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Found 564 cases where Vaccine is RV1 and Symptom is Intussusception and Appearance Date from '2008-02-01' to '2014-12-31'

Case Details

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VAERS ID: 355049 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Tennessee  
Vaccinated:2009-07-17
Onset:2009-08-18
   Days after vaccination:32
Submitted: 2009-08-24
   Days after onset:6
Entered: 2009-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3237AA / 3 UN / UN
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB610AA / 3 LA / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR C3307AA / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D37015 / 3 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA860A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal mass, Barium enema, Incorrect dose administered, Intussusception, Lethargy, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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: No concurrent medication
Current Illness: Unknown
Preexisting Conditions: The subject has no relevant medical history and no history of adverse events following previous vaccinations. PMH: none noted
Allergies:
Diagnostic Lab Data: UNK Labs and diagnostics: Abd US (+) mass, ? IS. Contrast enema (+) for ileocolic IS. Repeat US (-)
CDC Split Type: A0803583A

Write-up: This case was reported by a healthcare professional and described the occurrence of intussusception in a 6-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included 1st dose of ROTARIX (GlaxoSmithKline) given on 25 March 2009 and ROTATEQ (manufacturer unspecified) given on 15 May 2009. Concurrent vaccination included PENTACEL (manufacturer unspecified), ACTHIB (manufacturer unspecified), ENGERIX B (GlaxoSmithKline) and PREVNAR (Wyeth Labs) all given on 17 July 2009. There were no concurrent medications. On 17 July 2009 at 11:09 the subject received 2nd dose of ROTARIX (oral). This was actually the 3rd dose of rotavirus vaccine as ROTATEQ was given to the subject inbetween doses of ROTARIX. An extra dose was administered. It was noted that the lot number for the ROTARIX diluent given with dose 2 was A41DA860A with an expiration date of 25 September 2011. On 18 August 2009, in the evening, 1 month after vaccination with ROTARIX, the subject experienced intussusception with pain, fever, abdominal mass and lethargy. The healthcare professional considered the events were clinically significant (or requiring intervention). The subject was seen by his physician and administered a barium enema as treatment which seemed to straighten everything out. At the time of reporting, the subject was at home resting and was reportedly improved. The subject''s physician did not think the events were caused by ROTARIX. 9/23/09 PCP records received dated 8/18/09-9/17/09 with DX: Intussusception. Pt presented 8/18/09 with vomiting, watery stool and excessive drooling. T''=99.2''F. Abd mass palpated in LLQ. Sent for outpt US which was (+) for IS. Barium Enema done with reduction of the IS. Observed in pcp office and d/c home doing well. Returned 9/13 09 after episode of vomiting. Abd exam WNL. (+) R OM.


VAERS ID: 355481 (history)  
Form: Version 1.0  
Age: 0.21  
Gender: Female  
Location: Tennessee  
Vaccinated:2009-08-20
Onset:2009-08-24
   Days after vaccination:4
Submitted: 2009-08-26
   Days after onset:2
Entered: 2009-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3295AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB707AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D48928 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DA802A / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Culture stool, Intussusception, Stool analysis, 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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Nystatin oral susp
Current Illness: Thrush
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, stool for blood and culture, KUB and abdominal ultrasound 9/3/09 Received medical records w/LABS: Abdominal x-ray & US & KUB abnormal. CBC & CMP WNL. BE w/air contrast unable to reduce. Stool guiaic (+).
CDC Split Type:

Write-up: Patient received Rotarix oral vaccine on 08/20/09. Taken to ER on 08/24/09 with vomiting. Diagnosed with intussusception. 9/3/09 Received hospital records of 8/24-8/26/2009. FINAL DX: cecal intussusception, surgically reduced Records reveal patient experienced vomiting & fever x 1 day. Had bloody stool in ER w/abdominal distention & hypoactive bowel sounds. Tx w/IV antibiotics. Surg consult done when BE unable to reduce IS. Progressed well post op & d/c to home. ICD9 codes: 560.0


VAERS ID: 360569 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: Michigan  
Vaccinated:2009-09-28
Onset:2009-10-06
   Days after vaccination:8
Submitted: 2009-10-17
   Days after onset:11
Entered: 2009-10-13
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3427AA / 1 UN / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB708A / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D57302 / 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA860A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Xray study consistent with diagnosis above. 10/20/09 PCP medical records received service dates 9/28/09 to 10/6/09.LABS and DIAGNOSTICS: Abdominal X-ray - Abnormal, suspicious for bowel obstruction. 10/26/09 ED report received service date 10/6/09. LABS and DIAGNOSTICS: CBC - Neutrophils 52% (H) Lymphocytes 31% (L) ABS Monocytes 1.72 K/uL (H) HGB 12.8 g/dL (L) MCV 82 fL (L) MCH 28.6 pg (L) Platelets 533 K/uL (H). CHEM - Potassium 3.9 mEq/L (L). Abdominal X-ray - Abnormal, suspicious for obstruction, possible intussusception vs volvulus. Urinalysis - cloudy.
CDC Split Type:

Write-up: Presented with vomiting. Dx: Intussusception per radiology report. Reduced and sent home. 10/20/09 PCP medical records received service dates 9/28/09 to 10/6/09. Assessment: Suspicious for bowel obstruction. Patient presents with abdominal pain and vomiting. 10/26/09 ED report received service date 10/6/09. Assessment: Vomiting (Possible small bowel obstruction). Patient presents with vomiting that started last night and is still present. Nausea and decreased oral intake. Black stools. Difficulty with urination, decreased activity, lethargic. Poor muscle tone. Sleepier that usual. Nasal discharge. Appears "sick''. Bilious vomiting. NGT placed. Transfer to higher level facility.


