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From the 1/7/2022 release of VAERS data:

Found 301 cases where Vaccine is RV1 and Patient Died

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Case Details

This is page 2 out of 31

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VAERS ID: 388096 (history)  
Form: Version 1.0  
Age: 0.23  
Sex: Female  
Location: Rhode Island  
Vaccinated:2010-01-25
Onset:2010-02-25
   Days after vaccination:31
Submitted: 2010-05-18
   Days after onset:81
Entered: 2010-05-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B210BA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR OF740AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D84741 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB036A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Autopsy, Culture urine negative, Death, Meningitis pneumococcal, Pneumococcal sepsis, Pyuria
SMQs:, Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-02-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: The patient''s concurrent illness includes premature baby (born at 29 weeks gestation).
Preexisting Conditions: The patient has a past history of staphylococcal infection (possible while in the nursery).
Allergies:
Diagnostic Lab Data: Culture (results: Streptococcus pneumoniae) and culture urine (results: negative) were done in Feb-2010.
CDC Split Type: USWYEH15078510

Write-up: Information regarding PREVNAR was received from an emergency room physician regarding a 3-month-old (114 day-old) female patient who experienced pyuria, Streptococcus pneumoniae meningitis and Streptococcus pneumoniae sepsis and died. The patient received a dose on 25-Jan-2010. On an unknown date in Feb-2010, the patient experienced pyuria and was empirically placed on an unknown antibiotic thought to be either KEFLEX or OMNICEF. On an unknown date in Feb-2010 the urine culture was negative. On 25-Feb-2010 the child was transported to the emergency room where she died due to Streptococcus pneumoniae meningitis and Streptococcus pneumoniae sepsis. The patient was not hospitalized. The cause of death was reported as meningitis pneumococcal and pneumococcal sepsis and the autopsy cause of death was meningitis pneumococcal and pneumococcal sepsis. The serotype of the pneumococcal bacteria was not identified. No additional information was available at the time of this report.


VAERS ID: 390137 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Florida  
Vaccinated:2010-03-11
Onset:2010-03-17
   Days after vaccination:6
Submitted: 2010-06-07
   Days after onset:82
Entered: 2010-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR - / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS - / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-03-17
   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 Known
Preexisting Conditions: None Known
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SIDS


VAERS ID: 409831 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: Indiana  
Vaccinated:2010-11-01
Onset:2010-11-02
   Days after vaccination:1
Submitted: 2010-11-11
   Days after onset:9
Entered: 2010-11-23
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR 3C665AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914275 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB058A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Apnoea, Death
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-11-02
   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: SYNAGIS IM
Current Illness:
Preexisting Conditions: 31 week preemie; Hx nec; s/p surgery nec pt with ostomy
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was a 31 week preemie with hx of NEC D/C from NICU 3 weeks prior to event. He was on O2 NC; ostomy bag; NG feeds on AB monitor 24 hours after vaccination Pt became apneic at home and was pronounced dead at local ER.


VAERS ID: 413980 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Male  
Location: Louisiana  
Vaccinated:2010-12-16
Onset:2010-12-17
   Days after vaccination:1
Submitted: 2011-01-03
   Days after onset:17
Entered: 2011-01-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3739AA / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 915065 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB096A / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Autopsy, Cardiac arrest, Death, Irritability
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2010-12-17
   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: s/p repair of duodenal perforation
Allergies:
Diagnostic Lab Data: autopsy - grossly normal
CDC Split Type:

Write-up: Became fussy with feeds 24 hours after vaccines given then went into cardiac arrest.


VAERS ID: 414719 (history)  
Form: Version 1.0  
Age: 0.15  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2011-01-11
Onset:2011-01-12
   Days after vaccination:1
Submitted: 2011-01-14
   Days after onset:2
Entered: 2011-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3582AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0657Z / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 914515 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB110A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Irritability, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-01-13
   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: DIGOXIN; ASA; LASIX; POLYVISOL w/Iron
Current Illness: fussy per parents day before vaccines
Preexisting Conditions: Double outlet right ventricle; mitral atresia; pulmonary atresia; s/p aortopulmonary shunt 11/19/2010
Allergies:
Diagnostic Lab Data: Not available
CDC Split Type:

Write-up: Day after vaccines pt. sleepy, fussy. Two days after vaccines pt died.


VAERS ID: 439567 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Texas  
Vaccinated:2011-10-20
Onset:2011-10-21
   Days after vaccination:1
Submitted: 2011-10-21
   Days after onset:0
Entered: 2011-10-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B305AA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH344AA / 1 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 91660 / 1 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA902A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-10-21
   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: 35 weeks
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Baby expired around 6AM on 10-21-11 as per the grandmother''s call to the office at 0900 (approx).


VAERS ID: 442054 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Missouri  
Vaccinated:2011-10-17
Onset:2011-10-18
   Days after vaccination:1
Submitted: 2011-11-10
   Days after onset:23
Entered: 2011-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B285EA / 1 LL / IJ
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH321AA / 1 RL / IJ
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 916972 / 1 RL / IJ
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS 41CB098A / 1 MO / PO

Administered by: Military       Purchased by: Military
Symptoms: Crying, Cyanosis, Death, Musculoskeletal stiffness, Peripheral coldness, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-10-18
   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: No illness at the time. Patient was crying after his shots, that was the only reaction he showed. No fevers all day. He went to sleep at his normal time. Woke up around 0230 am and my husband rocked him back to sleep. When my husband went to wake patient up, patient wasn''t breathing, he was blue in the lips and cold and stiff. He was pronounced dead at 0604 am on 10/18/2011.
Preexisting Conditions: n/a
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death


VAERS ID: 448347 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: Indiana  
Vaccinated:2012-01-26
Onset:2012-01-29
   Days after vaccination:3
Submitted: 2012-01-30
   Days after onset:1
Entered: 2012-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3892BA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0894AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F56177 / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB200A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Death, Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-01-29
   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: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received report from hospital that patient had died from SIDS.


VAERS ID: 450719 (history)  
Form: Version 1.0  
Age: 0.22  
Sex: Male  
Location: Minnesota  
Vaccinated:2012-01-30
Onset:2012-02-06
   Days after vaccination:7
Submitted: 2012-02-17
   Days after onset:11
Entered: 2012-02-28
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B323AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH524AA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F65442 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41A213A / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Cyanosis, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-02-06
   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: Ear infection and Bronchiolitis 1/16/12
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient at daycare, took nap at 12 Noon still sleeping at 2pm; found blue and unresponsive at 3pm.


VAERS ID: 454855 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Male  
Location: California  
Vaccinated:2012-04-30
Onset:2012-05-01
   Days after vaccination:1
Submitted: 2012-05-02
   Days after onset:1
Entered: 2012-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B329AB / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH561AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F92472 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB214A / 2 MO / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2012-05-01
   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: No illness at time of vaccination.
Preexisting Conditions: No pre-existing Physician-Diagnosed Allergies, Birth Defects, or Medical conditions at time of vaccination.
Allergies:
Diagnostic Lab Data: Under investigation
CDC Split Type:

Write-up: Unknown, coroner suspected SIDS.


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