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From the 11/19/2021 release of VAERS data:

Found 10 cases where Vaccine is RV and Patient Died

Government Disclaimer on use of this data

Table

   
AgeCountPercent
< 3 Years880%
Unknown220%
TOTAL10100%



Case Details

VAERS ID: 118588 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: South Carolina  
Vaccinated:1998-12-24
Onset:1999-01-05
   Days after vaccination:12
Submitted: 1999-01-22
   Days after onset:17
Entered: 1999-02-08
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 456818 / 1 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2726A2 / 2 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH 0953210 / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. NO492 / 1 LL / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988059 / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Asphyxia, Hypoxia, Injury
SMQs:, Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Respiratory failure (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-01-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Pt recv vax on 12/24/98; on 1/5/99 pt expired


VAERS ID: 119248 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Missouri  
Vaccinated:1999-02-12
Onset:1999-02-14
   Days after vaccination:2
Submitted: 1999-02-17
   Days after onset:3
Entered: 1999-02-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 457788 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1190H / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 110211 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. N0726 / 1 LL / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 1190H / 1 RL / IM

Administered by: Private       Purchased by: Public
Symptoms: Drug ineffective, Infection, Sudden infant death syndrome
SMQs:, Lack of efficacy/effect (narrow), Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-02-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: pericardial draw post mortem-blood cult grew type B H flu
CDC Split Type:

Write-up: DOA in hosp ER 14FEB99;blood cult grew H. flu type B;


VAERS ID: 122135 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Ohio  
Vaccinated:1999-04-21
Onset:1999-04-22
   Days after vaccination:1
Submitted: 1999-05-03
   Days after onset:11
Entered: 1999-05-14
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 457788 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 410303A / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P0400 / 1 LL / -
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988075 / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-04-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: prematurity
Allergies:
Diagnostic Lab Data: autopsy
CDC Split Type:

Write-up: sudden infant death w/in 24hr;autopsy was nl;


VAERS ID: 126221 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Minnesota  
Vaccinated:1999-02-18
Onset:1999-02-23
   Days after vaccination:5
Submitted: 1999-07-16
   Days after onset:142
Entered: 1999-07-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 458588 / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1616H / 1 RL / IM
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. W08252 / 1 LA / SC
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988055 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Apnoea, Cardiac arrest, Gastroenteritis, Gastrointestinal haemorrhage, Gastrointestinal necrosis, Infection, Pharyngitis, Sepsis, Shock
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Gastrointestinal haemorrhage (narrow), Oropharyngeal infections (narrow), Acute central respiratory depression (narrow), Ischaemic colitis (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-02-24
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: lotrisone cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: autopsy showed 8cm intussusception w/hyperemic necrosis & septic shock; also pos for RSV
CDC Split Type:

Write-up: 5 days p/vax pt treated in ER for gastroenteritis & pharyngitis. given phenergan & amoxicillin. 2/24/99 devel rectal bleeding; expired while awaiting transport to pediatric ICU


VAERS ID: 127057 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: California  
Vaccinated:1999-03-11
Onset:1999-03-20
   Days after vaccination:9
Submitted: 1999-07-23
   Days after onset:124
Entered: 1999-08-10
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH - / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Cardiac arrest, Electroencephalogram abnormal, Hypoxia, Respiratory disorder, Sudden infant death syndrome
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (narrow), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Neonatal disorders (narrow), Respiratory failure (narrow), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-03-21
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy: anatomical dx-pulmonary congestion & edema, visceral organ congestion, petechial hemorrhages of the heart, thymus & lungs, hemorrhages of the heart (probable shock changes);respirator lungs, Meckels, diverticulum patent ductus art
CDC Split Type: 899211024A

Write-up: pt found unresponsive & not breathing;CPR initiated;pt taken to hosp, CPR was cont & it was determined that some organ function returned;EEG had a near flat wave pattern;placed on ventilator; life support withdrawn 3/21/99; COD: SIDS


