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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 5 out of 31

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VAERS ID: 551921 (history)  
Form: Version 1.0  
Age: 0.13  
Sex: Male  
Location: Maryland  
Vaccinated:2014-10-27
Onset:2014-10-28
   Days after vaccination:1
Submitted: 2014-11-05
   Days after onset:8
Entered: 2014-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS S232P5 / 3 LL / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER SUI062AEA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH SJ11484 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB452A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Death, Epistaxis, Inappropriate schedule of drug administration, Incorrect dose administered, Mouth haemorrhage, Resuscitation
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2014-10-28
   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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: US2014GSK016547

Write-up: This case was reported by a consumer and described the occurrence of death in a 6-week-old male patient who received PEDIARIX (batch number S232P5, expiry date 30th August 2016). Co-suspect products included PEDIARIX (batch number S232P5, expiry date 30th August 2016), PEDIARIX (batch number S232P5, expiry date 30th August 2016), PEDIARIX (batch number S232P5, expiry date 30th August 2016), ROTARIX (batch number A41CB452A, expiry date 31st January 2016) and Hib (batch number SUI062AEA, expiry date 10th October 2015). On 27th October 2014, the patient received the 1st dose of PEDIARIX (unknown) .5 ml, the 2nd dose of PEDIARIX (unknown) .5 ml, the 3rd dose of PEDIARIX (unknown) .5 ml, the 4th dose of PEDIARIX (unknown) .5 ml, the 1st dose of ROTARIX (oral) 1 ml and the 1st dose of Hib (unknown) .5 ml. On 27th October 2014, Not Applicable after receiving PEDIARIX, PEDIARIX, PEDIARIX and ROTARIX and an unknown time after receiving PEDIARIX, the patient experienced overdose, overdose and overdose. On 28th October 2014, the patient experienced death (serious criteria death and GSK medically significant), blood coming out from nose (serious criteria death) and blood coming out from mouth (serious criteria death). On 28th October 2014, the outcome of the death, blood coming out from nose and blood coming out from mouth were fatal. On an unknown date, the outcome of the overdose, overdose and overdose were unknown. The patient died on 28th October 2014. The reported cause of death was unknown cause of death. The reporter considered the death, blood coming out from nose and blood coming out from mouth to be almost certainly related to PEDIARIX, PEDIARIX, PEDIARIX, PEDIARIX and ROTARIX. Additional information received: The reporter was the patient''s maternal grandmother. She reported that her family had dual citizenship. Her daughter gave birth to the child in one country and was planning to return to another country on 30 October 2014. The doctor advised the mother to bring child for immunizations prior to the trip. The patient was growing very well, at 88% growth percentile for his weight and height with no medical concerns, he passed all the tests. The patient was administered all three PEDIARIX shots at the same time on 27 October 2014, in the afternoon, along with ROTARIX and the Sanofi Pasteur flu shot. The mother reported that the baby received 2 shots on his left leg and 2 shots on his right leg, but the doctor stated in his records that the baby got one shot on his left leg and the others in the right leg. The grandmother stated that her daughter returned home with the baby after the doctor visit and the baby slept. When he woke up, she fed him and then put him to bed around 12 midnight or 1am on 28 October 2014. When she woke up around 7 am he was already dead, with blood coming out of his nose and mouth. They called 911 and the baby''s mother tried to resuscitate him, then he was taken to hospital. At the hospital, the family was told he had been dead for a few hours and was formally pronounced death on 28 October 2014. The grandmother was willing to be contacted and the family will seek legal action because they felt the death was caused by the vaccines administered that day.


VAERS ID: 554767 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Female  
Location: Florida  
Vaccinated:2014-07-08
Onset:2014-07-08
   Days after vaccination:0
Submitted: 2014-11-20
   Days after onset:135
Entered: 2014-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ML507 / 3 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UI002AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH H08094 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AHFB420A / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Cerebral cyst, Childhood disintegrative disorder, Convulsion, Enzyme activity decreased, Irritability, Joint contracture, Muscle spasms, Nervous system disorder, Opisthotonus, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dystonia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None.
Current Illness: I felt she was a little more congested than normal. However Pediatrician said it is nothing to worry about.
Preexisting Conditions: None.
Allergies:
Diagnostic Lab Data: Activity of galactocerebrosidase is reduced.
CDC Split Type:

Write-up: No longer smiles or laughs. No longer can hold head up or try to sit up on her own. Clinching of the fist. Spasm/seizures. Extremely fussy. Hates being upright now. No longer can focus on things. Will not play with toys any more. Horrible arching of the back. Pushes her head back. Brain stopped growing at 4 months of age causing fontanelle to close. A few cysts on her brain.


VAERS ID: 570312 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Female  
Location: Georgia  
Vaccinated:2015-03-13
Onset:2015-03-14
   Days after vaccination:1
Submitted: 2015-03-16
   Days after onset:2
Entered: 2015-03-18
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4640AB / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH J75278 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB470A / 2 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2015-03-14
   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: POLY-VI-SOL; MYLICON gtts
Current Illness: None
Preexisting Conditions: Premature 33 wks; VSD; Anemia; Bilateral retinopathy; Periorbital edema; Cystic periventricular leukomalacia
Allergies:
Diagnostic Lab Data: None yet
CDC Split Type:

Write-up: None stated.


