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Found 753 cases where Vaccine is RV5 and Symptom is Intussusception and Appearance Date on/before '2012-04-30'

Case Details

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VAERS ID: 280241 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: California  
Vaccinated:2007-03-19
Onset:2007-04-28
   Days after vaccination:40
Submitted: 2007-06-01
   Days after onset:34
Entered: 2007-06-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1237F / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
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: TYLENOL
Current Illness:
Preexisting Conditions: None PMH: GERD PMH: recurrent URI
Allergies:
Diagnostic Lab Data: Unknown; LABS: CXR, KUB, CBC, chemistries, UA, RSV, influenza A&B. Barium contrast SB follow through revealed possible malrotation.
CDC Split Type: WAES0705USA04003

Write-up: Information has been received from a certified medical assistant concerning a 6 month old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq (Lot# 654422/0607F and 656187/1237F) on 16-JAN-2007 and 19-MAR-2007, respectively. Concomitant therapy included Tylenol as needed. On 28-APR-2007 the patient was taken to the emergency room and was transported to another facility that was equipped to handle children. The patient was hospitalized and underwent surgery to correct intussusception. It was reported that a nurse mentioned that the child was seen on 21-MAY-2007 for a well check up and was still recovering at that time. It was noted that the patient was due for a third dose of Rotateq, but the physician decided not to complete the series. No product quality complaint was involved. No other information was provided. The patient''s intussusception was considered to be an other important medical event by the reporter. Additional information has been requested. A lot check has been requested. 6/14/07 Received medical records via fax from CDC which reveal patient experienced abdominal pain w/bilious emesis x 1 day. Seen at outlying ER where UGI films were neg & stool was + for occult blood. Admitted 4/20-5/2/07. Taken to OR for operative reduction of ileocolic IS & appendectomy. Progressed well & d/c to home. FINAL DX: Intussusception. 6/14/07 Received medical records of ER visit via fax from CDC which reveals patient experienced congestion, bilious vomiting, fever & crampy intermittent abdominal pain w/difficulty sleeping. Transferred to higher level of care.


VAERS ID: 280397 (history)  
Form: Version 1.0  
Age: 0.53  
Gender: Male  
Location: North Carolina  
Vaccinated:2007-03-03
Onset:2007-05-18
   Days after vaccination:76
Submitted: 2007-05-29
   Days after onset:11
Entered: 2007-06-05
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B069AA / 3 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1160R / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08658E / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0980F / 4 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal pain, Barium enema, Chest X-ray, Full blood count, Haematochezia, Intussusception, Laboratory test, Mucous stools
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: Asthma, Undescended testicle, umbilical hernia. NKDA.
Allergies:
Diagnostic Lab Data: CBC, Chemistry, Barium enema reduction, Chest X-Ray. Labs and Diagnostics: Infant had a Barium Enema which was (+) for Intussusception which was reduced per radiologist. CXR (-). Stool cx (-) E. coli, Salmonella, Shigella, and Campylobacter. No O&P present.
CDC Split Type: NC07054

Write-up: Present to healthcare system on 5-19-07 with Abdominal pain. Pt had a bloody mucus stool during ER visit. Barium enema study was positive for intussusception-Was Reduced and observed overnight. 06/11/2007 MR received for o/n hospitalization 5/19-20/2007 for Intussusception. Infant developed intermittant acute abdominal pain on 5/18/2007. Pain continued and on 5/19/07 infant passed a large bloody, mucusy, stool in the ED. Intussusception which was reduced per radiologist by air contrast Barium Enema. DX: Intussusception-reduced.


VAERS ID: 280707 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Texas  
Vaccinated:2007-04-02
Onset:2007-05-06
   Days after vaccination:34
Submitted: 2007-06-06
   Days after onset:31
Entered: 2007-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF010AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B36258H / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0979F / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal X-ray, Barium double contrast, Intussusception, Ultrasound abdomen abnormal, X-ray abnormal
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: None.~ ()~~0.00~In Patient
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 05/07/07 post- Air reduction US abdomen showed successful pneumatic reduction of ileocolic intussusception. x-ray of abdomen showed relative paucity of gas in right abdomen and region of right and transverse colon. Abdominal ultrasound confirmed soft tissue mass with multiple lymph nodes associated with it in right upper quadrant has 4 layered appearance highly suggestive of intussusception. Air contrast enema with successful reduction of ileocolic intussusception. Labs: WBC 15.2
CDC Split Type:

Write-up: ER 05/06/07 abnl x-ray abdomen; 05/7/07 Us abdomen ''findings highly suggestive of ileocolic intussusception. tx ''Air reduction.'' 06/07/07-rcords received from facility for DOS 5/8-5/11/07-DC DX: Intussusception. One day history of emesis, nonbilious, nonbloody and multiple episodes of diarrhea with no blood no mucus. Refusing to eat. Seen in ER.