VAERS ID: 127161 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: California  
Vaccinated:1999-07-12
Onset:1999-07-14
   Days after vaccination:2
Submitted: 1999-08-05
   Days after onset:22
Entered: 1999-08-13
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2958AZ / 1 LL / -
IPV: POLIO VIRUS, INACT. (POLIOVAX) / CONNAUGHT LTD. P01263 / 1 LL / -
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 4988133 / 1 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Apnoea, Cardiac arrest, Coma, Encephalopathy, Gastrointestinal disorder, Gastrointestinal malformation, Ileus, Intestinal obstruction, Large intestine perforation, Lung disorder, Mesenteric occlusion, Pallor, Pneumonia, Respiratory disorder, Sepsis, Shock
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Hyperglycaemia/new onset diabetes mellitus (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), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Dementia (broad), Congenital, familial and genetic disorders (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal perforation (narrow), Acute central respiratory depression (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (broad), Ischaemic colitis (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad), Hypersensitivity (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (narrow), Sepsis (narrow), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 1999-07-15
   Days after onset: 1
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: none known~ ()~~~In patient
Other Medications: dtap & hib 6/1/99
Current Illness: none
Preexisting Conditions: s/p duodenal atresia repair; s/p lysis of adhesions
Allergies:
Diagnostic Lab Data: disrupted cecum, abd fall of bowel contents; mesentery thrombosed; much of bowel ischemic;post mortem exam, final results pending;
CDC Split Type:

Write-up: 2day p/vax 5:30pm unusual cry; pallor, taken to ER; mom suspected bowel obstruction; xray showed ileus; 7:30pm cardiac arrest: resuscitation/unconscious; sent to UCSF; 7/15 remained unstable,no possibility of surgery as result;pt died 7/15;


VAERS ID: 128300 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Unknown  
Location: New York  
Vaccinated:1999-07-08
Onset:1999-08-31
   Days after vaccination:54
Submitted: 1999-09-01
   Days after onset:1
Entered: 1999-09-16
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH - / 1 - / IM
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Apnoea, Cyanosis, Infection, Rhinitis, Skin discolouration, Urinary tract infection
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (broad), Respiratory failure (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-08-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: preemie 34 wk gest w/ vesicostomy d/t urethral obstuction; Apgar 5-7, , hypotension, hyperbilirubinemia to 9 @ birth, intubated d/t abd ascites x3 day then infrequent apnea, bradycardia; cystocopy 8/99, bilateral ureteral stenosis
Allergies:
Diagnostic Lab Data: unkown
CDC Split Type: 899245020A

Write-up: p/vax pt devel congestion & a runny nose; seen by MD who observed pt to be mottled; pale & cyanotic; pt taken to ER & was intubated; attempts at resuscitation unsuccessful; Autopsy revealed urosepsis with E coli bacteria, pyelonephritis, cystitis, hydronephrosis, ureteral stenosis,


VAERS ID: 157668 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Virginia  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1999-12-10
Entered: 2000-07-20
   Days after submission:222
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Coma, Cyanosis, Dyspnoea, Hypotonia, Nystagmus, Pyrexia, Stridor, Unevaluable event, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ7644307DEC1999

Write-up: Physician reported that a pt died following the receipt of RotaShield. The baby arrived unresponsive, blue, difficulty in breathing, hypotonic, had vertical nystagmus, had fever, stridor, wheezing, looked cyanotic.


VAERS ID: 192409 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: West Virginia  
Vaccinated:1999-06-25
Onset:1999-06-30
   Days after vaccination:5
Submitted: 2001-09-18
   Days after onset:811
Entered: 2002-11-01
   Days after submission:409
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Apnoea, Infection, Sepsis
SMQs:, Acute central respiratory depression (narrow), Respiratory failure (narrow), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1999-06-30
   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: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: HQ6080218SEP2001

Write-up: A father alleges that his son received a dose of Rota Shield on 6/25/99 and subsequently developed an infection. He was hospitalized where the child died on 6/30/99. The father alleges that his don died as a result of the infection. No further information was available at the date of this report. Death Certificate received on 12/19/2002 indicates respiratory failure and group B strep sepsis as the cause of death.


VAERS ID: 206350 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Washington  
Vaccinated:2003-06-18
Onset:0000-00-00
Submitted: 2003-06-23
Entered: 2003-07-18
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS 524A2 / UNK RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1076L / UNK RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR T1189 / UNK LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 491178 / UNK LL / -
RV: ROTAVIRUS (ROTASHIELD) / PFIZER/WYETH 337272 / UNK MO / PO

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2003-06-20
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: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: WA031950

Write-up: Coroner ruled SIDS.


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