From the 1/15/2021 release of VAERS data:

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

This is page 23 out of 76

VAERS ID: 300448 (history)   Form: Version 1.0   Age: 0.35   Sex: Female   Location: Maine   Vaccinated: 2007-10-18 Onset: 2007-11-15    Days after vaccination: 28 Submitted: 2007-12-13    Days after onset: 28 Entered: 2007-12-19    Days after submission: 6 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2489AA / 2 LL / IM HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0072U / 2 RL / IM IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR 202402 / 2 LL / SC PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08657F / 2 RL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1053U / 2 MO / PO Administered by: Private       Purchased by: Unknown Symptoms: Intussusception SMQs:, Gastrointestinal obstruction (narrow) Life Threatening? Yes Birth Defect? No Died? No Permanent Disability? No Recovered? No 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: No Preexisting Conditions: None Allergies: Diagnostic Lab Data: radiological LABS: KUB dialted loops of small bowel. Abdominal US (+) for IS x 2. Air enema reduction of IS x 2. CDC Split Type: Write-up: Intussusception requiring reduction. Repeat intussusception needing second procedure. 12/21/07 Reviewed vax record which confirms dose & lot #s as reported. 12/28/07 Reviewed hospital medical records which reveal patient experienced vomiting, bloody stool, reduced oral intake, irritability & lethargy. Admitted 11/16-11/17/2007. Enema successfully reduced IS. Admitted for overnight observation. Did well & was d/c to home. Readmitted 11/19-11/20/2007 for recurrence of vomiting & bloody stools. 2nd abdominal US (+) for IS & was successfully reduced w/air contrast enema. Kept overnight for observation. Did well & d/c to home. FINAL DX: Recurrent ileocolic intussusception at hepatic flexure, enema reduced x 2.

VAERS ID: 300449 (history)   Form: Version 1.0   Age: 0.5   Sex: Female   Location: Pennsylvania   Vaccinated: 2007-07-31 Onset: 2007-11-10    Days after vaccination: 102 Submitted: 0000-00-00 Entered: 2007-12-19 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21310AA / 3 RL / IM HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF116AB / 3 RL / IM PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08690E / UNK LL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0578R / 3 MO / PO Administered by: Public       Purchased by: Public Symptoms: Abdominal X-ray, Abdominal pain, Barium enema, Bronchial hyperreactivity, Cough, Enema administration, Full blood count abnormal, Intussusception, Nasopharyngitis, Platelet count increased, Ultrasound scan abnormal, Upper respiratory tract infection, White blood cell count increased SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Current Illness: No Preexisting Conditions: None Allergies: Diagnostic Lab Data: Abd x-ray, U/S abnormal; CBC - increased WCC 19.5, Pl 520. LABS: KUB & abdominal x-ray c/w IS. WBC 19.5 (H), neutros 71.2% (H), lymphs 23.6% (L), plts 520 (H). Enema reduced. CDC Split Type: Write-up: Abdominal pain, R/O intussusception - URI, cold and cough 1 week. Intussusception continued U/S. + Abd X-ray. Successful reduction by Barium enema. On Albuterol too, ? RAD. Received flu vaccine 10/30/2007, SP lot # U2462AA, LAT. 12/20/07 Patient experienced runny nose, cough/cold symptoms x 1 week w/diarrhea x 3 days & vomiting x 1 day. When seen in clinic, parent revealed patient had been in hospital 11/10-11/11/2007 for IS. 12/28/07 Reviewed hospital medical records which reveal patient experienced cough x 2 wks,irritability, colicky abdominal pain & vomiting x 1 day. Family member had been ill w/gastritis 1 wk prior. Admitted 11/10-11/11/2007. Surgery consult done. Progressed well s/p reduction & d/c to home. FINAL DX: intussusception, enema reduced.

