Found 167 events where Vaccine is ROTHB5 and Patient Died

VAERS ID: 262780   Vaccinated: 2006-09-06 Age: 0.2   Onset: 2006-09-08, Days after vaccination: 2 Gender: Male   Submitted: 2006-09-09, Days after onset: 1 Location: Kansas   Entered: 2006-09-09, Days after submission: 0	Life Threatening Illness? No Died? Yes    Date died: 2006-09-08    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: None Diagnostic Lab Data: CBC performed on 08/30/2006 prior to vaccination showed WBC 8.83, Hgb 9.1, Hct 25.4, platelets 321K. Glucose during Previous Vaccinations: Other Medications: Infant multivitamin liquid with iron Preexisting Conditions: Prematurity- 32 weeks gestation Twin B Breech vaginal delivery Apnea of prematurity Anemia of prematurity CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP AVENTIS PASTEUR C2649AA 0 IM LL HBHEPB MERCK & CO. INC. 0237F 0 IM LL IPV AVENTIS PASTEUR Y1031 0 IM RL PNC LEDERLE LABORATORIES B08683E 0 IM RL ROTHB5 MERCK & CO. INC. 0578F 0 PO
Administered by: Unknown     Purchased by: Unknown Symptoms: Apnoea Write-up: Child was found apneic in his crib. EMS was contacted. Mother performed CPR. Child was pulseless when EMS arrived. Upon arrival to local hospital, child was asystolic with no response to chemical resuscitation.
VAERS ID: 263520   Vaccinated: 2006-08-31 Age: 0.1   Onset: 2006-09-05, Days after vaccination: 5 Gender: Male   Submitted: 2006-09-25, Days after onset: 20 Location: South Carolina   Entered: 2006-09-25, Days after submission: 0	Life Threatening Illness? Yes Died? Yes    Date died: 2006-10-08    Days after onset: 3 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Fever of Unknown Origin Diagnostic Lab Data: CBC and lumbar puncture done in office. Cerebral spinal fluid brought to hospital by family. CBC, BMP, and blood cultures ordered when arrival to pediatric unit. Previous Vaccinations: Other Medications: none Preexisting Conditions: none CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS ac21b047ba 0 IM LL HIBV SANOFI PASTEUR uf011aa 0 IM LL PNC WYETH PHARMACEUTICALS, INC b08655aa 0 IM RL ROTHB5 MERCK & CO. INC. 0139f 0 PO
Administered by: Unknown     Purchased by: Unknown Symptoms: Pyrexia Write-up: Received 2 month shots on 8/31/06: Pediarix, Prevnar, Acthib, and Rotateq. Office visit on 9/5/06 presenting with fever of unknown origin. Family stated fever as high as 102.3 rectally. At time of visit temp was 100.3 rectally post tylenol. LP and CBC performed in office. Admitted to Hospital. 10/13/06 Received D/C Summary from hospital which reveals the primary Dx as meningitis, cardiac arrest & seizures. Patient had neurologic devastation s/p cardiac arrest, family requested palliative care & comfort measures. Patient expired on 10/8/06
VAERS ID: 263554   Vaccinated: 0000-00-00 Age: 0.2   Onset: 2006-08-31 Gender:    Submitted: 2006-09-22, Days after onset: 8 Location: West Virginia   Entered: 2006-09-26, Days after submission: 4	Life Threatening Illness? Yes Died? Yes    Date died: 2006-08-31    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? Yes, 0 days     Extended hospital stay? No Current Illness: Diagnostic Lab Data: Stool rotavirus antigen 08/31/06 positive for rotavirus. Previous Vaccinations: Other Medications: UNK Preexisting Conditions: CDC 'Split Type': WAES0609USA03169
Vaccination Manufacturer Lot Dose Route Site ROTHB5 MERCK & CO. INC.   0 PO
Administered by: Other     Purchased by: Other Symptoms: Respiratory distress, Viral infection Write-up: Information has been received from a physician concerning a 2-3 month old pt who in 2006 was vaccinated PO with the first 2.0 ml dose of Rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human Bovine). the physician reported that on approximately 8/31/06, the pt was hospitalized in the ICU with respiratory distress and died. The physician also reported that the pt had tested positive for rotavirus. The physician also considered respiratory distress and rotavirus to be life threatening. The reporting physician, via a follow up telephone call, indicated that she was not the pts physician and did not have any additional information to provided. She did not have the pts name as this was reported to her second hand by and employee at a children's hospital. No further information is available.
