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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: 308211 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Texas  
Vaccinated:2007-08-28
Onset:2008-03-19
   Days after vaccination:204
Submitted: 2008-03-25
   Days after onset:6
Entered: 2008-03-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B097AB / 1 LL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. UF113AA / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B58845E / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0242U / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Intussusception, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Barium enema X-ray 03/20/08. Labs and Diagnostics: Abd US (+) for ileocolic intussusception. KUB (+) for a paucityof gas in RUQ suspicious for IS. Air contrast barium enema
CDC Split Type: WAES0803USA03574

Write-up: Information has been received from a physician concerning a 9-month-old female who on 28-AUG-2007 was vaccinated with an oral 2 ml dose of ROTATEQ. Concomitant vaccination included PEDVAXHIB (OMPC) (manufacturer unknown), PEDIARIX and PREVNAR. On 19-MAR-2008 the patient experienced abdominal pain after receiving ROTATEQ. The patient was taken to the emergency room and was diagnosed with intussusception and was hospitalized. A barium enema was given and the patient was released on 20-Mar-2008. The outcome was reported as recovering. No product quality complaint was involved. Additional information has been requested. 4/30/2008 MR reeived for DOS 3/19-20/2008 with Final DX: Intussusception s/p reduction by air enema. Pt presented to ER with 4 day hx of abdominal pain and NBNB emesis. PE (+) for slight abd distention. Successfully reduced by Air Enema. No further vomiting or fever. Left purulent ear effusion noted prior to d/c. Sent home with azithromycin if pt develops ear pain.


VAERS ID: 308326 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2008-01-31
Submitted: 2008-03-26
   Days after onset:54
Entered: 2008-03-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 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? 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: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA03061

Write-up: Information has been received from a nurse practitioner concerning a "previously healthy" 4 month old male who was vaccinated with the first dose of ROTATEQ. Concomitant vaccinations included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, PREVNAR, Hib conj vaccine (unspecified carrier (manufacturer unknown), and poliovirus vaccine. At the end of January or early February 2008, the patient was observed for 23 hours in the hospital for intussusception after receiving his first dose of ROTATEQ. No lot number was provided. Subsequently, the patient recovered from intussusception on an unspecified date. Therapy with ROTATEQ was not reintroduced. There was no product quality complaint. Additional information has been requested.


VAERS ID: 308360 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Connecticut  
Vaccinated:2008-02-14
Onset:2008-03-20
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 2008-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B073AA / 2 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1244F / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0273 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45153 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0903U / 2 MO / PO

Administered by: Military       Purchased by: Military
Symptoms: Blood test, Haematemesis, Haematochezia, Intussusception
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None. PMH: Partial L hemi-diaphragmatic paralysis.
Allergies:
Diagnostic Lab Data: Ultrasound; Blood work - values unknown. Labs and Diagnostics: Abd US (+) for IS to the sigmoid colon. Air contrast Barium enema (+) IS from ileum to sigmoid colon. CXR suspicious for congenital diaphragmatic hernia. Elevated hemidiaphragm with new atelectasis. Distended stomach. CBC with Hct 26.9. Abd X-ray suspicious for IS/obstruction
CDC Split Type:

Write-up: Received 4 month immunization in AM. Vomiting blood and blood in stool in afternoon. Went to hospital ER - transported via ambulance to another hospital. Diagnosis with interruption. 04/09/2008 MR received for DOS 3/20-22/2008 with DX: Intussusception. Pt presented to local hospital with bloody stools and vomit and inconsolable crying. Intubated electively and transported to current facility. Palpable mass noted in LLQ on PE. Barium enema initially unsuccessful at reduction on first try. Reduction later sucessful. Pt extubated with mild WOB and decreased BS noted on L with mild stridor. Resolved with albuterol nebs. Pt to baseline 3/22/08 and D/c.


VAERS ID: 308364 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Female  
Location: Iowa  
Vaccinated:2007-11-08
Onset:2007-12-27
   Days after vaccination:49
Submitted: 2008-02-21
   Days after onset:56
Entered: 2008-03-27
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B127AA / 2 UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0498U / 2 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08702D / 2 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1391U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium enema, Enema administration, Intussusception, Peritonitis
SMQs:, Gastrointestinal obstruction (narrow), Gastrointestinal perforation (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, 18 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None 4/4/08-records received-alpha thalassemia on new born screen
Allergies:
Diagnostic Lab Data: Barium Enema 12/28/07 4/4/08-records received- WBC 42. Tip of central line grew alpha strep and coagulase negative staph. Stool culture negative.
CDC Split Type:

Write-up: Intussusception 4/4/08-records received for DOS 12/28/17-1/15/08-DC DX: Intussusception. Suspected post intussusception peritonitis. Presented day prior to admission with 16 hours non-bilious non-bloody vomiting. Decreased appetite and urine output. No diarrhea. Day of admission developed current jelly/bloody stool. Barium enema showed irreducible intussusception and 2 unsuccessful attempts made. Laparotomy revealed no evidence of intussusception. Post operatively developed increasing abdominal distension and tenderness. Coagulopathy improved with FFP and blood transfusion. Recurrent vomiting and loose stools. Fever. Follow-up: Rotavirus vaccine given after incident without adverse events.


