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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: 284183 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-15
Onset:2007-05-22
   Days after vaccination:7
Submitted: 2007-07-09
   Days after onset:48
Entered: 2007-07-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628M / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1416F / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0922 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B0876920 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0235N / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium enema, 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, 2 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH:none.
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: KUB showed distended small and large bowel loops. Barium enema done-intussusception identified and reduced. Repeat US was done post reduction with no evidence of recurrent IS. Labs and Diagnsotics: KUB 5/23/2007 Multiple dilated bowel loops suggestive of distal bowel obstruction. Contrast enema with successful reduction. F/U Abd ultrasound with no evidence for recurrent intussusception. Stool, Blood and Urine cultures all (-).
CDC Split Type: WAES0707USA00032

Write-up: Information has been received from a physician concerning a female who was vaccinated with Rotateq PO 2nd dose. Concomitant therapy included "other vaccines at the same time." Subsequently the patient developed an intussusception and was hospitalized. The physician reported that the intussusception was reduced with a barium enema and no surgery was needed. The physician reported that the patient recovered on an unspecified date. The physician reported that intussusception required intervention to prevent serious criteria and caused or prolonged hospitalization. Additional information has been requested. 07/18/2007 Vax record and Diagnostic studies from hospital stay received from PCP. Vax info updated in VAERS database. 07/30/2007 MR received for hospital DOS 5/22-24/2007. Infant presented to ER with 3 day hx of emesis, dark, foul smelling stools, decreased intake and lethargy. PE reveals lethargy, dry mucus membranes, a palpable mass in the RUQ, and guiac (+) stool. Final DX: Intussusception.


VAERS ID: 284252 (history)  
Form: Version 1.0  
Age: 0.1  
Gender: Female  
Location: Texas  
Vaccinated:2007-04-05
Onset:2007-06-16
   Days after vaccination:72
Submitted: 2007-07-10
   Days after onset:24
Entered: 2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR 41813CA / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0507F / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y0991 / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08674C / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0979F / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception, Surgery
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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none. PMH: L cephalohematoma 2'' to vacuum assisted delivery. Hyperbilirubinemia after birth.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: KUB (done at previous facility) showed dilated bowel loops and air throughout. WBCs 22,000. Platelets 579,000. Chem WNL. UA (-). Abd ultrasound with eveidence of a mass-effect in the RUQ c/w Intussusception. Barium contrast enema attempted to reduce IS but was unsuccessful.
CDC Split Type:

Write-up: Intussusception. Surgical correction in June 2007. Hospital record for transfer facility rec''d for DOS 6/17-20/2007. Infant transfered to facility for surgical reduction of Intussusception which was non-reduceable by contrast enema. Child presented at first facility with 1 day hx of grossly bloody, watery stools with mucus and one episode of emesis. Child has been fussy. PE WNL. Barium contrast enema attempted to reduce IS but was unsuccessful. Infant had an Exploratory Lap, reduction of IS and small bowel resection with primary reanastomosis. DX: Intussusception. F/U visit 7/13/2007 with report of some fussiness since the surgery but otherwise healing well.


VAERS ID: 284308 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2007-06-07
Onset:2007-06-30
   Days after vaccination:23
Submitted: 2007-07-08
   Days after onset:8
Entered: 2007-07-11
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2650AA / 2 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0198F / UNK LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0547 / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B0874A / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0578E / 2 MO / PO

Administered by: Private       Purchased by: Public
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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: VSD, Bronchitis, s/p repair pyloric stenosis records received 7/26/07- HX of pyloric stenosis surgically repaired 3/07-cardiac murmur small VSD.
Allergies:
Diagnostic Lab Data: None records received 7/26/07-Labs neut 71.1, lymph 25.7, mono 2.9. Potassium 2.0, sodium 147. Urine culture no growth. Stool culture normal flora. X-ray Upper GI with KUB:distended small bowel loops compatible with small bowel obstruction. Gastroesophageal reflux disease. CT abdomen: Small bowel obstruction presumably due to ileoileal or ileocecal intussusception in distal ileum
CDC Split Type:

Write-up: Intussusception 7/26/07-records received for DOS 6/30-7/7/07-DC DX: Intussusception. Exploratory laparotomy and appendectomy on 7/2/07. On 6/30/06- C/O fever, nausea vomiting since night before. Sudden onset of vomiting became projectile. Bloody DiarrheaTemp 100.5.