VAERS ID: 263568   Vaccinated: 2006-09-12 Age: 0.3   Onset: 2006-09-21, Days after vaccination: 9 Gender: Female   Submitted: 2006-09-21, Days after onset: 0 Location: North Carolina   Entered: 2006-09-26, Days after submission: 5	Life Threatening Illness? No Died? Yes    Date died: 2006-09-21    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: CDC 'Split Type': NC06086
Vaccination Manufacturer Lot Dose Route Site ROTHB5 MERCK & CO. INC. 0139F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Sudden infant death syndrome Write-up: Death occurred at night in home, unwitnessed, possible SIDS, previously healthy with mild CER, autopsy performed, genetics involved second to strong family history of developmental delay and psychiatric d/o. Pt in phase III clinical trial of HibMency, received vaccine 8/9/06
VAERS ID: 264995   Vaccinated: 2006-09-20 Age: 0.1   Onset: 2006-10-13, Days after vaccination: 23 Gender: Male   Submitted: 2006-10-17, Days after onset: 4 Location: New York   Entered: 2006-10-20, Days after submission: 3	Life Threatening Illness? No Died? Yes    Date died: 2006-10-13    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP AVENTIS PASTEUR     IM UN HBHEPB MERCK & CO. INC.   1 IM UN IPV AVENTIS PASTEUR     SC UN PNC LEDERLE LABORATORIES     IM UN ROTHB5 MERCK & CO. INC. 0847F   PO
Administered by: Private     Purchased by: Private Symptoms: Coma, Sudden infant death syndrome Write-up: Apparent sudden infant death syndrome, fed normally at 1am, found unresponsive at 5:30am.
VAERS ID: 265462   Vaccinated: 2006-10-02 Age: 0.1   Onset: 2006-10-02, Days after vaccination: 0 Gender: Female   Submitted: 2006-10-19, Days after onset: 17 Location: Washington   Entered: 2006-10-27, Days after submission: 8	Life Threatening Illness? No Died? Yes    Date died: 2006-10-04    Days after onset: 2 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: Born premature 3 weeks 1 day early and low birth weight. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP UNKNOWN MANUFACTURER   0     HEP UNKNOWN MANUFACTURER   1     HIBV UNKNOWN MANUFACTURER   0     IPV UNKNOWN MANUFACTURER   0     PNC LEDERLE LABORATORIES   0     ROTHB5 MERCK & CO. INC.   0 PO
Administered by: Private     Purchased by: Other Symptoms: Coma, Fatigue, Irritability Write-up: After administering vaccines child became very fussy and over tired, would not wake to eat and passed away a little over a day later. Autopsy could not say that vaccines did not play role in death.
VAERS ID: 266239   Vaccinated: 2006-10-17 Age: 0.2   Onset: 0000-00-00 Gender: Male   Submitted: 2006-11-07 Location: California   Entered: 2006-11-08, Days after submission: 1	Life Threatening Illness? No Died? Yes    Date died: 2006-10-23 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: Birth HX: Birth: 8 lbs, 12 oz, ht 21, head circ 16. Noted to have a rash on initial exam. Dx Infant dermatitis & treated. OB/GYN of mother records from pcp reveals Mom was 23yo, g4, p2 with PMH of gonorrhea & chlamydia, HSV I & II, Grp B strep. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B065AA 0 IM RL HIBV SANOFI PASTEUR UE009AB 0 IM RL PNC WYETH PHARMACEUTICALS, INC B08653R 0 IM LL ROTHB5 MERCK & CO. INC. 0776F 0 PO
Administered by: Other     Purchased by: Other Symptoms: Dehydration, Diarrhoea, Gastroenteritis, Maternal condition affecting foetus, Vomiting Write-up: On call doctor was called on 10/23/06 that the pt was brought to ER (hospital) and pt was dead already. History of diarrhea and vomiting. 11/14/06 Received medical records from PCP including med record from OB/GYN of mother which reveals Mom was 23yo, g4, p2 with PMH of gonorrhea & chlamydia, HSV I & II, Grp B strep. Developed thrush on 8/25/06 visit & treated. On 10/17 date of vax visit weight was 12 lbs 9 oz, length 23, head 15.5. Child was noted to be healthy at that time. 6/12/07 Received autopsy report which reveals COD as dehydration due to gastroenteritis & manner of death as natural. Dehydration from severe diarrhea was contributing factor. Parent reported patient had been vomiting along w/diarrhea since 10/21 (received vaccines on 10/17). Parent also admitted to use of drugs (crank) up until her 5th month of pregnancy when prenatal care began. Parent reported that allergy to formula may have been contributory as patient was on his 3rd type of formula. Coroner investigation reveals no milk allergy was reported in pcp medical records.