VAERS ID: 308859 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Female  
Location: Kentucky  
Vaccinated:2008-03-07
Onset:2008-03-14
   Days after vaccination:7
Submitted: 2008-04-03
   Days after onset:20
Entered: 2008-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B141AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C35172 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1195U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium double contrast, 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:
Preexisting Conditions: PMH: none. NKDA.
Allergies:
Diagnostic Lab Data: Reduction of intussusception by air contrast enema. Labs and Diagnostics: Abdominal X-ray with mild stool load and non-obstructive bowel pattern. CXR WNL. Air Contrast Barium enema (+) for ileocolic Intussusception. Head CT (+) for sinus disease. CBC, UA, Chemistry unremarkable except Alk Phos 308. urine drug screen (-). Urine, stool and nasal cx (-).
CDC Split Type:

Write-up: 03/14/2008 ileocolic intussusception reduced by air contrast enema at Hospital. Admitted for observation and discharged home the following day. 4/23/2008 MR received for DOS 3/14-15/2008 with D/C DX: Intussusception. Infant presented to ER with somnolence/unresponsiveness following an episode of vomiting milk. Pt also had a spastic/shaking episode with bloody emesis and bloody/mucusy stool. PE (+) for lethargy and bloody stool in diaper. IS reduced by Air contrast Barium enema and d/c home next day.


VAERS ID: 309000 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Texas  
Vaccinated:2008-03-14
Onset:2008-03-20
   Days after vaccination:6
Submitted: 2008-04-04
   Days after onset:15
Entered: 2008-04-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B139AA / UNK UN / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF332AA / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45150 / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1702U / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Barium enema abnormal, Intussusception
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Ischaemic colitis (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None 5/29/08-records received-Upper respiratory infection in near distant past.
Allergies:
Diagnostic Lab Data: Barium enema x-ray 03/21?/08 intussusception not resolved. 5/29/08-records received- US of pylorus negative for pyloric stenosis. Barium enema:colocolic intussusception in to the ascending colon with dilated small bowel. Consistent with obstruction. Hydrostatic reduction attempted, unable to reduce. WBC 18.3, % neutrophils 36, monocytes 10 and lymphocytes 52. Alkaline phos 263. Potassium 5.5. Stool for WBC negative.Stool culture negative.
CDC Split Type: WAES0803USA04749

Write-up: Information has been received from a physician concerning a "pretty normal healthy" 9 week old patient who on 14-MAR-2008 was vaccinated PO with the initial 2.0 ml dose of ROTATEQ (lot# 659913/1702U). Concomitant vaccinations included a dose of ACTHIB, a dose of PREVNAR and a dose of PEDIARIX. On 20-MAR-2008 the patient experienced intussusception and on 21-MAR-2008 was diagnosed with intussusception and was hospitalized for 5 days. The intussusception did not resolve after the barium enema and the patient was taken to surgery for a loop reduction. Per physician, "the patient''s intestines were retracted and did not have to be cut." The patient was discharged on 25-MAR-2008. the physician saw the patient on 27-MAR-2008 and noted that the patient was recovered/resolved when it came to "feeding and everything." The patient''s stitches were still dissolving. There was no product quality complaint. Intussusception was also considered to be immediately life-threatening and an other important medical event (surgery) by the physician. Additional information has been requested. 05/29/08-records received for DOS 3/21-3/25/08-DX DC: Intussusception Status post reduction. Appendectomy. Developed abdominal pain. Increased abdominal distention, emesis morning of admission. Fussy. Heart rate increased. Urine output decreased. Stool bloody. Exploratory laparotomy and incidental appendectomy. Barium enema was unsuccessful. Developed post op ileus. NG placement.


VAERS ID: 309001 (history)  
Form: Version 1.0  
Age: 0.38  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-08-08
Onset:2007-09-21
   Days after vaccination:44
Submitted: 2008-04-04
   Days after onset:196
Entered: 2008-04-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0240U / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Crying, Diarrhoea, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: barium enema X-ray 09/21/07 - intussusception resolved 8/4/08-records received- US confirmed intussusception in right upper quadrant. Therapeutic contrast enema, successful reduction of ileocolic intussusception.
CDC Split Type: WAES0803USA04735

Write-up: Information has been received from a physician concerning a 26 week old female who on 25-MAY-2007 and 08-AUG-2007 was vaccinated PO with her first and second 2.0 ml doses of Rotateq (lot# "12337," 656393/0240U). On 21-SEP-2007 the patient was seen in the physician''s office since the patient experienced vomiting, crying and loose stools. The patient did not have bloody stools. The patient was admitted to a hospital that same day and was diagnosed with intussusception. The patient was hospitalized for 3 days. A barium enema resolved the intussusception. The patient was discharged from the hospital on 23-SEP-2007. On 24-SEP-2007 the patient was seen in the physician''s office and the physician stated the patient had been vomiting, but with no dehydration. The patient had a bowel movement with no blood in the stools. Therapy with Rotateq was discontinued on 08-AUG-2007. The physician stated the patient was recovering. There was no product quality complaint. Additional information has been requested.8/4/08-records received for DOS 9/21-9/23/07-DC DX: Intussusception. Presented to ED with C/O vomiting and loose bowel movement times 1-2 days. Crying, irritable.


