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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: 290934 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Unknown  
Vaccinated:2007-06-11
Onset:2007-07-07
   Days after vaccination:26
Submitted: 2007-09-19
   Days after onset:74
Entered: 2007-09-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR - / UNK - / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / UNK UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0777F / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 9/20/07-records received-X-ray and US no obstruction. Stool guaiac positive.
CDC Split Type: WAES0709USA02272

Write-up: Information has been received from a physician concerning a 7-month-old male who on 11-JUN-2007 was vaccinated with a third dose of Rotateq. Concomitant therapy included Prevnar, PedvaxHIB, IPOL and Daptacel. On 07-JUL-2007 the patient went to the emergency room in a hospital and had surgeries for intussusception and appendectomy (not further specified). It is unknown how long the patient was hospitalized. On an unspecified date, the patient recovered and was discharged. No product quality complaint was involved. The reporter considered intussusception to be an other important medical event and life threatening. Additional information has been requested. 9/20/07-records received with report-presented to ED 7/19/07 with 2 day C/O fever, vomiting, no stool. Surgical repair of Intussusception.


VAERS ID: 291299 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: California  
Vaccinated:2007-04-25
Onset:2007-06-12
   Days after vaccination:48
Submitted: 2007-09-21
   Days after onset:101
Entered: 2007-09-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B092AA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0071U / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08666E / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1238F / 2 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Abdominal X-ray, Barium enema, Chest X-ray, Intussusception, Surgery, Urinary system X-ray, 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 6/13/07 KUB, cross table (lateral) of abdomen, chest x-ray; 6/13/07 Barium enema. Labs and Diagnostics: Barium enema x2 (+) for IS. KUB (+) for Ileus.
CDC Split Type:

Write-up: Patient received Rotavirus vaccine on 2/23/2007 and 4/25/07. Patient seen at clinic 6/12/07 with vomiting on and off for 6 hrs. Patient admitted to hospital 6/12/07. Pt diagnosed with intussusception and had corrective surgery 6/13/2007. Pt discharged 6/15/2007. 10/02/2007 Vax record received and data corresponds with what was reported on VAERS form./pc 10/26/2007 D/C Summary received for hospital DOS 6/12-15/2007 for DX Ileoileal and Ileocolic Intussusception. Infant presented with bilious emesis and blood per rectum. Barium enema performed which demonstrated IS to the cecum from mid transverse colon but was unsuccessful in reduction. Repeat BE only partially successful at reduction. Infant then had a Laparoscopic Reduction of Intussusception and Appendectomy. Post-operatively the pt developed an marked ileus which resolved on POD #2 when the pt began tolerating po and had a non-bloody BM.


VAERS ID: 291515 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Female  
Location: Maryland  
Vaccinated:2007-03-06
Onset:2007-09-20
   Days after vaccination:198
Submitted: 2007-09-27
   Days after onset:7
Entered: 2007-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ACZ1B0B4BA / 3 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH 04084F / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08684F / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1115F / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dehydration, Enema administration, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None PMH: hospitalized w/enterovirus 9/2006, dry skin, vomiting, good growth & development.
Allergies:
Diagnostic Lab Data: LABS: WBC 10.6, US of abdomen c/w IS.
CDC Split Type:

Write-up: Intussusception, admitted to hospital on 09/20/2007 with vomiting, dehydration. Reduced by air enema. Discharged in good health. 9/28/07 Received pcp medical records & vax records which confirms RO dose & lot # as reported. 10/30/07 Reviewed hospital medical records which reveal patient experienced abdominal tenderness, vomiting & reduced oral intake x 5 days. Admitted 9/20-9/21/07 for observation s/p barium enema reduction of IS. Progressed well & d/c to home. FINAL DX: Intussusception, enema reduced. Records faxed to CDC.


