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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: 292245 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Unknown  
Location: Maryland  
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted: 2007-10-04
   Days after onset:398
Entered: 2007-10-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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: 292254 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: California  
Vaccinated:2007-02-02
Onset:2007-03-30
   Days after vaccination:56
Submitted: 2007-09-26
   Days after onset:180
Entered: 2007-10-05
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B084CA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1084F / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08683A / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0578F / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Dehydration, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 3/30/07 Came in for vomiting, dehydration 5 days hx of vomiting, Admitted to hospital - CT scan revealed reg scan - transferred for surgical evaluation. Had open reduction 4/3/07. 10/26/07 Reviewed hospital medical records which reveal patient experienced abdominal pain, vomiting, x 6 days; irritability, bloody mucusy stool x 1 day. Admitted 4/2-4/5/2007. FINAL DX: Intussusception, surgically reduced; appendectomy. Records faxed to CDC.


VAERS ID: 292396 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Kentucky  
Vaccinated:2007-08-24
Onset:2007-09-23
   Days after vaccination:30
Submitted: 2007-09-27
   Days after onset:4
Entered: 2007-10-08
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR 02657AA / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0016U / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 21009 / 1 RA / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B53981B / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0972U / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Gastroenteritis viral, Haematochezia, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Abnormal hemoglobin; FAV Variant Barts. PMH: failed NB hearing screen.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Air contrast enema (+) for Intussusception. CBC with 3.7 WBCs. Blood culture (+) Gram (+) cocci in clusters-Staphylococcus species. Surgical pathology of bowel segment shows ulcerated areas with perforation
CDC Split Type:

Write-up: Vaccine given 8/24/07. Started vomiting 9/23/07, no fever, no diarrhea initially - diagnosed with viral gastroenteritis. On 9/25/07 had large bloody bowel movement - seen in local ER, transferred to another hospital where diagnosed with intussusception and underwent surgical correction/resection. Hospital records received from PCP for DOS 9/26-30/2007 for DX Incarcerated Intussusception. Infant presented with lethargy, mental status changes, decreased po intake and a large bloody bowel movement. PE significant for T=100.6''F, listness and acutely ill appearing, dry mucus membranes, minimal response to painful stimuli, rectal exam (+) for gross blood. Reduction failed by air contrast enema and infant taken to OR for Exploratory Lap with small bowel resection for IS. Pt tolerated advancing diet and was d/c home on 9/30/2007. 10/23/2007 Vax record received and correlates with VAERS submission. Per 60 day follow up: Patient underwent exploratory laparotomy with small bowel resection for incarcerated intussusception.


VAERS ID: 292397 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Florida  
Vaccinated:2007-09-20
Onset:2007-10-08
   Days after vaccination:18
Submitted: 2007-10-08
   Days after onset:0
Entered: 2007-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2765AA / 3 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF204AC / 3 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47442H / 3 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0509U / 3 MO / PO

Administered by: Private       Purchased by: Other
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? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: Diarrhea~Vaccine not specified (no brand name)~3~0.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Reduced with Barium enema 10/25/07-records received- Ultrasound abdomen ileocolic intussusception.Barium enema reduction of intussusception. Blood culture no growth.
CDC Split Type:

Write-up: PO Rotavirus vaccination on 9/20/07 in doctor''s office. Admitted to hospital 10/8/07 with diagnosis of intussusception. 10/25/07-records received DOS 10/8/07-DX: Intussusception. 12 days prior to admission developed low grade fever and 3 episodes of vomiting. Treated with Pedialyte and no emesis for 1 week. Last week had dark brown stools, has not had a bowel movement since 4 days prior to admission. 3 days prior to admission cranky, more fussy, intermittently crying, drawing legs up or became rigid. Vomiting began day prior to admission.


