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Found 158 cases where Vaccine is RV1 and Patient Died

Table

   
AgeCountPercent
< 3 Years14088.61%
Unknown1811.39%
TOTAL158100%

Case Details

This is page 1 out of 16

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VAERS ID: 344816 (history)  
Age: 0.2  
Gender: Male  
Location: Arkansas  
Vaccinated:2009-04-16
Onset:2009-04-21
   Days after vaccination:5
Submitted: 2009-04-21
   Days after onset:0
Entered: 2009-04-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3279AA / 0 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0062X / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D24322 / 0 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA693A / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2009-04-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type: AR0912

Write-up: None stated. 6/22/09 Autopsy report received DOS 4/22/09. Cause of Death: Sudden Infant Death Syndrome (SIDS). Manner of Death: Natural.


VAERS ID: 352162 (history)  
Age: 0.21  
Gender: Female  
Location: Nevada  
Vaccinated:2009-07-17
Onset:2009-07-22
   Days after vaccination:5
Submitted: 2009-07-22
   Days after onset:0
Entered: 2009-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B201BA / 0 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF608AA / 0 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D36147 / 0 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA692A / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2009-07-22
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: 7/23/09 Medical records and DC summary received. LABS and DIAGNOSTICS: CT Brain - Frontal hemorrhage. CBC - WBC 2.28 (L) HGB 14.5 (H) HCT 40.3 (H) MCV 88 (H) MCHC 36.2 (H) PLT 76 (L) MONO 2.6% (L) EOS 0.0% (L) NEUT# 0.89 (L) LYMPH# 1.30 (L) MONO# 0.06 (L) EOS# 0.00 (L). Coagulation - Protime 15.7 (H) INR 1.7 (H) PTT 140 (H) D-DIMER 35.20 (H). CHEM - CL 124 (H) Glucose 255 (H) Total Protein 4.5 (L) Albumin 3.2 (L) A/G ratio 2.5 (H) Calcium 7.7 (L) SGOT/AST 162 (H) SGPT/ALT 319 (H) Total Alk Phos 579 (H) Total CK 688 (H) Lactate 9.7 (H). Urine Tox Screen - Benzodiazapines. Urinalysis - color red, cloudy, glucose 100, blood large amt, protein 100, bacteria trace. Urine culture - E. Coli. Tracheal culture - Strep agalactiae, Staph aureus. Blood
CDC Split Type:

Write-up: The baby died under suspicious conditions this morning. 7/23/09 Medical records and DC summary received. Assessment: Multisystem organ failure, severe traumatic brain injury, acute respiratory distress syndrome, metabolic acidosis, rule out nonaccidental trauma. Patient presents with frontal traumatic brain injury, bilateral pneumothoraces, decreased hemoglobin and hematocrit. Pupils are 4 mm and fixed. Does not move face or extremities. GCS of 6T. Bruising to frontal scalp area, left knee. No corneal (reflex) no gag (reflex), no movement to pain. Diffuse hypotonia. Preretinal hemorrhage. Corneal edema. Anoxic encephalopathy. Depressed brain stem reflexes.


VAERS ID: 353311 (history)  
Age: 0.15  
Gender: Male  
Location: Colorado  
Vaccinated:2009-08-05
Onset:0000-00-00
Submitted: 2009-08-06
Entered: 2009-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3277AA / 0 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBV663AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D24322 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DA692A / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2009-08-06
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: none, 9/25/09 Autopsy report received - Cause of Death - Probable Partial Mechanical Obstruction of Airway by Ectopic Thymus. By history baby developed "noisy breathing" by evening. Found prone and unresponsive. Only explanation for abnormal breathing sounds was a benign growth, an extra thymus gland, growing in the wrong place next to his trachea.


VAERS ID: 353395 (history)  
Age: 0.33  
Gender: Male  
Location: Unknown  
Vaccinated:2009-07-15
Onset:2009-07-19
   Days after vaccination:4
Submitted: 2009-08-07
   Days after onset:19
Entered: 2009-08-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B173AA / - UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF569AA / - LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D37015 / - RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA782A / - - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2009-07-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: 10/5/09 Medical records received w/PMH: left clavicle fx at birth.
Diagnostic Lab Data: UNK
CDC Split Type: A0800503A

Write-up: This case was reported by a healthcare professional, via a GSK representative and described the occurrence of death nos in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent vaccination included Haemophilus influenza type b vaccine (non-gsk) (non-GSK manufacturer) given on 15 July 2009; PEDIARIX (GlaxoSmithKline) given on 15 July 2009; PREVNAR (non-gsk) (non-GSK manufacturer) given on 15 July 2009. On 15 July 2009 the subject received unspecified dose of ROTARIX (details unknown). On 19 July 2009, 4 days after vaccination with ROTARIX, the subject experienced death nos. The healthcare professional considered the event was possibly related to vaccination with ROTARIX. The subject died on 19 July 2009; cause of death was not specified. It was unknown whether an autopsy was performed. No further details were reported. 8/13/09 Received PCP medical records of 3/24/09- Records reveal patient seen in office on 7/7/09 for wet cough, nasal congestion, rhinitis, eating difficulty. Dx viral URI. Sick family member. RTC 7/9/09 w/vomiting, cough, decreased appetite x 3 days. Dx viral gastroenteritis. RTC 7/15, well child visit w/shots. Immediately after shots had emesis x 1 then perioral cyanosis w/recovery in 5 min. ER records of 7/18/09 included which reveal patient arrived in full arrest approx 9 hr after being put to bed w/Tylenol, in asystole & unable to intubate due to rigor. 10/5/09 ER records received for 7/18/09 which had been previously received.