VAERS ID: 267630   Vaccinated: 2006-10-20 Age: 0.2   Onset: 2006-10-21, Days after vaccination: 1 Gender: Female   Submitted: 2006-11-16, Days after onset: 4 Location: New Hampshire   Entered: 2006-11-22, Days after submission: 6	Life Threatening Illness? Yes Died? Yes    Date died: 2006-10-21    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: UNK Preexisting Conditions: CDC 'Split Type': WAES0611USA02595
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B070AA 0 IM RL HIBV SANOFI PASTEUR UE932AA 0 IM LL PNC WYETH PHARMACEUTICALS, INC B086918 0 IM LA ROTHB5 MERCK & CO. INC. 0577F 0 PO
Administered by: Other     Purchased by: Other Symptoms: Abnormal sleep-related event, Sudden infant death syndrome Write-up: Information has been received from a physician concerning a 2 month old female who was vaccinated with a 2ml dose of Rotavirus vaccine. On the next day, the pt died. The physician stated that the infant received all of her vaccines on time and wad in perfect health. The medical examiner ruled the cause of death as sudden infant death syndrome. Unspecified medical attention was sought. No product quality complaint was involved. NO other information was provided. The reporter considered the pts reaction to be immediately life threatening. Additional information has been requested. 12/28/06 Received autopsy report which reveals COD as Category II SIDS, cosleeping with parents in adult bed. Manner of death undetermined.
VAERS ID: 268705   Vaccinated: 2006-12-04 Age: 0.2   Onset: 2006-12-05, Days after vaccination: 1 Gender: Male   Submitted: 2006-12-06, Days after onset: 1 Location: Pennsylvania   Entered: 2006-12-12, Days after submission: 6	Life Threatening Illness? No Died? Yes    Date died: 2006-12-05    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21b069AA 0   LL HIBV MERCK & CO. INC. 0276F 0   RL PNC LEDERLE LABORATORIES B08672D 0   RL ROTHB5 MERCK & CO. INC. 0726F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Coma, Sudden infant death syndrome Write-up: Patient was put to bed normally on 12/04/06. Parents woke 12/5 a.m. to find baby unresponsive, pronounced dead at the scene. Medical examiner preliminary report- suspected SIDS. 3/15/07 Received Autopsy Report which reveals COD as Sudden Unexplained Infant Death Syndrome.
VAERS ID: 269004   Vaccinated: 2006-12-04 Age: 0.2   Onset: 2006-12-09, Days after vaccination: 5 Gender: Male   Submitted: 2006-12-13, Days after onset: 4 Location: Virginia   Entered: 2006-12-18, Days after submission: 5	Life Threatening Illness? No Died? Yes    Date died: 2006-12-09    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP SANOFI PASTEUR C2627AA 0   LL PNC WYETH PHARMACEUTICALS, INC B08649A 0   RL ROTHB5 MERCK & CO. INC. 0389F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Brain oedema, Death of relative, Laboratory test abnormal, Paracentesis eye abnormal, Rib fracture, Strabismus, Sudden infant death syndrome, Unresponsive to stimuli Write-up: Pt received Daptacel, Prevnar and Rotateq on 12/04/2006. Also his twin brother received at the same time. Did not have any SX. On 12/09/06 mom fed them at 5am and found them dead at 9:00 am. 6/29/07 Received Autopsy Report which reveals COD as Undetermined & contributing condition simultaneous death of twin brother. Pathological Dx: I. Sudden unexpected infant death A. Twin B 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 & edema, neuronal heterotopia & insular micro-dysgenesis, mild focal. II. Ancillary studies, other, non-contributory. III. Simultaneous death of twin brother IV. Fractures, ribs, anterior & lateral, w/minimal hemorrhage.
VAERS ID: 269005   Vaccinated: 2006-12-04 Age: 0.2   Onset: 2006-12-09, Days after vaccination: 5 Gender: Male   Submitted: 2006-12-13, Days after onset: 4 Location: Virginia   Entered: 2006-12-18, Days after submission: 5	Life Threatening Illness? No Died? Yes    Date died: 2006-12-09    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP SANOFI PASTEUR C2627AA 0   LL PNC WYETH PHARMACEUTICALS, INC B08649A 0   RL ROTHB5 MERCK & CO. INC. 0389F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Brain oedema, Bronchitis chronic, Death of relative, Laboratory test abnormal, Paracentesis eye abnormal, Rib fracture, Strabismus, Sudden infant death syndrome, Tracheitis, Unresponsive to stimuli 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   Vaccinated: 2006-12-07 Age: 0.2   Onset: 2006-12-17, Days after vaccination: 10 Gender: Male   Submitted: 2006-12-18, Days after onset: 1 Location: South Carolina   Entered: 2006-12-18, Days after submission: 0	Life Threatening Illness? No Died? Yes    Date died: 2006-12-17    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B079AA 0 IM RL HIBV MERCK & CO. INC. 0402F 0 IM LL PNC LEDERLE LABORATORIES B08672B 0 IM LL ROTHB5 MERCK & CO. INC. 0777F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Unevaluable event Write-up: Pt deceased 12/17/2006.