VAERS ID: 300550 (history)   Form: Version 1.0   Age:    Sex: Female   Location: North Carolina   Vaccinated: 0000-00-00 Onset: 0000-00-00 Submitted: 2007-12-19 Entered: 2007-12-20    Days after submission: 1 Vaccin­ation / Manu­facturer Lot / Dose Site / Route RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO Administered by: Other       Purchased by: Other Symptoms: Barium enema, 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, ? days    Extended hospital stay? Yes Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Allergies: Diagnostic Lab Data: Unknown CDC Split Type: WAES0712USA03809 Write-up: Information has been received from a physician concerning a female who began the vaccination series at "2 months of age" (date not reported) with Rotateq. It was reported that one month after receiving the third dose of the vaccine (date not reported) she developed intussusception and was hospitalized. Diagnostics were not reported. The intussusception was treated with a barium enema. At the time of this report, it was reported that the patient had recovered. Intussusception was considered to be life threatening and an other important medical event by the reporter. Additional information has been requested.

VAERS ID: 301249 (history)   Form: Version 1.0   Age: 0.2   Sex: Male   Location: Arizona   Vaccinated: 2007-10-25 Onset: 2007-11-22    Days after vaccination: 28 Submitted: 2007-12-28    Days after onset: 36 Entered: 2007-12-31    Days after submission: 3 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER C2749AA / 1 RL / UN HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1278F / 1 LL / UN IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER A0111 / 1 RL / SC PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C35A4 / 1 LL / UN RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0505U / 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? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, 1 days    Extended hospital stay? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Unknown. PMH: none. NKDA. Allergies: Diagnostic Lab Data: Unknown. Labs and Diagnostics: Chemistry WNL. Abd X-ray suspicious for IS. Abd US with IS identified in the R and proximal transverse colon. Enema administration CDC Split Type: WAES0712USA08462 Write-up: Information has been received from a nurse concerning an approximately 13 week old male who on 25-OCT-2007 was vaccinated PO with his first dose of Rotateq (lot# 656379/0505U). Concomitant vaccinations administered on that same day included a dose of DTaP, a dose of PedvaxHIB, a dose of Prevnar. On approximately 22-NOV-2007 the patient experienced intussusception, was hospitalized and underwent surgery on 22-NOV-2007 (length of stay and type of surgery not specified). Subsequently, the patient recovered. It was noted that the patient discontinued the series for the second and third doses of Rotateq. There was no product quality complaint. Intussusception was considered to be an other important medical event (surgery) by the reporter. Additional information has been requested. 01/10/2008 Vax info updated in database. 02/12/2008 MR received for DOS 11/22-23/2007 with D/C DX: Intussusception. Infant presented with vomiting, bloody, brownish stools, refusal to eat and screaming. Several day hx of nasal congestion. Pt underwent reduction of IS via enema in ER. Admitted for observation post procedure and D/Cd next day.

VAERS ID: 301951 (history)   Form: Version 1.0   Age: 0.3   Sex: Male   Location: Ohio   Vaccinated: 2007-12-13 Onset: 2007-12-17    Days after vaccination: 4 Submitted: 2008-01-02    Days after onset: 16 Entered: 2008-01-08    Days after submission: 6 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2797AA / 2 UN / IM HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF292AB / 2 UN / IM IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0298 / 2 UN / UN PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B70143D / 2 UN / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0904U / 2 MO / PO Administered by: Private       Purchased by: Private Symptoms: Cyst, Explorative laparotomy, Ileectomy, Intussusception, Rectal haemorrhage, Ultrasound abdomen abnormal, Vomiting SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), 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, 2 days    Extended hospital stay? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None-but enteric duplication cyst dx''ed at time of intussusception Allergies: Diagnostic Lab Data: Abdominal ultrasound at hospital showed intussusception - non-reducible by air enema. 2/5/08-records received-Stool hemocult positive.Air enema incomplete recudtion of ileococlic intussusception with associated small bowel obstruction.Abdominal x-ray small bowel obstruction. US intussusception right upper quadrant. CDC Split Type: Write-up: 4 days after vaccines, patient developed bilious emesis and rectal bleeding. Abdominal ultrasound at hospital showed intussusception - non reducible by air enema. Patient underwent exploratory laparotomy for reduction of intussusception and resection of ileocecal enteric duplication cyst found at that time. 2/5/08-records received for DOS 12/17-12/19/07-DC DX: Intussusception. presented to ED with C/O vomiting greenish yellow 6 episodes. BRBRPR, no stool. Abdominal pain, increased sleepiness, decreased wet diapers. Exploratory laparotomy, resection of ileocecal enteric duplication cyst. appendectomy.