VAERS ID: 292561 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: South Carolina  
Vaccinated:2007-10-02
Onset:2007-10-05
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2007-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B115CB / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2435AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF119AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47300F / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0410U / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal X-ray, Intussusception, 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abdominal Xray, Abdominal KUB 10/22/07-records received-KUB showed dilated loops of bowel with air fluid levels. Ultrasound diagnostic for intussusception. 11/15/07-records received-11/15/07-tissue slide report received: specimen appendix.IHC for adenovirus positive. IHC for Rotavirus A negative.
CDC Split Type:

Write-up: intussusception confirmed by abdominal x ray, abdominal ultrasound at 10-5-07 10/22/07-records received for DOS 10/5-10/7/07-DC DX: Intussusception. Laparotomy, appendectomy. Operative reduction of intussusception. Hydrostatically irreducible. Three days prior to admission C/O abdominal pain and emesis, HX of episodic pain, no bloody bowel movements.


VAERS ID: 292564 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Georgia  
Vaccinated:2007-04-06
Onset:2007-10-03
   Days after vaccination:180
Submitted: 2007-10-04
   Days after onset:1
Entered: 2007-10-10
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079BA / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0403F / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08691K / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1233F / 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None, PMH of intussusception in 6/2007.
Allergies:
Diagnostic Lab Data: Reduced by radiology by contrast enema. Labs and Diagnostics: CXR/Abd X-ray shows a paucity of gas in the rectum. Ultrasound demonstated intussusception to the level of the mid potion of the transverse colon. Therapeutic enema given with successful reduction. Labs and Diagnostics: Barium enema.
CDC Split Type:

Write-up: 1st dose Rotateq given @ 2 mo 2/2/07 2nd dose Rotateq given @ 4 mo 4/6/07 Intussusception 6/18/07 no Rotateq given @ "6 mo" checkup done @ 6/29/07. 10/10/2007 VAERS report submitted with MR attached. Infant with PMH of intussusception in 6/2007 presented with crying and abdominal pain on 10/3/2007. A therapeutic enema was given with successful reduction of the ileocolic intussusception. 10/24/2007 Vax record received. Rotateq Lot # 0403F added to database, otherwise correlates with VAERS submission. 11/05/2007 MR received for DOS 6/17/2007 for D/C DX Intussusception. Child presented to ER with vomiting, abdominal cramping x 12 hrs. Pt had a bloody stool in The ER. Pt had barium enema which sucessfully reduced the IS. D/Cd home same day in good condition. Repeat IS with BE reduction 10/3/07 as above.


VAERS ID: 292698 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: North Dakota  
Vaccinated:2007-08-02
Onset:2007-09-13
   Days after vaccination:42
Submitted: 2007-10-10
   Days after onset:27
Entered: 2007-10-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B133BA / 1 - / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0066U / 1 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B26510E / 1 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0507U / 1 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 LABS: abdominal x-ray WNL. BE diagnosed & reduced IS.
CDC Split Type: WAES0710USA00520

Write-up: Information has been received from a nurse concerning a female who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception. The patient was seen in the physician''s office. The patient''s 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. Additional information has been requested. 12/14/07 Received vax record from pcp. VAERS database updated w/same. 12/28/07 Reviewed hospital medical records which were only x-ray reports & reveal patient experienced diarrhea x 5 days, reduced oral intake & bloody stools. BE successfully reduced ileocolic intussusception. FINAL DX: ileocolic intussusception, enema reduced. 1/4/08 Reviewed hospital medical records which reveal patient experienced ileocolic IS 9/13 & was reduced by BE. Also had congestion & runny nose at that time. Returned to clinic 9/14 due to reduced oral intake. Assessment at that time was resolved IS & irritated stomach & was placed on clears. Returned to clinic 9/18 with continued reduced oral intake & cough. Exam at that time revealed dull TMs & tx w/antibiotics. Returned to ER 10/14 with diarrhea x 7 days & reduced oral intake. Abdominal x-ray at that time was WNL. Dx w/diarrhea possibly due to recent formula change.


