National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

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

Found 498 cases where Vaccine is RV5 and Patient Died

Government Disclaimer on use of this data



Case Details

This is page 2 out of 50

Result pages: prev   1 2 3 4 5 6 7 8 9 10 11   next


VAERS ID: 269005 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Virginia  
Vaccinated:2006-12-04
Onset:2006-12-09
   Days after vaccination:5
Submitted: 2006-12-13
   Days after onset:4
Entered: 2006-12-18
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2627AA / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08649A / 1 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2006-12-09
   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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client received Daptacel, Prevnar, and Rotateq on 12/04/06. Twin brother received same shots on the same day. They did not have any adverse symptoms after few days. On 12/19/06, mom fed them at 5am, went to bed, then found them dead at 9:00 am. 6/29/07 Received Autopsy Report which reveals COD as Undetermined & contributing condition as simultaneous death of twin brother & tracheitis & bronchitis. Pathological Dx: I. Sudden unexpected infant death A. Twin A infant male found unresponsive in crib on stomach B. Vitreous electrolytes, abnormal, w/decreased Na & increased Cl, urea nitrogen, calcium, carbon dioxide C. Brain, congestion and neuronal heterotopis, mild D. Tracheitis & bronchitis, chronic, mild to mod sever. II. Ancillary studies, other, non-contributory III. Simultaneous death of twin brother IV. Fractures, ribs, anterior & lateral, w/minimal hemorrhage.


VAERS ID: 269028 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: South Carolina  
Vaccinated:2006-12-07
Onset:2006-12-17
   Days after vaccination:10
Submitted: 2006-12-18
   Days after onset:1
Entered: 2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079AA / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0402F / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08672B / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0777F / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2006-12-17
   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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt deceased 12/17/2006.


VAERS ID: 271451 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Male  
Location: Texas  
Vaccinated:2007-01-10
Onset:2007-01-11
   Days after vaccination:1
Submitted: 2007-01-29
   Days after onset:18
Entered: 2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079AA / UNK RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE990AA / UNK LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682 / UNK LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / UNK MO / PO

Administered by: Other       Purchased by: Public
Symptoms: Autopsy
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-01-11
   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: Cough
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Medical Examiner autopsy.
CDC Split Type: WAES0701USA0482

Write-up: Hospital Infection Control/Risk Management Nurse called clinic to advise patient died in ER and parents think the shots were the cause. Body was sent to Medical Examiner. 3/15/07 Received autopsy Report which reveals COD as SIDS while cosleeping w/adults. Manner of death is undetermined.


VAERS ID: 271798 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Georgia  
Vaccinated:2007-01-10
Onset:2007-01-13
   Days after vaccination:3
Submitted: 2007-01-31
   Days after onset:18
Entered: 2007-02-06
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1965BA / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0268F / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1032 / 1 LA / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08658F / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-01-13
   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: Dead on Arrival at ER. 2/8/07 Received Autopsy Report which reveals COD as SIDS. Patient was found in prone position on sofa where she slept w/adult so overlay could not be excluded.


VAERS ID: 272141 (history)  
Form: Version 1.0  
Age: 0.31  
Sex: Male  
Location: New Hampshire  
Vaccinated:2007-01-18
Onset:2007-01-25
   Days after vaccination:7
Submitted: 2007-02-12
   Days after onset:18
Entered: 2007-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B084BA / 2 LL / IM
HIBV: HIB (HIBERIX) / GLAXOSMITHKLINE BIOLOGICALS UF025AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08691B / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0577F / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-01-25
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: None known~ ()~~0.00~Patient|None known~ ()~~0.00~Sibling
Other Medications: None known
Current Illness: None known
Preexisting Conditions: Mild hydrocephalus
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Child found dead in crib 7 days after receiving vaccines. Parents report no symptom prior to death. 3/22/07 Received Autopsy Report which reveals COD as SIDS. Manner of death as natural. Findings at autopsy: moderate hydrocephalus & aqueductal stenosis.


VAERS ID: 272228 (history)  
Form: Version 1.0  
Age: 0.18  
Sex: Male  
Location: California  
Vaccinated:2007-02-13
Onset:2007-02-14
   Days after vaccination:1
Submitted: 2007-02-14
   Days after onset:0
Entered: 2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2650AA / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0757F / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0240 / 1 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B36258A / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0146P / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-02-14
   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: Pt had hydrocephalus at birth
Preexisting Conditions: As noted in 18
Allergies:
Diagnostic Lab Data: Autopsy is planned
CDC Split Type:

Write-up: Pt was found dead of unknown cause the morning after immuns were given. Child was sleeping in bed with mom. 4/20/07 Received Autopsy Report which reveals COD as asphyxia, cannot exclude parental overlay. Patient found face doen position after co-sleeping w/parents. Final dx also included dilation of left renal pelvis.