VAERS ID: 302536 (history)   Form: Version 1.0   Age: 0.35   Sex: Male   Location: California   Vaccinated: 2007-11-13 Onset: 2008-01-02    Days after vaccination: 50 Submitted: 2008-01-11    Days after onset: 9 Entered: 2008-01-11 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B062 / 2 LL / IM HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 6376U / 2 RL / IM IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0126 / 2 LL / IM PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54015D / 2 RL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1392U / 2 MO / PO Administered by: Unknown       Purchased by: Unknown Symptoms: Enema administration, Intussusception, Irritability, Ultrasound abdomen abnormal, Vomiting SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypoglycaemia (broad) 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, 2 days    Extended hospital stay? No Previous Vaccinations: Other Medications: Tylenol Current Illness: none Preexisting Conditions: none Allergies: Diagnostic Lab Data: Abdominal U/S: transverse colon intussusception. Labs and Diagnostics: Abd US (+) for IS. Barium enema (+) for IS at level of hepatic flexure. CDC Split Type: Write-up: Developed 1 d hx of fussiness and vomiting and found to have intussusception and reduced by barium enema. 01/23/2008 Vax record received and Rotateq Lot # updated. It appears that the reported lot # was for the 9/18/07 dose not the 11/13/07 dose. 5/30/2008 MR received for DOS 1/2-3/2008 with DX: Intussusception. Infant presented to local hospital with belly pain, vomiting and bloody diarrhea. Pt had been feeding poorly and had fewer wet diapers. Reduced by Barium enema and admitted for o/n obs.

VAERS ID: 302692 (history)   Form: Version 1.0   Age: 0.2   Sex: Female   Location: Ohio   Vaccinated: 2007-11-01 Onset: 2007-11-08    Days after vaccination: 7 Submitted: 2008-01-15    Days after onset: 68 Entered: 2008-01-15 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124BA / 1 RL / IM HIBV: HIB (ACTHIB) / SANOFI PASTEUR VF163AA / 1 LL / IM PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47300B / 1 LL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0505U / 1 MO / PO Administered by: Unknown       Purchased by: Unknown Symptoms: 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, 1 days    Extended hospital stay? No Previous Vaccinations: Other Medications: Nystatin topical ointment Current Illness: Cadidal diaper dermatitis Preexisting Conditions: None. PMH: none Allergies: Diagnostic Lab Data: Labs and Diagnostics: Abd X-ray suspicious for IS. Abd US shows ileocolic intussusception. Air enema (+) for filling defect. Stool (+) for occult blood. Stool cx (-). CDC Split Type: Write-up: Patient was treated for intussusception on 11/8/07. 02/26/2008 MR received for DOS 11/08-09/2007 with D/C DX: Intussusception. Infant presented to ER with projectile vomiting, fussiness, drawing up of the legs, and decreased UO. In ER had bloody stool and RUQ pain. Reduced by Air Enema. Following reduction, pt tolerated po and d/c next day.