VAERS ID: 271451   Vaccinated: 2007-01-10 Age: 0.2   Onset: 2007-01-11, Days after vaccination: 1 Gender: Male   Submitted: 2007-01-29, Days after onset: 18 Location: Texas   Entered: 2007-01-29, Days after submission: 0	Life Threatening Illness? No Died? Yes    Date died: 2007-01-11    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Cough Diagnostic Lab Data: Medical Examiner autopsy. Previous Vaccinations: Other Medications: Preexisting Conditions: CDC 'Split Type': WAES0701USA0482
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B079AA     RL HIBV SANOFI PASTEUR UE990AA     LL PNC WYETH PHARMACEUTICALS, INC B08682     LL ROTHB5 MERCK & CO. INC. 0139F   PO
Administered by: Other     Purchased by: Public Symptoms: Autopsy, Sleep disorder, Sudden infant death syndrome 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   Vaccinated: 2007-01-10 Age: 0.2   Onset: 2007-01-13, Days after vaccination: 3 Gender: Female   Submitted: 2007-01-31, Days after onset: 18 Location: Georga   Entered: 2007-02-06, Days after submission: 24	Life Threatening Illness? No Died? Yes    Date died: 2007-01-13    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: NONE Diagnostic Lab Data: Previous Vaccinations: Other Medications: NONE Preexisting Conditions: NONE CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP SANOFI PASTEUR U1965BA 0 IM LL HBHEPB MERCK & CO. INC. 0268F 0 IM RL IPV SANOFI PASTEUR Y1032 0 SC LA PNC WYETH PHARMACEUTICALS, INC B08658F 0 IM RL ROTHB5 MERCK & CO. INC. 0779F 0 PO
Administered by: Private     Purchased by: Public Symptoms: Sleep disorder, Sudden infant death syndrome 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: 272228   Vaccinated: 2007-02-13 Age: 0.2   Onset: 2007-02-14, Days after vaccination: 1 Gender: Male   Submitted: 2007-02-14, Days after onset: 0 Location: California   Entered: 2007-02-14, Days after submission: 0	Life Threatening Illness? No Died? Yes    Date died: 2007-02-14    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Pt had hydrocephalus at birth Diagnostic Lab Data: Autopsy is planned Previous Vaccinations: Other Medications: NONE Preexisting Conditions: As noted in 18 CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP SANOFI PASTEUR C2650AA 0 IM LL HBHEPB MERCK & CO. INC. 0757F 0 IM RL IPV SANOFI PASTEUR Z0240 0 SC LL PNC WYETH PHARMACEUTICALS, INC B36258A 0 IM RL ROTHB5 MERCK & CO. INC. 0146P 0 PO
Administered by: Private     Purchased by: Public Symptoms: Asphyxia, Death, Pyelectasia, Sleep disorder 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   Vaccinated: 2006-11-28 Age: 0.2   Onset: 2006-12-09, Days after vaccination: 11 Gender: Female   Submitted: 2007-02-15, Days after onset: 370 Location: West Virginia   Entered: 2007-02-15, Days after submission: 0	Life Threatening Illness? Yes Died? Yes    Date died: 2006-12-09    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? Yes, 1 days     Extended hospital stay? No Current Illness: , Diagnostic Lab Data: LABS: initial ABG revealed pH 6.77, pCO2 72. K 7.1. Severe anemia. Previous Vaccinations: Other Medications: Synagis 11/21/06, poly-vi-sol with iron, prophylactic amoxicillin 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 n CDC 'Split Type': WAES0702USA03738
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B064AA 0 IM RL HIBV MERCK & CO. INC. 0719R 0 IM RL PNC WYETH PHARMACEUTICALS, INC B08672F 0 IM LL ROTHB5 MERCK & CO. INC. 0577F 0 PO