VAERS ID: 284854 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Male  
Location: Unknown  
Vaccinated:2007-02-27
Onset:2007-05-23
   Days after vaccination:85
Submitted: 2007-07-16
   Days after onset:54
Entered: 2007-07-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1235F / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
SMQs:, Gastrointestinal obstruction (narrow), Medication errors (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown records received 10/5/07-CT showed intussusception. Small amount of air in proximal small bowel. Intussusception started in splenic flexure.
CDC Split Type: WAES0707USA01300

Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,


VAERS ID: 285151 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-20
Onset:2007-05-21
   Days after vaccination:62
Submitted: 2007-07-18
   Days after onset:58
Entered: 2007-07-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR U1965CA / 2 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1124F / 2 RL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1032 / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08670D / 2 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 10/12/07-records received-Contrast enema revealed presence of intussusception which could not be reduced hypostatically. Pneumatic reduction also unsuccessful.
CDC Split Type: WAES0707USA01897

Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus


VAERS ID: 285152 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: California  
Vaccinated:2007-05-30
Onset:2007-07-03
   Days after vaccination:34
Submitted: 2007-07-18
   Days after onset:15
Entered: 2007-07-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B07AA / 2 LL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 784F / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B086665 / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1167F / 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? 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: Unknown
Allergies:
Diagnostic Lab Data: physical examination 07/03/?/07 records received 8/15/07-Barium enema findings of intussusception which was partially reducted to the level of cecum.
CDC Split Type: WAES0707USA02148

Write-up: Information has been received from a physician concerning a 6 month old male who on 30-MAY-2007 was vaccinated with a second dose of Rotateq. Concomitant vaccinations received on the same day included Hib conj vaccine (unspecified carrier), DTaP (unspecified) and poliovirus vaccine. On 03-Jul -2007 the patient experienced intussusception and was hospitalized until 11-JUL-2007. The patient had exploratory surgery but intussusception corrected without any surgical procedure. On 11-JUL-2007, the patient recovered from intussusception. There was no product quality complaint. Additional information has been requested. 8/15/07-records received from facility for DOS- 7/3-7/6/07-DC DX: Intussusception Reduction. Presented to ED with symtpoms of projectile vomiting times 4 days with every oral intake. Dehydration. No fever no diarrhea. Fontanelles depressed a little. Surgery. Laparotomy reduction of intussusception and appendectomy


VAERS ID: 285492 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Female  
Location: Texas  
Vaccinated:2007-03-15
Onset:2007-06-10
   Days after vaccination:87
Submitted: 2007-07-20
   Days after onset:40
Entered: 2007-07-23
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 62283AA / 6 RA / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1113F / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, 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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: Air contrast Barium Enema (+) for Intussusception
CDC Split Type: WAES0707USA01506

Write-up: Information has been received from a office manager in a physician''s office concerning a 10 month old female, with no allergies, no history of surgery, no prior history of intussusception, congenital malformation of the intestine, or cystic fibrosis, who was vaccinated with a first, second, and third dose of ROTATEQ on 18-JAN-2007 (Lot# 653980/0285F), 15-FEB-2007 (Lot# 654489/0941F), and 15-MAR-2007 (Lot# 655405/1113F), respectively. It was reported that the office received an operative report stating that the patient was admitted to the hospital on 10-JUN-2007 after a visit to the emergency room. She had an exploratory lapartomy with reduction of intussusception and appendectomy on 10-JUN-2007. The diagnosis was unreducable intussusception. It was noted that the patient''s family had not reported any signs or symptoms prior to the emergency room visit. The patient had not been back to the office for a follow-up. No other information was provided. Additional information has been requested. 09/10/2007 Discharge Summary received for DOS 6/10-13/2007 for Dx of Intussusception. Infant presented with hx of vomiting and one episode of blood per rectum. On PE slightly tachycardic otherwise unremarkable. Air contrast barium enema revealed Intussusception, unable to be fully reduced. Taken to OR for Exploratory Lap with reduction of the Intussusception and appendectomy.