VAERS ID: 281029 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Unknown  
Vaccinated:2007-05-14
Onset:2007-05-26
   Days after vaccination:12
Submitted: 2007-06-07
   Days after onset:12
Entered: 2007-06-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1965BA / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08666K / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0030U / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Barium double contrast, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown PMH: parent w/recent stomach virus
Allergies:
Diagnostic Lab Data: abdominal X-ray 05/26/07 LABS: abdominal x-ray revealed possible mass effect in RUQ. Air enema revealed IS & also reduced it.
CDC Split Type: WAES0705USA05367

Write-up: Information has been received from a physician concerning a 6 month old male who on 14-MAY-2007 was vaccinated with the third 2 ml oral dose of Rotateq (Lot # 656385/0030U). Concomitant therapy included DTaP (+) Prevnar. On 26-MAY-2007, the patient experienced intussusception. An abdominal x-ray was performed in the emergency room. Intussusception was located in the right upper quadrant and was reduced via of air enema with no difficulty. On 26-MAY-2007, the patient recovered from intussusception. Intussusception was an other important medical event. In follow-up, the physician reported that the patient was "doing fine." The patient started vomiting and went to the emergency room and was diagnosed with intussuception which was reduced successfully via air enema. The physician did not know if the intussusception was related to therapy with Rotateq. The records of testing prior to release of the lot in question has been rechecked and found to be satisfactory. The lot met the requirements and was released. Additional information has been requested. 6/19/07 Received vax record from PCP which confirms RO lot number but was 2nd dose, not 3rd. VAERS database updated w/same. 6/19/07 Received hospital records via fax from CDC which reveal patient admitted 5/26 & d/c on same day for persistent vomiting & dehydration. FINAL DX: Intussusception, reduced by air enema.


VAERS ID: 281061 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: California  
Vaccinated:2007-04-24
Onset:2007-05-29
   Days after vaccination:35
Submitted: 2007-06-08
   Days after onset:10
Entered: 2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS GSKAC14B042BA / 2 RA / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR AVPPUF074AA / 2 LA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR AVPY1032-2 / 2 RA / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. MSD0779F / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dehydration, Diarrhoea haemorrhagic, Gastroenteritis, Intussusception, Occult blood positive, Pyrexia, Ultrasound abdomen, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown. PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Guiac positive stools. Abdominal Ultrasound showed intussusception at RLQ, likely ileo-colic. Labs and Diagnostics: Abd x-ray (+) for obstruction. Abd. US (+) for intussusception of the RLQ. ? ilecolic with obstruction. KUB and Barium enema done upon arrival at transfer facility.
CDC Split Type:

Write-up: Admitted on 5/30/07 after a 2 day history of vomiting, associated with low-grade fever and 2 bouts of bloody diarrhea. Initial impression was acute gastroenteritis with dehydration. While kept NPO, he still had one episode of emesis and one episode of watery, pinkish-brown stools which was positive for occult blood. An abdominal series showed signs of obstruction; an abdominal ultrasound diagnosed an intussusception. The patient was transferred to Hospital on 5/31/07 for further management. A bowel enema was performed, which was able to reduce the intussusception. The patient was discharged 24 hours after the procedure. 07/02/2007 Hospital records received from both admitting and transfer hospitals. Infant was initially seen and admitted for c/o bloody/mucusy stool and vomiting with each breast feed. PE significant for hypoactive BS, otherwise WNL. Infant transfered to another facility for management. Intussusception was sucessfully reduced via Hypaque enema. Principal DX: Intussusception.


VAERS ID: 281104 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Arizona  
Vaccinated:2007-05-02
Onset:2007-06-03
   Days after vaccination:32
Submitted: 2007-06-07
   Days after onset:4
Entered: 2007-06-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2553AA / 2 UN / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. UE924AA / 2 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0018 / 2 UN / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47442A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1112F / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Intussusception. LABS: No lab reports were included w/records. Following was noted in D/C summary: US of abd showed IS. Air contrast unable to reduce. WBC 14.7. Chemistry WNL. Cultures neg. Echocardiogram revealed moderate membranous VSD & large amount of tissue transformation.
CDC Split Type:

Write-up: Intussusception. 6/12/07 Received vax record which confirms RO lot & dose # as correct. 7/31/07 Received hospital medical records which reveal patient experienced emesis & bloody stools. Admitted 6/3-6/7/07. Surgical consult & taken to OR for reduction of IS & right hemicolectomy w/ileocolostomy. Cardio consult done for heart murmur. Recovery uneventful. Surg & cardio f/u on d/c. FINAL DX: Intussusception, s/p right hemicolectomy & ileocolostomy; VSD.


