Two more children have died of wounds from the shootings at an Amish schoolhouse in Lancaster County, Pennsylvania.
A hospital spokeswoman says a seven-year-old girl died about 4:30 a.m. at Penn State Children's Hospital in Hershey.
A short time later, a fifth child died at the Chistiana Hospital in Delaware.
Spokeswoman Amy Buehler Stranges says the girl's parents were with her when she was taken off life support. The girl died shortly after.
A six-year-old girl remains in critical condition and a 13-year-old girl is in serious condition at Penn State Children's. Their names are not being released.
Three girls, ages eight, ten and 12, were flown to The Children's Hospital of Philadelphia, where a spokeswoman says they underwent surgery but remain in critical condition today.
According to police the gunman, 32-year-old Charles Roberts, was taking revenge for an old grudge against girls when he broke into the school, lined the girls up against the wall, tied their ankles together and then shot them execution style in the head. Three girls died at the scene.
The gunman then turned the gun on himself.