. In ED pulse oximeter decreased to mid 80''s. Transferred to another facility. 10/16/08-records received for DOS 8/25-8/28/08-Expired 8/28/08 06:35. Fever, eyes deviating from neutral position. Right pupil dilated, right side of face droopy. Symptoms began on 8/24/08 with temperature of 100.6. Respiratory difficulty and perioral cyanosis. Irritable, agitated. 11/06/08-records received-Cause of death:meningitis due to pneumoccal meningitis.


VAERS ID: 325016 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Georgia  
Vaccinated:2008-09-04
Onset:2008-09-07
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2008-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B137AA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF488AA / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C35170 / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1620U / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-07
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Not available (?)
CDC Split Type:

Write-up: On SUN 9-7-08 pt passed away/diagnosed with S.I.D.S "most likely" no other info available at this time. 1/12/09 Autopsy report states COD as Sudden unexplained death in infancy. Manner of death undetermined. Report also states that patient found unresponsive on her side in crib by parent in AM. Patient had been fed & placed on side in crib approx 1.5 hrs prior to being found unresponsive. Parent reported cold s/s since vaccinations received on 9/4.


VAERS ID: 325271 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: California  
Vaccinated:2008-07-10
Onset:2008-07-12
   Days after vaccination:2
Submitted: 2008-09-15
   Days after onset:65
Entered: 2008-09-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B156DA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF402AB / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68310 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0018X / 1 MO / PO

Administered by: Public       Purchased by: Unknown
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-12
   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:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Details NA. 12/17/08-records received-Sudden death in a 2 month old child. Undetermined causes.


VAERS ID: 325385 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: California  
Vaccinated:2008-07-16
Onset:2008-07-29
   Days after vaccination:13
Submitted: 2008-09-17
   Days after onset:50
Entered: 2008-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B142AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF370AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C42993 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0975U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-07-29
   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:
Current Illness: Congestion due to fires in area that the child lived in
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: No adverse effects at the time of injection. But patient died of Sudden infant death syndrome at a later date 07/29/2008 9/22/08-autopsy report received;COD-Asphyxia due to overlay due to co-sleeping with older sibling and parents in same bed. Petechiae of eyes.


VAERS ID: 325648 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Oklahoma  
Vaccinated:2008-09-05
Onset:2008-09-08
   Days after vaccination:3
Submitted: 2008-09-19
   Days after onset:11
Entered: 2008-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B160BA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF232AD / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C80884 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0208X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-08
   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:
Current Illness:
Preexisting Conditions: Trans pos great Vess Noc 745.19
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None. Pt sch for autopsy 1/12/09 Autopsy report states COD as: dTGA s/p arterial switch 7/8/08; ventricular hypertrophy; extensive pericardial adhesions; mineralized foreign body w/giant cell reaction; para aortic nodule w/suture; trachea & distal mainstem bronchi discoloration w/frothy exudates. Report also states patient had history of transposition of great vessels comlicated by single intramural coronary arter. Autopsy revealed nodule located anterior to ascending aorta & posterior to right pulmonary artery. Histology revealed fragments of mineralized foreign body w/marked inflammatory response of corresponding foreign body giant cell reaction of uncertain significance. 12/23/08 Reviewed hospital medical records of 7/2-7/21/3008. FINAL DX: transposition of great vessels; maternal hx of herpes on Valtrex; PROM; arterial switch procedure 7/8/08; relative adrenal insufficiency resolved; suspected left clavicle fracture; s/p delayed sternal closure; relative lymphopenia resolved.


VAERS ID: 325680 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Louisiana  
Vaccinated:2008-09-17
Onset:0000-00-00
Submitted: 2008-09-18
Entered: 2008-09-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B167AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF488AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65929 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0143X / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-18
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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: LA080903

Write-up: Death 4/29/09 Autopsy Report states COD as sudden unexpected death in infancy (SIDS); & acute interstitial pneumonitis; & manner of death as natural. Report also states recently diagnosed w/heart murmur & had been born a preemie twin.


VAERS ID: 326199 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Texas  
Vaccinated:2008-09-19
Onset:2008-09-19
   Days after vaccination:0
Submitted: 2008-09-25
   Days after onset:6
Entered: 2008-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B160BA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF466AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C27701 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0923X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood culture negative, Cardio-respiratory arrest, Computerised tomogram abnormal, Culture urine negative, Lumbar puncture, Pyrexia
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-22
   Days after onset: 3
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: none, presented to ambulatory clinic for two month well child visit and immunizations.
Preexisting Conditions: Colpocelphaly, as well as abnormality on chromosome 16, ASD, and VSD
Allergies:
Diagnostic Lab Data: Negative blood culture, negative urine culture, head CT demonstrating colpocephaly.
CDC Split Type:

Write-up: Infant presented to emergency room with fever approximately 12 hours after vaccinations. Admitted and started on empiric antibiotics. Two days later, lumber puncture attempted with subsequent cardio-respiratory arrests. 4/7/09 Autopsy report states COD as complications of multiple congenital abnormalities & manner of death as natural. Report also states multiple congenital abnormalities of: normal pressure hydrocephalus; patent foramen ovale; VSD; mildly atretic right dominant coronary artery system. Also had UTI w/enterococcus faecalis, sepsis & lobar pneumonia. Tox screen neg.


VAERS ID: 326872 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Michigan  
Vaccinated:2008-08-26
Onset:2008-09-15
   Days after vaccination:20
Submitted: 2008-10-01
   Days after onset:16
Entered: 2008-10-02
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2958AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF493AA / 2 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0491 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C69205B / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0642X / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Autopsy, Electroencephalogram abnormal, Epilepsy, Nuclear magnetic resonance imaging brain normal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Generalised convulsive seizures following immunisation (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-09-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None known
Preexisting Conditions: Possible seizure disorder PMH: born @ 36 wks, c-section for breech presentation, perinatal hypoglycemia, tube feeding & NICU. Initially was underweight even for a preemie but steadily gained.
Allergies:
Diagnostic Lab Data: 7/1/08 - EEG - abnormal (focal epileptiform activity); 7/21/08 - MRI brain - normal LABS: MRI brain revealed possible mild delay in myelination which was thought to be WNL for a preemie.
CDC Split Type:

Write-up: Patient had likely seizure 8 days after 2 month imms that included DTaP, Hep B, PCV, Hib & rotavirus vaccines (on 6/20/08). Death possibly secondary to seizure, autopsy in progress. 11/07/08 Autopsy report states COD as sudden death & manner of death as undetermined. Report also states patient was in crib in supine position w/vomitus stains around head but no aspiration on autopsy. 10/21/08 Reviewed PCP medical records of 5/1-7/21/2008 including birth records & vaccination records. FINAL DX: Records reveal patient experienced seizure activity x 1 on 6/28/08 during sleep when stiffened & shook arms/legs, unresponsive w/eyes open & deviated. Episode lasted approx 1 min, then pt cried out, had bowel movement & went to sleep Tx w/diastat but not routine antiseizure meds unless had 2nd seizure. .


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