VAERS ID: 368114 (history)  
Form: Version 1.0  
Age: 0.55  
Gender: Male  
Location: Iowa  
Vaccinated:2009-10-26
Onset:2009-10-31
   Days after vaccination:5
Submitted: 2009-11-09
   Days after onset:9
Entered: 2009-11-17
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B213AA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF729AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D90888 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA943A / 2 MO / PO

Administered by: Private       Purchased by: Private
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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. ED record and vaccination records received for date of service 10/31/09. PMH: None.
Allergies:
Diagnostic Lab Data: ED record and vaccination records received for date of service 10/31/09. Labs and diagnostics: UA. Labs: CBC, CMP Dx studies: air contrast barium enema
CDC Split Type:

Write-up: Intussusception resolved with Barium Enema after special Enema on 11/1/09. 11/18 & 11/19/09: ED record and vaccination records received for date of service 10/31/09. Dx: Intussusception Assessment: Presents with intussusception, admitted. 12/10/2009 ED record, Admission and consult notes for 10/31-11/1/2009, patient with c/o''s persistent vomiting x 2 days. Tx: IVF, NPO, barium enema + for intussusception


VAERS ID: 378219 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Female  
Location: Alabama  
Vaccinated:2009-10-15
Onset:2010-01-01
   Days after vaccination:78
Submitted: 2010-01-19
   Days after onset:18
Entered: 2010-01-26
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3157AA / 2 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF727AA / 2 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0041 / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D87185 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA895A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Intestinal resection, Intussusception, Laparoscopic surgery, Lethargy, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Finishing AMOXICILLIN
Current Illness: Resolving OM & bronchiolitis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: X-ray, 2 air enemas
CDC Split Type:

Write-up: Pt started "violently vomiting after breakfast" on 01/01/10, acting lethargic. Went to ED - x-ray showed intussusception, tried air enema x 2 tried laparoscopic surgery, had to cut open and do bowel resection - took out 8 inches of bowel.


VAERS ID: 378753 (history)  
Form: Version 1.0  
Age: 0.45  
Gender: Male  
Location: Connecticut  
Vaccinated:2010-01-20
Onset:2010-01-23
   Days after vaccination:3
Submitted: 2010-01-27
   Days after onset:4
Entered: 2010-01-29
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB762CA / 2 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA963A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain upper, 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: Vomiting, abd pain~Rotavirus (Rotarix)~1~0.00~Patient
Other Medications:
Current Illness: None
Preexisting Conditions: Murmur.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12/16/09 ROTARIX #1-developed belly pain and vomiting. 1/20/10 ROTARIX #2-on 1/23/10 intussusception.


VAERS ID: 380180 (history)  
Form: Version 1.0  
Age: 0.44  
Gender: Male  
Location: Arkansas  
Vaccinated:2009-08-19
Onset:2009-09-18
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B213 / 2 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. UF596AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D74257 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA859 / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Barium enema, Dehydration, 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Flat plate Abd; Barium enema ultrasound, had exploratory surgery for intussusception 09/19/09
CDC Split Type:

Write-up: Vomiting-$gdehydration-$gintussusception.


VAERS ID: 383135 (history)  
Form: Version 1.0  
Age: 0.52  
Gender: Male  
Location: New York  
Vaccinated:2010-03-15
Onset:2010-03-19
   Days after vaccination:4
Submitted: 2010-03-22
   Days after onset:3
Entered: 2010-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3555AA / 2 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. AHBVB818BA / 4 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D94434 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB036A / 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? No
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: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: intussusception


VAERS ID: 383903 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Female  
Location: North Carolina  
Vaccinated:2010-03-18
Onset:2010-03-25
   Days after vaccination:7
Submitted: 2010-03-29
   Days after onset:4
Entered: 2010-03-31
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3542AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D888183 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB057A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal operation, Enema administration, Intestinal mass, 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intussusception - failed enema reduction X3. Abd surgery to reduce, also found mass (duplication of cecum). Final Dx intussusception duplicate cecum.


VAERS ID: 385949 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Male  
Location: Nebraska  
Vaccinated:2010-03-01
Onset:2010-04-24
   Days after vaccination:54
Submitted: 2010-04-26
   Days after onset:2
Entered: 2010-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3606AA / 1 UN / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB772CA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E20366 / 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB036A / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: 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: intussusception~Rotavirus (Rotarix)~1~0.00~Patient
Other Medications: PRILOSEC 1 ml BID (2mg/ml)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Fluoro Barium Enema and ultra sound
CDC Split Type:

Write-up: Infant was admitted to hospital with intussusception on 4/24/10.


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