National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

Found 753 cases where Vaccine is RV5 and Symptom is Intussusception and Appearance Date on/before '2012-04-30'

Case Details

This is page 22 out of 76

Result pages: prev   13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   next


VAERS ID: 299088 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Florida  
Vaccinated:2007-10-01
Onset:2007-12-01
   Days after vaccination:61
Submitted: 2007-12-04
   Days after onset:3
Entered: 2007-12-10
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2765AA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF168AA / 2 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0273 / 2 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B457300 / 2 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0508U / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram abnormal, Haematochezia, Intussusception
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad)

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:
Allergies:
Diagnostic Lab Data: + Bloody stools; + ABD CAT Scan for intussusception LABS: CT of abdomen & KUB (+) IS. BE reduced IS. Repeat CT of abdomen WNL. WBC 17.5. CRP 1.4. Blood, urine & stool c/s neg.
CDC Split Type:

Write-up: Intussusception 12/11/07 Reviewed hospital medical records which reveal patient experienced irritability, decreased oral intake, lethargy & bloody stools. Had been on antibiotics & neb treatments prior to admission for respiratory s/s. Admitted 12/1-12/3/2007 to PICU for observation s/p IS reduction. Progressed well but had fever of 101. Scheduled to see pcp next day. FINAL DX: Intussusception, enema reduced.


VAERS ID: 299129 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Minnesota  
Vaccinated:2007-11-07
Onset:2007-12-04
   Days after vaccination:27
Submitted: 2007-12-10
   Days after onset:6
Entered: 2007-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B125CB / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0257U / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08700K / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0969U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium double contrast, Intussusception
SMQs:, Gastrointestinal obstruction (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None 1/10/08-records received- PMH: unrepaired umbilical hernia.
Allergies:
Diagnostic Lab Data: Air Contrast Enema with confirmed intussuseption 1/10/08-records received-Hemoglobin 8.8. Air contrast enema: outlining intussusception in region of hepatic flexure of colon. Successful pneumatic reduction of ileocolic intussusception. UGI with KUB:suspicious for small bowel obstruction. No evidence of malrotation. Blood culture no growth. Stool positive for Clostridium difficile toxin A and or B.
CDC Split Type:

Write-up: Documented case of Intussusecption 4 weeks after dose of Rotateq. 1/10/08-records received for DOS 12/4-12/7/07-DC DX: Intussusception. Hematochezia, resolved.Vomiting resolved. Physiologic anemia in infancy. C/O bright red blood from rectum, emesis, vomiting projectile in nature. Decreased appetite and increased sleep.


VAERS ID: 299144 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: South Carolina  
Vaccinated:2007-03-30
Onset:2007-04-11
   Days after vaccination:12
Submitted: 2007-12-07
   Days after onset:240
Entered: 2007-12-10
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / SMITHKLINE BEECHAM AC21B097AB / 2 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE991AA / 2 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08684K / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1237F / 2 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None 12/20/07-records received-PMH: GERD.
Allergies:
Diagnostic Lab Data: Unknown 12/20/07-records received-WBC 24.7. Air enema inconclusive for intussusception with refluxing into the small bowel. there was an initial obstruction of the air column at hepatic fleuxure.
CDC Split Type: WAES0711USA05712

Write-up: Information has been received from a physician concerning a 21-week-old female with no medical history who on 16-JAN-2007 (lot #655174/0848F) and 30-MAR-2007 (lot #656187/1237F) was vaccinated PO with the first and second 2.0 mL doses, respectively, of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human-bovine). They physician reported that on 11-APR-2007, the patient developed intussusception. The physician noted that there was no adverse event involved after the patient was vaccinated with the first dose. At the time of this report, the outcome was unknown. Upon internal review, intussusception was determined to be an other important medical event. Additional information has been requested.12/20/07-records received for DOS 4/11-4/14/07-DC DX: Intussusception. Reduced by Barium contrast enema. Acute episode of vomiting, nonbloody nonbilious, approximately 20 episodes of emesis and an episode of abdominal pain. Lethargic, tachycardic with poor peripheral perfusion. Following enema patient passed a current jelly stool in ED.