VAERS ID: 302822 (history)   Form: Version 1.0   Age: 0.3   Sex: Male   Location: Florida   Vaccinated: 2007-11-12 Onset: 2007-12-18    Days after vaccination: 36 Submitted: 2008-01-15    Days after onset: 28 Entered: 2008-01-16    Days after submission: 1 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124CA / 2 RL / IM HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF168AB / 2 LL / IM PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B70143C / 2 LL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1460U / 2 MO / PO Administered by: Private       Purchased by: Public Symptoms: Appendicectomy, Barium enema, Biopsy lymph gland, Intussusception, Surgery, Ultrasound scan, 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, 2 days    Extended hospital stay? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Allergies: Diagnostic Lab Data: Sonogram, Barium enema, Laparotomy, Biopsy of mesenteric lymph node. Labs and Diagnostics: Abdominal X-ray (+) dilated bowel loop. Barium enema showed high grade obstruction 2'' to IS. CRP 1.64. Stool occult blood (+). Stool cx (-). blood cx (-). CDC Split Type: Write-up: Pt began vomiting 12/18/07 PM to ER 12/19/07. Dx with intussuseption. A barium enema was attempted, but did not reduce. Surgical bowel reduction was successful. An appendectomy was also performed. 02/01/2008 MR received for DOS 12/19-21/2007 with DX: Intussusception. Pt presented with 1 day hx of vomiting (16 episodes). Had bloody stool in ER. Attempted to reduce with Barium enema but unsuccessful. Pt had exploratory lap with reduction of ileocolic intussusception, appendectomy, and biopsy of mesenteric lymph nodes. Mesenteric lymph nodes noted to be enlarged in OR. D/C on POD #2

VAERS ID: 302939 (history)   Form: Version 1.0   Age: 0.5   Sex: Male   Location: California   Vaccinated: 2007-12-27 Onset: 2008-01-04    Days after vaccination: 8 Submitted: 2008-01-16    Days after onset: 12 Entered: 2008-01-17    Days after submission: 1 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS B127AA / 3 LL / - HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF196AB / 3 RL / - PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47442L / 3 RL / - RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0670U / 3 MO / PO Administered by: Other       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: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown. PMH: none. NKDA. Allergies: Diagnostic Lab Data: barium enema X-ray 01/??/08. Labs and Diagnsotics: KUB with non-specific bowel gas pattern. Abdominal US (-). Stool heme (+). Barium enema (+) for IS in the ascending colon. CBC with WBCs 21.0. UC no growth. CDC Split Type: WAES0801USA02707 Write-up: Information has been received from a physician concerning a 6 month old male who on 27-DEC-2007 was vaccinated with the third dose of Rotateq. On 04-JAN-2008 the patient experienced intussusception and was hospitalized for an unspecified period of time. The patient had a "contrast enema" performed on an unknown date, results not reported. Subsequently, the patient recovered from intussusception. Upon internal review, intussusception is considered an other important medical event. No product quality complaint reported. Additional information has been requested. 01/22/2008 Vax record received and updated in database. 01/29/2008 MR received for DOS 01/4-5/2008 with DX: Intussusception. Child presented to ER with 1 day hx of diarrhea with screaming and abdominal pain. Reduced by Barium Enema. Pt tolerating diet and D/Cd next day.

VAERS ID: 303025 (history)   Form: Version 1.0   Age: 0.34   Sex: Male   Location: Texas   Vaccinated: 2007-11-13 Onset: 2007-11-27    Days after vaccination: 14 Submitted: 2008-01-18    Days after onset: 52 Entered: 2008-01-18 Vaccin­ation / Manu­facturer Lot / Dose Site / Route DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B125BB / 2 LL / IM HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF193AB / 2 LL / IM PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007F / 2 RL / IM RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1168U / 2 MO / PO Administered by: Unknown       Purchased by: Unknown Symptoms: Abdominal pain, Diarrhoea, Enema administration, Intussusception, Vomiting SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: None Current Illness: None Preexisting Conditions: Dermoid Cyst over R eye Allergies: Diagnostic Lab Data: Air contrast enema 2/5/08-records received-Incomplete reduction with air contrast enema. US positive for intussusception. CDC Split Type: Write-up: Infant on 11/27/07 began having small amount of diarrhea (non bloody)and vomiting. Later that evening there were no stools passed and worsening colicy abdominal pain and bilious vomiting. Discovered to have an intussuseption unreducible via air contrast barium enema. Infant taken to OR immediately and intussuseption reduced surgically. 02/05/08-records received for DOS 11/27-11/28/07-DC DX: Intussusception, status post appendectomy and laparotomy with reduction of intussusception. Presented to ED with C/O abdominal pain and vomiting. PE: bloody mucous stool.

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