VAERS ID: 293275 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: New Mexico  
Vaccinated:2007-09-12
Onset:2007-09-27
   Days after vaccination:15
Submitted: 2007-10-15
   Days after onset:18
Entered: 2007-10-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B11UAB / 2 LL / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER 0078U / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B265108 / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0770U / 2 MO / PO

Administered by: Other       Purchased by: Other
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: BACTRIM
Current Illness: Ear infection
Preexisting Conditions: PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: CT scan (+) for IS down to the level of the sigmoid colon and lymphadenopathy. Barium enema successfuly reduced IS.
CDC Split Type: WAES0710USA01435

Write-up: Information has been received from a physician concerning a male who on 11-SEP-2007 was vaccinated with a second oral dose of Rotateq. Concomitant therapy included sulfamethoxazole/trimethoprim (BACTRIM) for an ear infection. Subsequently the patient experienced intussusception. The patient was taken to the emergency room and was treated with an air enema reduction. It was reported that the patient recovered. The patient''s intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/18/2007 Vax record recieved and info updated in VAERS database. 10/30/2007 MR received for hospital DOS 9/27-30/2007 for D/C DX of Reduced Intussusception on air enema. Infant presented to the ER with intractable vomiting and dark, bloody bowel movements as well as excessive sleep. PE (+) for lack of bowel sounds, lethargy, and depressed fontenelle. (+) Currant jelly stool in ER. Barium enema successfuly reduced IS.


VAERS ID: 293334 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Alabama  
Vaccinated:2007-09-19
Onset:2007-09-28
   Days after vaccination:9
Submitted: 2007-10-09
   Days after onset:11
Entered: 2007-10-16
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B097AB / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF117AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08690K / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1032F / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Intestinal functional disorder, Intussusception, Ultrasound abdomen
SMQs:, Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific inflammation (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: Omnicef
Current Illness: Ear infection
Preexisting Conditions: Ventral hernia. PMH: multiple ear infections.
Allergies:
Diagnostic Lab Data: Abd sonar. Labs and diagnostics: US abd (10/3/07) shows a transient small bowel intussusception which resolved during the course of the study. US abd (10/5/07) again showed a transient small bowel intussusception in the RUQ. Abd X-ray 10/11/07 with a non-obstructive gas pattern. US abd (10/11/07) no IS. C-diff toxin (-).
CDC Split Type:

Write-up: Severe intestinal irritability with U/S documented small bowel intussusception. 11/26/2007 MR received for several OV with ped surgeon and ped gastroenterology beginning 10/03/2007 to 11/08/07 operative report for ventral hernia repair. Child presented to ped surgeon on 10/03/2007 with c/o significant diarrhea as well as blood in stool. Seen again 10/5/07 for irritability and abdominal pain. DX: irritable bowel 2'' disrupted bowel flora. GI visit 10/18/07 with assessment: Constipation. Milk Allergy. Diarrhea. Abdominal pain. Ventral hernia. Ventral hernia repair on 11/08/07. 12/10/2007 Vaqx record received from PCP. Corresponds with VAERS report.


VAERS ID: 293579 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Arizona  
Vaccinated:2007-07-17
Onset:2007-10-15
   Days after vaccination:90
Submitted: 2007-10-18
   Days after onset:3
Entered: 2007-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2605AA / 3 - / -
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB437AA / 3 - / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF101AB / 3 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0765U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium enema, Enema administration, Intussusception
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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tylenol infant drops
Current Illness: None
Preexisting Conditions: Plagiocephaly and mild gastroesophegeal reflux
Allergies:
Diagnostic Lab Data: Barium enema LABS: abdominal US c/w IS. BE c/w ileocolic IS. Air contrast enema successfully reduced IS. WBC 21.3, H/H 11.4/32.9, segs 54, lymphs 37, monos 6. Chemistry WNL. UA WNL. Blood culture done.
CDC Split Type:

Write-up: Intussception at 9 months. 12/7/07 Reviewed hospital medical records which reveal patient experienced crampy abdominal pain, irritability, vomiting. Was on antibiotics for otitis media. Surgery consult done. Admitted 10/15-10/16/2007 for observation s/p enema reduction of IS. FINAL DX: Intussusception, enema reduced. Records faxed to CDC.


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