VAERS ID: 281381 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Tennessee  
Vaccinated:2007-05-31
Onset:2007-06-05
   Days after vaccination:5
Submitted: 2007-06-07
   Days after onset:2
Entered: 2007-06-12
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B110AB / 1 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE923AA / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08679A / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1167F / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Barium double contrast, Intussusception, Surgery, Urinary system X-ray
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Perinatal drug (marijuana) exposure
Allergies:
Diagnostic Lab Data: KUB with dilated loops of bowel records received 6/20/07-Labs: normal electrolyte panel. WBC 14.5. KUB showed multiple dilated gas filled loops of bowel suspicious for developing bowel obstruction. Air enema demonstrated ileocolic intussusception on right side which was not reduced during enema studies.
CDC Split Type:

Write-up: Intussusception, attempted air contrast enema without resolution. Taken to surgery for repair. Was reduced in surgery; no bowel was resected/remained. 06/13/07-records requested from facility and from pcp for vac rec. krk 6/20/07-vac rec received, supports submitted documentation on VAERS form. No changes. krk 06/20/07-records received from facility for DOS-6/6-6/7/07- DC DX: Intussusception, Status Post exploratory laparotomy and appendectomy. On 6/5/07 at 7 a.m. began to vomit after feeding. Refusing bottles. No bowel movements since 7 a.m.PE: abdomen soft, slightly distended, positive bowel sounds. Non tender.


VAERS ID: 281426 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Alabama  
Vaccinated:2006-12-28
Onset:2007-01-29
   Days after vaccination:32
Submitted: 2007-06-12
   Days after onset:133
Entered: 2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER C2490AA5108 / 2 RL / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UF058AA11108 / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER Z03244108 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08470K12107 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0847F4108 / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Diarrhoea, Fluid replacement, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Culturelle and a homeopathic antidiarrheal medication
Current Illness: Vomiting and diarrhea with some blood in the stool
Preexisting Conditions: None.
Allergies:
Diagnostic Lab Data: Air contrast enema (see above)
CDC Split Type:

Write-up: Was admitted to hospital 1/31/07 with abdomenal pain, vomiting and diarrhea. An air contrast enema during the hospitalization was felt to be consistent with intussusception. This resolved after the enema. The child received IV fluids and was subsequently discharged home in good condition. 06/14/07-records received for DOS 01/37/07-Successful reduction of ileocolic intussusception by air enema. Presented to ER with vomiting and diarrhea. Diarrhea started 4 days ago. Loose stools some with blood in stool initially but this has cleared. Nonbilious, nonbloody vomiting. Decreased PO Intake. Vaccination record received supports data submitted. No discharge summary dictated.


VAERS ID: 281725 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: California  
Vaccinated:2007-04-12
Onset:2007-05-30
   Days after vaccination:48
Submitted: 2007-06-06
   Days after onset:7
Entered: 2007-06-14
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2510BA / 2 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UFO91AA / 2 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 20457 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08689D / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1237F / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Barium enema, Intussusception, Irritability, X-ray
SMQs:, Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Barium enema, X rays LABS: KUB in ER suggested IS. Barium enema done which was neg. Blood work was all WNL
CDC Split Type:

Write-up: Waxing, weaning fussiness Dx : intussusception. 6/21/07 Received vax rec which confirms RO lot & dose # & also includes multi additional vax received same date. VAERS database updated w/same. 6/26/07 Received hospital med recs which reveal that on 5/30/07 patient experienced screaming & fussiness then excess sleepiness. When awake, inconsolable, refusal to eat & drawing legs up. Taken to PCP office & sent to ER. Felt to have resolved IS spontaneously. Held overnight for observation. Tolerated oral intake well & was d/c to home 5/31/07. FINAL DX: none provided, no D/C summary done.


VAERS ID: 281912 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Texas  
Vaccinated:2007-05-07
Onset:2007-05-30
   Days after vaccination:23
Submitted: 2007-06-12
   Days after onset:13
Entered: 2007-06-15
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B114BB / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF018AA / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08692D / 1 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0235U / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Intussusception, Obstruction, Pyrexia, Small intestinal resection, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: Noted to have birth defects of grossly deformed right ear & spot on kidney
Allergies:
Diagnostic Lab Data: Abdominal xray-$gobstruction LABS: WBC 13, Na 133, K 5.6, BUN 10. KUB c/w SBO.
CDC Split Type:

Write-up: This patient developed fever/vomiting and then had small bowel resection for intussusception at medical center. 6/19/07 Received vax record from PCP which confirms RO lot & dose as reported. 7/26/07 Received medical records from hospital via fax from CDC. Records are primarily for ENT but IS mentioned on clinic note having been perfomed 6/1/07 w/resection of 5cm of bowel resected. 7/27/07 Received hospital medical records which reveal patient experienced nausea, bilious vomiting, fever & lethargy x 4 days. Admitted 5/30-6/3/07. Tx w/IV antibiotics & taken to OR. Small bowel IS found at proximal mid ileum. Did well post op w/o complications. FINAL DX: Intussusception; s/p exp lap & small bowel resection w/reanastomosis. Records faxed to CDC.


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