VAERS ID: 291810 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: California  
Vaccinated:2007-09-04
Onset:2007-09-12
   Days after vaccination:8
Submitted: 2007-10-01
   Days after onset:19
Entered: 2007-10-02
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124AA / 2 LL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1273F / 2 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B9728313 / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0972U / 2 MO / PO

Administered by: Public       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: None
Current Illness: 10/22/07-records received-well baby visits with c/o stuffy nose and cough.
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 10/15/07-records received-BE positive for intussusception without complete reduction. TX successful reduction by air enema.
CDC Split Type: WAES0709USA03910

Write-up: Information has been received from a physician concerning a 5 month old male who on 04-SEP-2007 was vaccinated with a dose of Rotateq (no lot number provided). There was no concomitant medication. On 12-SEP-2007 the patient experienced intussusception. On that same day, the patient was examined by a physician and taken to the ER. At the time of this report the outcome was unknown. Additional information has been requested. 10/15/07-records received from facility-for DOS 09/12/07-patient with 36 hour history of abdominal pain, vomiting and passage of currant jelly stool times 1 today, BE positive for intussusception without complete reduction. TX successful reduction by air enema. 10/22/07-office notes received, lot#u055 included. well baby visits with c/o stuffy nose and cough.


VAERS ID: 291827 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Michigan  
Vaccinated:2007-07-23
Onset:2007-09-20
   Days after vaccination:59
Submitted: 2007-09-27
   Days after onset:7
Entered: 2007-10-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2605AA / 2 UN / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0408F / 2 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 20306 / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08679A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0025U / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Diarrhoea, Haematochezia, Intussusception, Surgery
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Abd US (+) for IS. Abd X-ray: Small-bowel obstruction 2'' to Intussusception. Barium enema unable to reduce the IS. Sugical pathology of Appendix Vermiformis: Lymphoid Hyperplasia and Adenovirus Infection.
CDC Split Type:

Write-up: Diarrhea, blood in stool and diagnosed w/intussusception emergency surgery done on 9-21-07 at hospital (possibly from Rotavirus vaccine). 11/30/2007 MR received for DOS 9/21-23/2007 with discharge DX: Ileal-Ileal Ileocolic Intussusception. Child presented with 2 day hx of fever, nausea and vomiting with blood in stool. On PE, abdomen (+) distention and RLQ tenderness. Currant jelly stool in ER. Barium enema x 3 attempts-unable to reduce the IS so pt taken to OR for a Laparotomy with manuel reduction of Intussusception with Incidental Appendectomy. Pt did well post-op and D/cd home on POD 2. 12/10/2007 Vax record received from PC. Info the same as VAERS form submission. Doing well s/p surgery.


VAERS ID: 291861 (history)  
Form: Version 1.0  
Age: 0.39  
Gender: Male  
Location: Tennessee  
Vaccinated:2007-09-17
Onset:2007-09-30
   Days after vaccination:13
Submitted: 2007-10-02
   Days after onset:2
Entered: 2007-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0876U / 2 UN / UN

Administered by: Public       Purchased by: Public
Symptoms: Computerised tomogram, Enema administration, Intussusception, Urinary system X-ray
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: KUB, CT abdomen, Air enema 10/15/07-records received-10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. KUB, CT scan, air enema
CDC Split Type:

Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery


VAERS ID: 291938 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Kansas  
Vaccinated:2007-08-20
Onset:2007-09-18
   Days after vaccination:29
Submitted: 2007-10-02
   Days after onset:14
Entered: 2007-10-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0875U / 2 UN / UN

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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 11/6/07-records received-intussusception reduced by air enema.
CDC Split Type: WAES0709USA04474

Write-up: Information has been received from a physician concerning a male infant who at a 4 month old visit was vaccinated with his second dose of Rotateq and later experienced intussusception. Unspecified medical attention was sought. The patient''s recovery status was unknown. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. Additional information has been requested. 11/6/07-records received for DOS 9/19-9/20/07-intussusception reduced by air enema. History of bloody stools and emesis. Observed after procedure, tolerated breast feeding, discharged.


