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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: 282368 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Unknown  
Vaccinated:2007-06-05
Onset:2007-06-05
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:14
Entered: 2007-06-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0577F / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Anorexia, Barium double contrast, Barium enema, Diarrhoea, Gastrointestinal disorder, Intussusception, Irritability, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Noninfectious diarrhoea (narrow), 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:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Barium enema X-ray 06/06/07 - air contrast enema x 2
CDC Split Type: WAES0706USA02578

Write-up: Information has been received from a physician concerning a 6 month old male who on approximately 05-JUN-2007 was vaccinated with third dose of Rotateq (LOT# 654248/0577F). Concomitant vaccines included DTaP (also reported as "Betap") and poliovirus vaccine. On 05-JUN-2007, the physician reported that the patient experienced "fussiness and wasn''t eating". The parents took him to the emergency room (ER) and he was released with a diagnoses of "some gastrointestinal problems". The patient was also vomiting and had diarrhea and was taken to the pediactrics'' office the next day and the physician checked him and sent him home. On 06-JUN-2007, the patient was still vomiting and had diarrhea and was again taken to the ER and was admitted with a diagnosis of "intussusception", he had an ''air contrast enema" done twice and "it helped him". The patient was discharged 24 hours later on 07-JUN-2007. The patient''s outcome was reported as recovered. The physician considered intussusception to be an other important medical event. Additional information has been requested.


VAERS ID: 282594 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Texas  
Vaccinated:2007-05-02
Onset:2007-05-28
   Days after vaccination:26
Submitted: 2007-06-21
   Days after onset:24
Entered: 2007-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE991AA / 2 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0547 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B26510E / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0234U / 2 MO / PO

Administered by: Private       Purchased by: Private
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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: at hospital-abdominal x-ray and air contrast barium enema
CDC Split Type:

Write-up: Pt received two doses of Rotateq. Pt was sent to hospital on 5/28/07 for excessive vomiting. It was concluded that pt had intussusception. 6/22/07 Received PCP med recs which included hospital D/C summary & vax record which confirms RO lot & dose number as reported & includes other vax received same date. VAERS database updated w/same. D/C Summary reveals patient admitted 5/28-5/29/07 for vomiting & abdominal pain. Progressed we// & d/c to home. LABS: abdominal x-ray. air contrast barium enema + for IS. FINAL DX: Intussusception. 07/27/07 Received hospital medical records which reveal patient experienced fever, vomiting, heme (+) stool & abdominal pain. Admitted 5/28-5/29/07 for observation s/p reduction of intussusception by air contrast barium enema. FINAL DX: Intussusception.


VAERS ID: 282652 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-01-08
Onset:2007-03-10
   Days after vaccination:61
Submitted: 2007-06-21
   Days after onset:102
Entered: 2007-06-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079BA / 3 RL / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR UT2M4LA / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08620K / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1115F / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: otitis media 2 wks prior to admit. RSV 3-4 mos prior to admit.
Allergies:
Diagnostic Lab Data: Unknown LABS: Abdominal x-ray & CT scan c/w IS. Air enema reduced IS. Blood c/s neg.
CDC Split Type: WAES0706USA01914

Write-up: Information has been received from a physician concerning a 6-month-old female with no medical history or allergies who on 15-SEP-2006 (Lot #655082/0779F), 02-NOV-2006 (Lot #655174/0848F) and 08-JAN-2007 (Lot #655407/1115F) was vaccinated PO with the first, second and third doses, respectively, of ROTATEQ. Concomitant vaccinations administered on that same day included a dose of PREVNAR, a dose of PEDVAXHIB and a dose of PEDIARIX. The physician reported that two and a half weeks after receiving the third dose , on approximately 25-JAN-2007, the patient developed intussusception. Unspecified medical attention was sought and the patient was subsequently hospitalized. While hospitalized, the intussusception was corrected without surgery by a "contrast procedure." The patient was hospitalized for an undetermined length of time and released on 15-MAR-2007. The patient was considered to be recovered. The physician also considered the intussusception to be an other important medical event due to the "contrast procedure." Additional information has been requested. 6/25/07 Received vax record from pcp which confirmed RO dose & lot # as reported. Also provided additional info on other vax received same date. VAERS database updated w/same. 7/20/07 Received t/c from reporters office w/MRN & corrected dates of admission which was 3/15-3/17/07. 8/14/07 Received hospital medical records which reveal patient experienced nausea 7 vomiting x 5 days. no stool x 4 days. Seen by PCP who noted tarry stool & sent to ER. Fever in ER. Admitted 3/15-3/17/07. FINAL DX: Intussusception, enema reduced; acute gastroenteritis.


