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Found 380 cases where Vaccine is RV5 and Patient Died

Table

   
AgeCountPercent
< 3 Years37398.16%
3-6 Years10.26%
Unknown61.58%
TOTAL380100%

Case Details

This is page 1 out of 38

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VAERS ID: 262780 (history)  
Age: 0.17  
Gender: Male  
Location: Kansas  
Vaccinated:2006-09-06
Onset:2006-09-08
   Days after vaccination:2
Submitted: 2006-09-09
   Days after onset:1
Entered: 2006-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2649AA / 0 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0237F / 0 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1031 / 0 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08683E / 0 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0578F / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2006-09-08
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Infant multivitamin liquid with iron
Current Illness: None
Preexisting Conditions: Prematurity- 32 weeks gestation Twin B Breech vaginal delivery Apnea of prematurity Anemia of prematurity
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
CDC Split Type:

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 (history)  
Age: 0.14  
Gender: Male  
Location: South Carolina  
Vaccinated:2006-08-31
Onset:2006-09-05
   Days after vaccination:5
Submitted: 2006-09-25
   Days after onset:20
Entered: 2006-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B047BA / 0 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF011AA / 0 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08655AA / 0 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

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

Life Threatening? Yes
Died? Yes
   Date died: 2006-10-08
   Days after onset: 33
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Fever of Unknown Origin
Preexisting Conditions: none
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.
CDC Split Type:

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 (history)  
Age: 0.17  
Gender: Unknown  
Location: West Virginia  
Vaccinated:0000-00-00
Onset:2006-08-31
Submitted: 2006-09-22
   Days after onset:22
Entered: 2006-09-26
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other       Purchased by: Other
Symptoms: Respiratory distress, Viral infection
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? Yes
   Date died: 2006-08-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Stool rotavirus antigen 08/31/06 positive for rotavirus.
CDC Split Type: WAES0609USA03169

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 provide. She did not have the pts name as this was reported to her second hand by an employee at a hospital. No further information is available.


VAERS ID: 263568 (history)  
Age: 0.25  
Gender: Female  
Location: North Carolina  
Vaccinated:2006-09-12
Onset:2006-09-21
   Days after vaccination:9
Submitted: 2006-09-21
   Days after onset:0
Entered: 2006-09-26
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2006-09-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: NC06086

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 (history)  
Age: 0.11  
Gender: Male  
Location: New York  
Vaccinated:2006-09-20
Onset:2006-10-13
   Days after vaccination:23
Submitted: 2006-10-17
   Days after onset:4
Entered: 2006-10-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR - / - UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. - / 1 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / - UN / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / - UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0847F / - - / PO

Administered by: Private       Purchased by: Private
Symptoms: Coma, Sudden infant death syndrome
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 2006-10-13
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Apparent sudden infant death syndrome, fed normally at 1am, found unresponsive at 5:30am.


VAERS ID: 265462 (history)  
Age: 0.13  
Gender: Female  
Location: Washington  
Vaccinated:2006-10-02
Onset:2006-10-02
   Days after vaccination:0
Submitted: 2006-10-19
   Days after onset:17
Entered: 2006-10-27
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 0 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Private       Purchased by: Other
Symptoms: Coma, Fatigue, Irritability
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 2006-10-04
   Days after onset: 2
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Born premature 3 weeks 1 day early and low birth weight.
Diagnostic Lab Data:
CDC Split Type:

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 (history)  
Age: 0.2  
Gender: Male  
Location: California  
Vaccinated:2006-10-17
Onset:0000-00-00
Submitted: 2006-11-07
Entered: 2006-11-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B065AA / 0 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE009AB / 0 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08653R / 0 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0776F / 0 - / PO

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? Yes
   Date died: 2006-10-23
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
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.
Diagnostic Lab Data:
CDC Split Type:

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 (history)  
Age: 0.2  
Gender: Female  
Location: New Hampshire  
Vaccinated:2006-10-20
Onset:2006-10-21
   Days after vaccination:1
Submitted: 2006-11-16
   Days after onset:26
Entered: 2006-11-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B070AA / 0 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE932AA / 0 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B086918 / 0 LA / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0577F / 0 - / PO

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

Life Threatening? Yes
Died? Yes
   Date died: 2006-10-21
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0611USA02595

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 (history)  
Age: 0.19  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2006-12-04
Onset:2006-12-05
   Days after vaccination:1
Submitted: 2006-12-06
   Days after onset:1
Entered: 2006-12-12
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B069AA / 0 LL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0276F / 0 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08672D / 0 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0726F / 0 - / PO

Administered by: Private       Purchased by: Public
Symptoms: Coma, Sudden infant death syndrome
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? Yes
   Date died: 2006-12-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

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 (history)  
Age: 0.19  
Gender: 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 / 0 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08649A / 0 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0389F / 0 - / PO

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

Life Threatening? No
Died? Yes
   Date died: 2006-12-09
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

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.


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