VAERS ID: 299161 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Ohio  
Vaccinated:2007-10-25
Onset:2007-11-24
   Days after vaccination:30
Submitted: 2007-12-03
   Days after onset:9
Entered: 2007-12-10
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U2291BA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF215AB / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0125 / 2 LL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08700K / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0670U / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Enema administration, Intestinal resection, Intussusception, Surgery
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), 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: cough, recent otitis
Preexisting Conditions: reactive airway disease. PMH: recent otitis media. NKDA.
Allergies:
Diagnostic Lab Data: Labs and diagnostics: Abd US (+) for IS. Air enema x2. Surgical pathology shows hemorrhagic necrosis, lymphoid hyperplasia and bacterial colonization.
CDC Split Type:

Write-up: Intussusception. Reoccurred after initial enema. Required operative repair with bowel resection. First Rotateq vaccine given at 13 wks of age on 8/21/07. 12/11/2007 Vax record received and corresponds to data on VAERS submission. 12/26/2007 MR received for DOS 11/26-30/2007 with D/C DX: Intussusception (ileocolic). Infant presented to ER with 24 hr hx of nausea, vomiting and abdominal pain. Pt had currant jelly/bloody BM. Air contrast enema reduction initially successful but recurred. 2nd attempt only partially successful after 3 attempts. Taken to OR for Exploratory Lap with attempted reduction of intussuscpeption; ileal and R colon resection with anastomosis. D/C on POD3#.


VAERS ID: 299538 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: California  
Vaccinated:2007-10-01
Onset:2007-11-23
   Days after vaccination:53
Submitted: 2007-12-14
   Days after onset:21
Entered: 2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 3 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain upper, Intussusception, Lethargy, Somnolence, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (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? 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: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC Split Type:

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


VAERS ID: 299557 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Female  
Location: Washington  
Vaccinated:2007-11-21
Onset:2007-12-07
   Days after vaccination:16
Submitted: 2007-12-10
   Days after onset:3
Entered: 2007-12-13
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B130AA / 2 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2481EA / 1 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF192AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B53981H / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1108U / 3 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Barium double contrast, Enema administration, 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: air-contrast enema 1/7/08-records received-Stool guaic positive. Ultrasound confirmed intussusception.
CDC Split Type:

Write-up: Intussusception, reduced by diagnostic enema. Presented with vomiting and bloody stools on 12/7/07. 1/7/08-records received for DOS 12/7-12/8/07-DC DX: Intussusception status post reduction. HX of emesis, not tolerating foods and bloody diarrhea. Vomiting. Air contrast enema with successful and uncomplicated reduction of ileocolic intussusception which had originally progressed nearly to the splenic flexture.


VAERS ID: 300041 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Nebraska  
Vaccinated:2007-12-10
Onset:2007-12-13
   Days after vaccination:3
Submitted: 2007-12-17
   Days after onset:4
Entered: 2007-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C27690AA / 3 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0273 / 3 RL / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B540168 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1108U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium enema, Intussusception, Urinary system X-ray, X-ray gastrointestinal tract, X-ray with contrast upper gastrointestinal tract
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None 1/22/08-records received-viral infection requiring breathing treatments and steroids.
Allergies:
Diagnostic Lab Data: UGI and KUB as well as a barium enema was done. 12/31/07-records received-Two view abdomen x-ray normal bowel gas pattern. 1/22/08-records received-Upper GI series-normal with single episode of aspiration. Abdominal x-ray-intussusception. Air Enema with residual contrast-intussusception mid transverse colon. Surgery exploratory laparotomy and appendectomy. WBC 15.91, neutrophil 78.0, sodium 135, BUN 4. 4/15/08-Path report received 2/13/08-appendix with adenovirus infection. positive immunohistochemical evidence of adenovirus. No immunohistochemical evidence of rotovirus. krk
CDC Split Type:

Write-up: Had an intussusception 3 days after the Rotateq was given. Pt did require surgery to reduce it. 12/31/07-records received for DOS 12/13/07-ER visit C/O choking on sputum, coughs up yellowish color sputum. 1/22/08-records received for DOS 12/13-12/16/07-DC DX: Intussusception. Presented with 1 day history of nausea and vomiting.


VAERS ID: 300085 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Texas  
Vaccinated:2007-11-14
Onset:2007-11-26
   Days after vaccination:12
Submitted: 2007-12-14
   Days after onset:18
Entered: 2007-12-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C2607AA / 3 LL / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2460BA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF192AA / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B087028 / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1460U / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Barium enema, Dehydration, Enema administration, Haematemesis, Haematochezia, Intussusception, Irritability, Mucous stools, Pain, Ultrasound scan, White blood cell count increased, X-ray, X-ray with contrast lower gastrointestinal tract
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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:
Current Illness:
Preexisting Conditions: Clavicle fracture; sniffles
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 11/26?/07, high white blood count; lower GI series X-ray, 11/26?/07; ultrasound, 11/26?/07 1/16/08-records received-successful reduction of intussusception
CDC Split Type: WAES0712USA02142