VAERS ID: 360138 (history)  
Age: 0.27  
Gender: Male  
Location: Kentucky  
Vaccinated:2009-09-02
Onset:2009-09-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2009-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B208AA / - RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF596AB / - LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D74257 / - LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA732A / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood gases, Computerised tomogram, Convulsion, Differential white blood cell count, Dyspnoea, Electroencephalogram abnormal, Full blood count, Herpes simplex serology negative, Intensive care, Metabolic function test, Nuclear magnetic resonance imaging brain, Status epilepticus, Urine analysis
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 2009-10-05
   Days after onset: 32
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 32 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None Known
Preexisting Conditions: Inguinal Hernia.
Diagnostic Lab Data: CBCw Diff; CMP; ABG; Urinalysis; HSV, Negative; PCS, negative; CT; Brain MRI; EEG, left temporal focus
CDC Split Type:

Write-up: 3 mo old infant received multiple vaccines to include PEDIARIX, HIB, PREVNAR, and ROTARIX during well child visit on September 2nd. On September 3rd. he was brought to Pediatric Clinic by his mother with c/o "trouble breathing". When the physician came into the room, the infant was noted to be seizing. A CBC, CMP, ABG and urine samples were also collected. He was diagnosed with Status Epilepticus and taken to a Hospital where he was admitted to PICU. A CT and brain MRI were completed. EEG demonstrated left temporal focus; HSV PCS & culture were negative; the initial infant screen was insufficient, repeat infant screen, ID & genetic consults are pending.


VAERS ID: 365428 (history)  
Age: 0.34  
Gender: Male  
Location: Montana  
Vaccinated:2008-10-16
Onset:2008-11-05
   Days after vaccination:20
Submitted: 2009-11-05
   Days after onset:365
Entered: 2009-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B153BA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D05881 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA681A / 1 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Choking, Death, Irritability
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 2008-11-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was on Amoxicillan since birth due to slight hydronephrosis in his left kidney
Current Illness: None, the week prior he had a viral outbreak of sores in his mouth/ throat, physician thought he would be fine to vaccinate the next week
Preexisting Conditions: He had hydronephrosis in his left kidney, was on amoxicillan for it
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was fussy on 11/04/2009, he was hard to calm down in the morning at approx 4 am I awoke to sounds of him choking, I picked him up and then he was fine, I took him to daycare that morning and received the phone call at 4:30 pm that he was being rushed to the ER. 12/22/09 Death Certificate Received, DOD 11/05/08, Cause of Death: Sudden Infant Death Syndrome (SIDS) at daycare. 12/22/09 Autopsy received. Cause of Death: Sudden Infant Death Syndrome (SIDS). Additional information abstracted: Had been fussy and more congested lately. Chronic inflammation in the large airways likely due to viral infection.


VAERS ID: 379119 (history)  
Age: 0.17  
Gender: Male  
Location: Florida  
Vaccinated:2010-01-13
Onset:2010-01-30
   Days after vaccination:17
Submitted: 2010-02-02
   Days after onset:3
Entered: 2010-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3261AA / 0 LL / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBHB730AA / - RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D48928 / 0 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DA802A / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2010-01-30
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NYSTATIN oral soln.
Current Illness: Thrush
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 379398 (history)  
Age: 0.34  
Gender: Male  
Location: Iowa  
Vaccinated:2009-12-30
Onset:0000-00-00
Submitted: 2010-01-27
Entered: 2010-02-04
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3565AB / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E06427 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA963A / 1 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2010-01-16
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Ear infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None stated.


VAERS ID: 381218 (history)  
Age: 0.46  
Gender: Male  
Location: Arkansas  
Vaccinated:2010-02-17
Onset:2010-02-19
   Days after vaccination:2
Submitted: 2010-02-22
   Days after onset:3
Entered: 2010-02-24
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3554AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D94433 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA817 / 1 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2010-02-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: AR1004

Write-up: 2-19-2010 Notified by coroner that child had died today requesting copy of immunization record. No other information available.


VAERS ID: 384071 (history)  
Age: 0.36  
Gender: Male  
Location: Indiana  
Vaccinated:2010-02-17
Onset:2010-02-17
   Days after vaccination:0
Submitted: 2010-04-02
   Days after onset:43
Entered: 2010-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR 3542AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 88183 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB036A / 1 - / PO

Administered by: Public       Purchased by: Public
Symptoms: Autopsy, Death, Respiratory arrest
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Respiratory failure (narrow)

Life Threatening? No
Died? Yes
   Date died: 2010-02-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Autopsy
CDC Split Type:

Write-up: No symptons,or signs prior to child not breathing. Child taken to ER and CPR was implemented.


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