VAERS ID: 292129 (history)  
Form: Version 1.0  
Age: 0.49  
Gender: Male  
Location: Missouri  
Vaccinated:2007-05-23
Onset:2007-09-04
   Days after vaccination:104
Submitted: 2007-10-03
   Days after onset:29
Entered: 2007-10-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B113AA / 4 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8679F / 4 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 00030U / 4 MO / PO

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown LABS: BE revealed IS. CT of abdomen revealed bowel obstruction or severe ileus.
CDC Split Type: WAES0710USA00021

Write-up: Information has been received from a physician concerning a 10 month old patient (gender not reported) who on an unspecified date was vaccinated with the completed 3 dose series of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. The intussusception was corrected surgically. On an unspecified date, the patient recovered from intussusception. Intussusception was considered to be immediately life-threatening. Additional information has been requested. 10/8/07 Patient demographics provided by CDC. 10/26/07 Received vax record & VAERS database updated w/same. Also received tag 2 report from pcp which included AE onset. Record faxed to CDC. 11/27/07 Reviewed hospital medical records which reveal patient experienced blood in stools, fever & vomiting x 2 days. Seen by pcp who dx w/gastroenteritis & sent home. Vomiting continued & taken to ER. Admitted 9/5-9/18/2007. He appeared dehydrated & ill. BE done revealed colocolic IS but not able to reduce. Taken to OR where exp laparotomy with right extended hemicolectomy w/primary anastomosis & re-exploration laparoscopically with open reduction of IS was done. Did well initially post operatively but on day 3-4 became distended & vomited. Continued for several days & unable to tolerate oral feeds. Taken back to OR where second IS was found & easily reduced. Progressed well after 2nd surgery & d/c to home. FINAL DX: Intussusception, recurrent, surgically reduced x 2 with hemicolectomy. Records faxed to CDC.


VAERS ID: 292242 (history)  
Form: Version 1.0  
Age: 1.0  
Gender: Unknown  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2007-03-01
Submitted: 2007-10-04
   Days after onset:216
Entered: 2007-10-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
SMQs:, Gastrointestinal obstruction (narrow), Medication errors (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: WAES0709USA04715

Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.


VAERS ID: 292243 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: New York  
Vaccinated:2007-07-24
Onset:2007-09-24
   Days after vaccination:62
Submitted: 2007-10-04
   Days after onset:10
Entered: 2007-10-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C2570BA / 3 - / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 6223F / 3 - / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE958AA / 3 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B58845H / 3 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0503U / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: presumed viral gastroenteritis 2 wks prior.
Allergies:
Diagnostic Lab Data: abdominal X-ray 09/25/07- suspicious for intussusception LABS: guiac (+) stool. Abdominal c-ray neg. Abdominal US (+) IS to hepatic flexure/right transverse colon. Repeat US of abdomen on 9/26 revealed recurrent IS.
CDC Split Type: WAES0710USA00016

Write-up: Information has been received from a physician and nurse concerning an 18 month old male who was vaccinated PO with three doses of Rotateq (lot numbers not available). On 25-SEP-2007 the patient developed intussusception and was hospitalized for 2 days. An abdominal x-ray was performed in hospital and the results were suspicious for intussusception even though a diagnosis of intussusception was not made. Subsequently, the patient fully recovered and was discharged from the hospital on 26-SEP-2007. There was no product quality complaint. Additional information has been requested. 10/16/07 Received vax record from pcp. VAERS database updated w/same. Record faxed to CDC. 10/23/07 Reviewed hospital medical records which reveal patient experienced crying, colicky abdominal pain, malodorous stool & bright yellow vomiting x 1 day. Exam revealed diffuse abdominal tenderness. Peds surgery consult done. Tx w/contrast enema & reduced IS. Admitted 9/24-9/25/07 for observation s/p reduction. Progressed well & d/c to home. Returned to ER on 9/26 w/abdominal pain, bloody stool. Recurrent IS reduced w/barium enema. 3rd abd US s/p reduction was WNL. Admitted 9/26-9/27/07 for observation. Progressed well & D/C to home. FINAL DX: Intussusception, recurrent, reduced x 2 by enema. Records faxed to CDC.


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