VAERS ID: 577427 (history)  
Form: Version 1.0  
Age: 0.26  
Sex: Female  
Location: Arkansas  
Vaccinated:2015-05-04
Onset:2015-05-05
   Days after vaccination:1
Submitted: 2015-05-08
   Days after onset:3
Entered: 2015-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS NM75A / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UI161AAB / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L13517 / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB466A / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Bed sharing, Death, Irritability
SMQs:, 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: 2015-05-05
   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: Prenatal diagnosis of Dandy-Walker Variant noted on U/S 1/22/2015; U/S Doppler of head results after birth- Prominent cisterna magnum at the vermis, otherwise normal.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: The infant received Pediarix, ActHIB, PCV13 and Rotarix on 5/4/2015 at 3:35pm. No immediate issues post-vaccination in the clinic. The infant was found deceased the next morning, 5/5/2015. The coroner reported onset of rigor mortis upon arrival to pick infant up and approximate time of death 4-6 hours previously. The infant was sent to the Medical Examiner for autotopsy. The parents reported the infant had mild irritability/fussiness about 72 hours prior to death but no fever, diarrhea, oral intolerance, flaccidity or seizures. No history of seizures. The autopsy was essentially normal with no findings that would explain an acute death. The Medical Examiner did report that the child was co-sleeping between the two parents with heavy adult sized bedding.


VAERS ID: 583976 (history)  
Form: Version 1.0  
Age: 0.37  
Sex: Female  
Location: West Virginia  
Vaccinated:2015-06-26
Onset:2015-06-28
   Days after vaccination:2
Submitted: 2015-06-30
   Days after onset:2
Entered: 2015-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 525T3 / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. K025004 / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L33881 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB466A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Gastrointestinal necrosis, Intensive care, Ischaemia, Laparotomy, Necrosis ischaemic, Resuscitation, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ischaemic colitis (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2015-07-05
   Days after onset: 7
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Found unresponsive in crib on 6/28/15. 20 min of CPR in ER before rhythm obtained in emergency room. Admitted to PICU. Necrosis of bowel due to ischemia. In Silo after laparotomy. Prognosis currently poor.


VAERS ID: 586425 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Male  
Location: Louisiana  
Vaccinated:2015-07-07
Onset:2015-07-09
   Days after vaccination:2
Submitted: 2015-07-20
   Days after onset:11
Entered: 2015-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS Y33F2 / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. L004738 / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L62074 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB458A / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Death, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2015-07-10
   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:
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Slight fever on Thursday night. Friday put to sleep on stomach for 2 hours and mother found him deceased.


VAERS ID: 619790 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Male  
Location: Louisiana  
Vaccinated:2015-02-13
Onset:2015-02-17
   Days after vaccination:4
Submitted: 2016-01-19
   Days after onset:336
Entered: 2016-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS KG34F / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UI166AA / 2 RA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH J80526 / 2 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB508A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Diarrhoea, Irritability, Swelling, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2015-02-19
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zantac, Hyland Teething tablets
Current Illness: None
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Swollen, fussy, vomiting, diarrhea.


VAERS ID: 621689 (history)  
Form: Version 1.0  
Age: 0.29  
Sex: Male  
Location: Ohio  
Vaccinated:2016-01-02
Onset:0000-00-00
Submitted: 2016-02-03
Entered: 2016-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4814AA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. L010595 / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L77778 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB524A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2016-01-02
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: We called to schedule next set of shots and were informed that patient has died.


VAERS ID: 628086 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Unknown  
Vaccinated:2016-03-08
Onset:2016-03-12
   Days after vaccination:4
Submitted: 2016-03-18
   Days after onset:5
Entered: 2016-03-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS J5TZ7 / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UI413AA / 1 LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH M16259 / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB526A / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2016-03-12
   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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: US2016037101

Write-up: This case was reported by a physician via sales rep and described the occurrence of unknown cause of death in a 2-month-old patient who received PEDIARIX. Co-suspect products included ROTARIX and PREVNAR. On an unknown date, the patient received PEDIARIX at an unknown dose, ROTARIX at an unknown dose and PREVNAR. On 12th March 2016, an unknown time after receiving PEDIARIX and ROTARIX, the patient experienced unknown cause of death (serious criteria death and GSK medically significant). On an unknown date, the outcome of the unknown cause of death was fatal. The patient died on 12th March 2016. The reported cause of death was unknown cause of death. It was unknown if the reporter considered the unknown cause of death to be related to PEDIARIX and ROTARIX. Additional details were received as follows: The reporter stated that, after receiving previous vaccinations with PEDIARIX, ROTARIX and PREVENAR 13, the patient died.


VAERS ID: 632241 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: New Jersey  
Vaccinated:2016-04-13
Onset:2016-04-14
   Days after vaccination:1
Submitted: 2016-04-20
   Days after onset:6
Entered: 2016-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4915AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH M60991 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB537A / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2016-04-14
   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: None
Preexisting Conditions: Ex-premie at 27 weeks gestation
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Apnea.


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