VAERS ID: 282748 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Tennessee  
Vaccinated:2007-04-13
Onset:2007-06-01
   Days after vaccination:49
Submitted: 2007-06-22
   Days after onset:21
Entered: 2007-06-25
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Barium double contrast, Intussusception
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC Split Type: WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


VAERS ID: 282853 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-04-10
Onset:2007-06-12
   Days after vaccination:63
Submitted: 2007-06-14
   Days after onset:2
Entered: 2007-06-26
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2554AA / 3 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z03262 / 3 UN / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E36258 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0979F / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Haematemesis, Intussusception, Laparoscopy, Lethargy, Melaena, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: cold
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Gastrograffin Enema records received 7/5/07-Labs; monocyctes 1.2, neu band % 37, glucose 144, BUN 35, Alk 242 Albumin 5.5. Blood culture negative
CDC Split Type:

Write-up: 6/12/07: Vomiting and Fever 6/13/07: Hematemesis, Melena, Fever, Lethargy. (10 AM) 6/13/07: (6 PM) Ileocolic Intussusception diagnosed with gastrograffin enema; reduced by hydrostatics and laproscopy. 7/5/07-ER records from receiving hospital for DOS 6/14/07-HX of vomiting began yesterday. Number of episodes of vomiting became coffee ground in appearance this morning. Lethargic. No diarrhea. No stool at all since yesterday morning. PE: Pale, abdomen soft with diminished bowel sounds and does not appear grossly distended. 7/13/07-records from receiving hospital.DX: Ileo-ileo intussusception. Laparoscopic reduction of ileo-ileo-colic intusssusception. DOS 6/13-6/15/07. Barium enema parially reduction.


VAERS ID: 283636 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-07-02
Entered: 2007-07-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA04154

Write-up: Information has been received from a health professional concerning a patient who was vaccinated with a 2 ml oral dose of Rotateq. Subsequently the patient was diagnosed with intussusception. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, the patient''s intussusception was considered to be an other important medical event. Additional information is not expected.


VAERS ID: 283990 (history)  
Form: Version 1.0  
Age: 0.1  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-04-11
Onset:2007-06-12
   Days after vaccination:62
Submitted: 2007-07-05
   Days after onset:23
Entered: 2007-07-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079BA / 1 LL / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER 1275F / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B086B4H / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0726F / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Small intestinal resection
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), 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, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: Abd X-ray (+) for filling defect in RLQ with distended bowel loops. WBC 21.
CDC Split Type: WAES0706USA04746

Write-up: Information has been received from a physician concerning an approximately 4 month old female who was vaccinated with a second dose of Rotateq. On 12-JUN-2007 the patient developed intussusception and was hospitalized. It was reported that the patient had to have a resection of the bowel. Subsequently, the patient recovered. No product quality complaint was involved. No other information was provided. The patient''s intussusception was considered to be immediately life-threatening and an other important medical event by the reporter. Additional information has been requested. 09/17/2007 D/C Summary received from CDC for DOS 6/12-20/2007 for DX of Volvulus. Infant presented with 1 day hx of increasing abdominal girth and vomiting. Pt taken to OR for an irreducible intussusception and had a short segment of volvulus with ischemic bowel. Pt had a small bowel resection with an ileum to R colon primary anastomosis. Cardiology consult for sinus bradycardia determined to be a normal variant. Pt resumed feeds and was D/C home.


VAERS ID: 283993 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-06-06
Onset:2007-06-30
   Days after vaccination:24
Submitted: 2007-07-02
   Days after onset:2
Entered: 2007-07-06
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B101AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08674A / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0236U / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal X-ray, Barium enema, Computerised tomogram, Full blood count, Intussusception, Laboratory test, Surgery, Ultrasound scan, Urine analysis
SMQs:, 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: PMH: none noted. NKDA.
Allergies:
Diagnostic Lab Data: Abdominal X-ray, U/S, CT, barium enema, CBC, UA, Chem labs. Labs and Diagnostics: CBC normal, electrolytes normal, CXR and KUB normal. Abd ultrasound with abnormal segment of bowel in the RUQ with thickening (bowel in bowel?) Suggests upper GI or Barium enema. Labs and Diagnostics: CT scan of abdomen (+) for intussusception. Abdominal X-ray with dilated bowel loops. Barium enema performed with IS identified but reduction was not possible x 3 attempts.
CDC Split Type:

Write-up: Intussusception 6/30 Surgical correction 7/1. Infant presented to ER with multiple episodes of vomiting, no diarrhea. Child transfered to admitting hospital. 07/30/2007 MR received from admitting hospital for DOS 7/1-4/2007. She was transferred via helicopter for eval and tx for an irreducible Intussusception. Child had an exploratory lap with reduction of ileocolic intussusception. Intussuscepted bowel was 2'' to a Meckel diverticulum. Resection of Meckel Diverticulum and ileum also done. Discharge DX: Intussusception. Meckel Diverticulum.


VAERS ID: 284028 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Georgia  
Vaccinated:2007-04-13
Onset:2007-06-23
   Days after vaccination:71
Submitted: 2007-07-06
   Days after onset:13
Entered: 2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2570BA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF093AA / 3 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0548 / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08670B / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0024U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception
SMQs:, 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? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: GERD- Prematurity 36 weeks. PMH: premie-36 weeks, GERD. NKDA.
Allergies:
Diagnostic Lab Data: Xray-Air Enemia. Labs and Diagnostics: Abd X-ray: with gaseous distention of bowel loops suggesting adynamic ileus. Abd ultrasound suspicious for Intussusception in the RLQ with thickened walls in tortuous configuration. Air enema used to reduce.
CDC Split Type:

Write-up: Patient dx with Intussusception. 07/18/2007 MR received for 2 ER visits 6/24 and 6/26 2007 for c/o persistant vomiting. Initially had diarrhea but none since vomiting started. No blood in stools. PE significant for hypoactive bowel sounds and lip pallor. Otherwise WNL. Air enema sucessful in reducing the IS. Discharge DX: Intussusception.


VAERS ID: 284182 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-07-09
Entered: 2007-07-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


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