Administered by: Unknown     Purchased by: Unknown Symptoms: Abdominal distension, Anaemia, Arrhythmia, Blood gases abnormal, Body temperature decreased, Bowel sounds abnormal, Convulsion, Death, Dyspnoea, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Irritability, Livedo reticularis, Multi-organ failure, Pallor, Septic shock, Vomiting 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   Vaccinated: 2007-02-21 Age: 0.5   Onset: 2007-02-21, Days after vaccination: 0 Gender: Male   Submitted: 2007-02-21, Days after onset: 0 Location: Arizona   Entered: 2007-02-21, Days after submission: 0	Life Threatening Illness? No Died? Yes    Date died: 2007-02-21    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: None Diagnostic Lab Data: Previous Vaccinations: Other Medications: Preexisting Conditions: infant of diabetic mother, other minor conditions (neonatal jaundice, sinusitis) resolved in timely fashion. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B074AA 1 IM LL HIBV MERCK & CO. INC. 0403F 1 IM RL PNC LEDERLE LABORATORIES B08675H 1 IM LL ROTHB5 MERCK & CO. INC. 0600F 1 PO
Administered by: Unknown     Purchased by: Unknown Symptoms: Sudden infant death syndrome 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   Vaccinated: 2007-01-11 Age: 0.2   Onset: 2007-02-01, Days after vaccination: 21 Gender: Female   Submitted: 2007-02-22, Days after onset: 21 Location: Massachusetts   Entered: 2007-02-23, Days after submission: 1	Life Threatening Illness? Yes Died? Yes    Date died: 2007-02-01    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Current Illness: Diagnostic Lab Data: Unknown Previous Vaccinations: Other Medications: Unknown Preexisting Conditions: Unknown CDC 'Split Type': WAES0702USA03153
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC2180744A 0 IM LL HIBV SANOFI PASTEUR UF00AA 0 IM RL PNC WYETH PHARMACEUTICALS, INC B08B25A 0 IM RL ROTHB5 MERCK & CO. INC. 1116F 0 PO
Administered by: Other     Purchased by: Other Symptoms: Congenital intestinal malformation, Death, Intestinal infarction, Intestinal ischaemia, Intestinal obstruction, Volvulus 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   Vaccinated: 2007-02-06 Age: 0.4   Onset: 2007-02-14, Days after vaccination: 8 Gender: Female   Submitted: 2007-03-02, Days after onset: 11 Location: Tennessee   Entered: 2007-03-13, Days after submission: 11	Life Threatening Illness? No Died? Yes    Date died: 2007-02-14    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: Diagnostic Lab Data: Previous Vaccinations: Other Medications: Preexisting Conditions: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B070AA 1 IM RL HIBV SANOFI PASTEUR UE992AA 1 IM LL PNC WYETH PHARMACEUTICALS, INC B08691H 1 IM LL ROTHB5 MERCK & CO. INC. 1113F 1 PO
Administered by: Private     Purchased by: Private Symptoms: Blood pressure, Brain death, Brain oedema, Cerebral ischaemia, Coagulopathy, Cyanosis, Death, Infection, Life support, Metabolic acidosis, Respiratory arrest, Rotavirus test positive, Sudden infant death syndrome 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.
VAERS ID: 275775   Vaccinated: 2007-03-22 Age: 0.2   Onset: 2007-03-23, Days after vaccination: 1 Gender: Male   Submitted: 2007-03-23, Days after onset: 0 Location: Tennessee   Entered: 2007-04-09, Days after submission: 13	Life Threatening Illness? No Died? Yes    Date died: 2007-03-23    Days after onset: 0 Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Current Illness: None Diagnostic Lab Data: Autopsy pending Previous Vaccinations: Other Medications: None Preexisting Conditions: Had hole in lung at birth - NICU x 2 days on vent. CDC 'Split Type': TN07007
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP GLAXOSMITHKLINE BIOLOGICALS AC21B84BA 0 IM LL HIBV MERCK & CO. INC. 1271F 0 IM RL PNC WYETH PHARMACEUTICALS, INC B0864H 0 IM RL ROTHB5 MERCK & CO. INC. 1033F 0 PO
Administered by: Public     Purchased by: Unknown Symptoms: Autopsy, Bronchopneumonia, Death, Pyrexia Write-up: Immunizations given 3/22/07 approx 8:30am mom reported mild fever at MN 3/23/07 - gave infant Tylenol drops. Found infant dead in crib 3/23/07 at 7:30AM! 7/3/07 Received Autopsy Report which reveals COD as Undetermined & manner of Death as Undetermined. Final anatomic diagnoses were: clean & apparently well care for; no evidence of trauma or injury; lung & thymus petechiae; and focal mild acute bronchopneumonia of right lung.