VAERS ID: 272363 (history)  
Form: Version 1.0  
Age: 0.15  
Sex: Female  
Location: Ohio  
Vaccinated:2006-11-28
Onset:2006-12-09
   Days after vaccination:11
Submitted: 2007-02-15
   Days after onset:68
Entered: 2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B064AA / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0719R / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08672F / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0577F / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Gastrointestinal necrosis, Septic shock
SMQs:, Toxic-septic shock conditions (narrow), Ischaemic colitis (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2006-12-09
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synagis 11/21/06, poly-vi-sol with iron, prophylactic amoxicillin
Current Illness: ,
Preexisting Conditions: prematurity, non surgical necrotizing enterocolitis, bilateralhydronephrosis, hx of Klebsiella UTI and sepsis, omphalocele (unrepaired, ambiguous genitalia PMH: 33 wk preemie, birth wt 2 lbs 15 oz. Omphalocele, necrotizing enterocolitis, PDA, bilat hydronephrosis, recurrent UTIs, Klebsiella sepsis, ambiguous genitalia. In NICU for 50 days, d/c to home on 11/22/06 w/home health nurses. Pregnancy complicated by HTN, IDDM & asthma in mother.
Allergies:
Diagnostic Lab Data: LABS: initial ABG revealed pH 6.77, pCO2 72. K 7.1. Severe anemia.
CDC Split Type: WAES0702USA03738

Write-up: Pt with history of prematurity, non surgical necrotizing enterocoloitis and omphalocele. Recieved routine 2 month immunizations - Pediarx, Hib, Prevnar and Rotateq on 11/28/06. On 12/9/06 presented to ER isseptic shock secondary to necrotic bowel. Patient dies. 2/16/07 Received medical records from reporter/provider which reveal patient was in usual state of health on day of vax. Complicated PMH, see below. Seen next on 12/5 for parental concern re pallor. Afebrile, fussy, + weight gain, abdomen was mildly tympanic but soft w/+BS. Return for vs on 12/7 & parents reported patient had improved at home, no further pallor episodes. temp stable, good appetite, no vomiting. Had seen peds surgeon that day for f/u on omphalocele. Next scheduled visit was for 12/21. 2/16/07 Received Death Summary & Autopsy Report from reporter/provider which reveals on 12/9/06 patient experienced pallor, spitting up since afternoon of admit, fussy, irritable. Exam in ER revealed rectal temp of 91.7, mottled skin, shallow breathing & in acute distress. Had extremely rigid abdomen w/no bowel sounds. Developed cardiac arrhythmias & seizures. Transfused w/PRBCs. Then omphalocele ruptured & had significant bleeding, continuing arrhythmias & finally asystole with unsuccessful resuscitation effort. Autopsy Report reveals probable COD is multisystem organ failure from septic shock secondary to ischemic small intestine within an unresolved omphalocele.


VAERS ID: 272859 (history)  
Form: Version 1.0  
Age: 0.47  
Sex: Male  
Location: Arizona  
Vaccinated:2007-02-21
Onset:2007-02-21
   Days after vaccination:0
Submitted: 2007-02-21
   Days after onset:0
Entered: 2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B074AA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0403F / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08675H / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0600F / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-02-21
   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:
Current Illness: None
Preexisting Conditions: infant of diabetic mother, other minor conditions (neonatal jaundice, sinusitis) resolved in timely fashion.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Was in apparently vigorous good health and died suddenly within a few hours after leaving clinic visit at which immunizations were administered. 4/13/07 Received autopsy report which reveals COD as SIDS as manner of death as undetermined.


VAERS ID: 272947 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Massachusetts  
Vaccinated:2007-01-11
Onset:2007-02-01
   Days after vaccination:21
Submitted: 2007-02-22
   Days after onset:21
Entered: 2007-02-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC2180744A / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF00AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08B25A / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1116F / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Death, Volvulus
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2007-02-01
   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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03153

Write-up: Information has been received from a physician concerning a 3 month old female who, "five weeks ago," on approximately 11-JAN-2007, was vaccinated with a first 2ml oral dose of ROTATEQ. In the "first week of February," on approximately 01-FEB-2007, the patient died of volvulus. At the time of the report the physician was still awaiting the autopsy report. Unspecified medical attention was sought. No product quality complaint was involved. The patient''s experience was considered to be immediately life-threatening by the reporter. Additional information is not expected. 2/27/07 Received t/c from ME office with prelim COD: 1. Infarct of a major portion of the small intestine. 2. Obstruction by congenital fibrous band. Manner of death was natural. 6/5/07 Received Autopsy Report which reveals COD as infarct, major part of small intestine due to congenital obstructing fibrous band, 28 cm distal to the pylorus and 3 cm proximal to the ileocecal valve; and transmural hemorrhagic ischemis changes throughout the obstructed small bowel. 7/10/07-vac rec received.


VAERS ID: 273879 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Tennessee  
Vaccinated:2007-02-06
Onset:2007-02-14
   Days after vaccination:8
Submitted: 2007-03-02
   Days after onset:16
Entered: 2007-03-13
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B070AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE992AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08691H / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1113F / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure, Brain death, Cyanosis, Death, Infection, Life support, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-02-14
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Infant found in crib not breathing and cyanotic, parent began CPR and call 911. Child placed on life support and later declared brain dead. Taken off life support and pronounced dead. Child treated with various medication for infection , blood pressure. 7/20/07 Received Autopsy Report which reveals COD as unexplained sudden death; ischemic brain injury & diffuse cerebral edema; coagulopathy; metabolic acidosis; & stool positive for rotavirus (possible false (+) secondary to vax 5 days prior. Patient had undergone organ retrieval & autopsy was limited to lungs, uterus, ovaries, trachea, esophagus, distal colon & brain.


Result pages: prev   1 2 3 4 5 6 7 8 9 10 11   next

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=2&VAX=RV5&DIED=Yes


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166