VAERS ID: 285684 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-30
Onset:2007-06-28
   Days after vaccination:29
Submitted: 2007-07-23
   Days after onset:25
Entered: 2007-07-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER C2605AA / 2 LL / UN
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UF08711 / 2 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0547 / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0025U / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: physical examination records received 8/20/07- sodium 160 chloride 124, neutrophils 32.1 mono 23.2. protein in urine 30. Rotavirus negative. Findings of fluoro exam consistent with ileocolic intussusception. Unable to reduce. Abdominal series x-ray possible distal small bowel obstruction.
CDC Split Type: WAES0707USA02147

Write-up: Information has been received from a physician concerning a 7 month old female who was vaccinated with third 2 ml oral dose of Rotateq. Concomitant vaccinations given at the same time included DTaP, Hib and IPV. Subsequently, the patient experienced intussusception and was hospitalized (length of stay unspecified). A physical examination was performed results not provided. Intussusception was considered to be immediately life-threatening and an other important medical event which required surgery. Additional information has been requested. 8/20/07-records received from facility for DOS 7/1-7/2/07- DX: Intussusception. Incisional Reduction of intussusception lysis of fiber strands, appendectomy. C/O 4 days vomiting and diarrhea with some blood yesterday,


VAERS ID: 285685 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Unknown  
Vaccinated:2007-05-01
Onset:2007-05-28
   Days after vaccination:27
Submitted: 2007-07-23
   Days after onset:56
Entered: 2007-07-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: surgery to correct the intussusception
CDC Split Type: WAES0707USA02926

Write-up: Information has been received from a nurse practitioner concerning a 7-month-old male who on 01-MAY-2007 was vaccinated PO with a third 2mL dose of Rotateq. Concomitant therapy that day included a dose of PedvaxHIB, a dose of Pediarix, and a dose of Prevnar. On 28-MAY-2007 the patient developed intussusception and was hospitalized. It was noted that the patient underwent surgery. The reporter indicated that the patient is doing well, and has recovered. No additional information is available. Intussusception was considered to be immediately life-threatening and an other important medical event by the reporter. Additional information has been requested.


VAERS ID: 285725 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Missouri  
Vaccinated:2007-07-03
Onset:2007-07-05
   Days after vaccination:2
Submitted: 2007-07-24
   Days after onset:19
Entered: 2007-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B132BA / 3 LL / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH B58845H / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0503U / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Blood glucose, Inappropriate schedule of drug administration, Intussusception, Lethargy, Pallor, Ultrasound abdomen abnormal
SMQs:, Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Medication errors (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: None
Current Illness: None
Preexisting Conditions: None records received 8/8/07-PMH: RSV.
Allergies:
Diagnostic Lab Data: Intussusception by abdominal ultrasound records received 8/8/07- Abdominal Ultrasound revealed intussusception in the midtransverse colon. Abdominal x-ray revealed nonobstructive bowel gas pattern with midepigastric soft tissue density. Successful reduction with air enema.Labs: WNL.
CDC Split Type:

Write-up: Seen for lethargy - pallor. Glucose @ 110. Sent to ER for evaluation and was subsequently admitted for intussusception. 8/8/07-records received for DOS 7/5/07-DX: Intussusception. C/O lethargy and became pale. No nausea no vomiting no diarrhea or blood in stool. Successful reduction with air enema.


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