Write-up: Information has been received from a physician concerning a 6 month old male, that was born with a fractured left clavicle because he was big at birth, and who had no other history other than sniffles, who was vaccinated with a first, second, and third 2 ml oral dose of rotavirus reassortant vaccine live (human-bovine) on 02-Jul-2007 (Lot# 656845/0409U), 05-Sep-2007 (Lot# 656845/0409U), and 14-Nov-2007 (Lot# 657665/1460U), respectively. Concomitant therapy included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, Hib conj vaccine (OMPC) (manufacturer unknown), pneumococcal conj vaccine (unspecified) and influenza virus vaccine (unspecified). "Eleven days later," on 25-Nov-2007 the patient was throwing up what looked like the color of coffee granules and continued to throw up. The patient''s mother called the physician. On 26-Nov-2007 the patient''s mother took the patient to the hospital and was hospitalized. At the time the patient was experiencing vomiting and had on loose stool. It was noted that all kinds of tests were performed. Blood work showed a high white blood count. The patient was put on IV fluids and was dehydrated. The patient had an x-ray of the intestine and an ultrasound. On 28-Nov-2007, at 9:00 a.m., the patient was rushed to a second hospital and was diagnosed with intussusception. It was noted that all types of tests were performed, and finally a jelly-like mucuos blood stool was expelled. The patient''s mother stated that seven barium enema procedures were performed on the patient, and the last one worked. There was no surgery. The patient was discharged from the hospital on 30-Nov-2007 at 12:00 p.m. The patient''s mother indicated that she was nursing the child and he seemed okay, but later started bucking and thrashing like he was in pain. The patient''s mother took the patient back to the hospital and they observed him for several hours and then he was released, not hospitalized. The patient''s mother indicated that the child was recovering but was still somewhat traumatized by all the events and was weak and clinging. The physician did not think that the patient''s intussusception was realted to rotavirus reassortant vaccine live (human-bovine). No product quality complaint was involved. No other information was provided. The patient''s intussusception was considered to be an other important medical event. Additional information has been requested. 1/16/08-records received for DOS 11/28-11/29/07 and 11/29-11/30/07-DC DX: Intussusception. Successful reduction by barium enema. Returned the same evening for C/O crying and vomiting. Observed and discharged. illness began 3 days prior to admission with vomiting, fussy, resless and crying out in sleep. Low grade fever. Emesis became dark brown and guaiac positive. Passed blood mucousy stool.


VAERS ID: 300086 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Texas  
Vaccinated:2007-08-14
Onset:2007-10-04
   Days after vaccination:51
Submitted: 2007-12-14
   Days after onset:71
Entered: 2007-12-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR AC14B099AA / 3 LL / -
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0614 / 3 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 854007D / 3 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0138F / 3 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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None 12/26/07-records received- Barium enema demonstrated intussusception in the distal transverse colon. Trace protien and ketones in urine. Potassium elevated.
CDC Split Type: WAES0712USA02737

Write-up: Information has been received from a registered nurse concerning a 6 month old white male with no pre-existing allergies, birth defects, medical conditions, who on 14-AUG-2007 at 9:15 AM was vaccinated po with a third dose of Rotateq (lot number: 653661/0138F). The patient was hospitalized for intussusception. There were no relevant diagnostic tests and laboratory data. There was no illness at time of vaccination. There were no adverse events following prior vaccinations. The outcome was reported as recovered. There was no product quality complaint. Additional information has been requested. 12/26/07-records received for DOS 10/4-10/5/07- DC DX: Intussusception of large bowel, reduced. Viral gastroenteritis. Mild dehyrdation. Successfully reduced by barium enema. Presented to ED with nausea, projectile vomiting and stomach cramps. In ED one small bloody diarrheal stool.


VAERS ID: 300429 (history)  
Form: Version 1.0  
Age: 0.51  
Gender: Male  
Location: Virginia  
Vaccinated:2007-12-04
Onset:2007-12-18
   Days after vaccination:14
Submitted: 2007-12-19
   Days after onset:1
Entered: 2007-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2749AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2456EA / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0169 / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B540168 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0942U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception, X-ray abnormal
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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Two view abdominal showed dilated loops of small bowel: obstruction 1/9/08-records received-Barium enema incomplete reduction. Upper GI confirms limited ultrasound report, no malrotation, free fluid, favoring intussusception right midabdomen. 1/12/08-received tissue samples from this patient. Results: The sample was positive for adenovirus and negative for rotavirus.
CDC Split Type:

Write-up: 12-18-07 intussception - having surgery 12-19-07 1/9/08-records received for DOS 12/18-12/22/07-DC DX: Intussusception. Exploratory laparotomy and reduction of intussusception not reduced by 2 hydrostatic enemas. Day prior to admission vomting and decrease urine. No bowel movement for 2 days.


Result pages: prev   13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   next

New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=22&SYMPTOMS[]=Intussusception_%2810022863%29&VAX[]=RV5&REPORT_YEAR_HIGH=2012&REPORT_MONTH_HIGH=04


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166