VAERS ID: 309002 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Texas  
Vaccinated:2007-03-20
Onset:2007-04-07
   Days after vaccination:18
Submitted: 2008-04-04
   Days after onset:363
Entered: 2008-04-07
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B097AB / 2 LL / -
HIBV: HIB (ACTHIB) / CONNAUGHT LABORATORIES UE973AA / 2 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B34258F / 2 RA / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1082F / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Gastrointestinal necrosis, Intestinal resection, Intussusception, Lethargy
SMQs:, 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), Ischaemic colitis (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 4/22/08-records received-Water soluble contrast gastrografin enema: intussusception initially located near the level of the proximal mid descending colon and which is reduced as far as the proximal mid ascending colon. However, persistent intussusception at level of proximal mid ascending colon is noted. CT brain unremarkable. CXR: normal. Blood, urine and CSF culture no growth. CRP increased 2.9. Neutrophil % increased 47, lymphocytes increased 4.9, sed rate increased 29.
CDC Split Type: WAES0803USA04729

Write-up: Information has been received from a physician concerning a 21 week old male who on an unknown date and on 20-MAR-2007 was vaccinated PO with his first and second 2.0 ml doses of Rotateq. On approximately 07-APR-2007 per the physician, "the patient was brought into the office at 5 months old and was lethargic." On 27-APR-2007 the patient diagnosed with intussusception and was hospitalized (amount of time unknown). Surgery was performed and the patient had a necrotic bowel therefore the bowel had to be resected. The patient returned to the office for a follow-up visit and the third dose of Rotateq was administered by a different provider in the office. Subsequently, the patient recovered. There was no product quality complaint. Intussusception was also considered to be an other important medical event (surgery) by the physician. Additional information has been requested. 4/22/08-record received-Surgical report 4/29/07-Intussusception, ileocolic and ilioiliac due to mesenteric adenitis and possible hypertrophic tire patches, terminal ileum. Exploratory laparotomy with reduction of ileocolic anastomosis and small bowel resection. Seen in ER with 3 day history of URI like symptoms. Lethargic after receiving anti-histamine. Nausea and vomiting. Diminished appetite and urine output. Low grade temperature. Weight loss. Dehydration. Drowsiness secondary to possible antihistamine overdose.


VAERS ID: 309327 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Connecticut  
Vaccinated:2008-01-18
Onset:2008-03-07
   Days after vaccination:49
Submitted: 2008-04-10
   Days after onset:33
Entered: 2008-04-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER AC1UB062AA / 2 RL / UN
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER 0U98U / 2 RL / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER B5U013H / 2 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0770U / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Intussusception, Malaise, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Dehydration (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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abdominal ultrasound 03/08/08 intussusception; Laboratory test 03/08/08 air enema reduced. 4/28/08-records received-X-ray abdomen: multiple dilated loops of small bowel suggesting bowel obstruction. Air enema administration successful reduction.
CDC Split Type: WAES0804USA00891

Write-up: Information has been received from a physician concerning a 24 week old male with no pertinent medical history who on 16-NOV-2007 and 18-JAN-2008 was vaccinated with his first and second doses of ROTATEQ (lot# 657671/0902U, 657635/0770U). On 07-MAR-2008 the patient experienced illness with vomiting for 24 hours and was seen in the physician''s office on 08-MAR-2008. On 08-MAR-2008 the patient was diagnosed with intussusception characterized by vomiting, dehydration and abdominal pain and was hospitalized for one night for observation. There was no diarrhea or blood in the stool reported. The patient was treated with IV rehydration in the emergency room. The intussusception was successfully reduced via air enema. It was noted that on 18-MAR-2008 the patient received the third dose of ROTATEQ (lot# 659917/0017X). Therapy with ROTATEQ was discontinued. On 09-MAR-2008 the patient was discharged from the hospital and was recovered. There was no product quality complaint. Intussusception was also considered to be immediately life-threatening and an other important medical event by the physician. Additional information has been requested. 4/28/08-records received for DOS 3/8-3/9/08-DC DX: Intussusception. Presented to ED with 1 1/2 day C/O vomiting, dehydration and fever 101. No currant jelly or bloody stools.


VAERS ID: 309574 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted: 2008-04-15
   Days after onset:11
Entered: 2008-04-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


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