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Found 566 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: 390640 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Male  
Location: Georgia  
Vaccinated:2010-03-09
Onset:2010-04-09
   Days after vaccination:31
Submitted: 2010-06-07
   Days after onset:59
Entered: 2010-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3588AA / 2 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D98669 / 2 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB036AA / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal pain, Intussusception, Surgery, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: The subject had not experienced adverse events following previous vaccinations. The subject''s medical history was negative for alcohol and tobacco use.
Allergies:
Diagnostic Lab Data: 09 April 2010: Abdominal ultrasound was positive for intussusception. Biopsy was not performed.
CDC Split Type: A0858584A

Write-up: This case was reported by a healthcare professional, via another manufacturer (Merck) and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included 1st dose of ROTARIX ;GlaxoSmithKline;oral given when the subject was 2-months-old. On an unspecified date, at 4-months-old, the subject received 2nd dose of ROTARIX (oral). Approximately one month after vaccination with ROTARIX, the subject experienced intussusception. This case was assessed as medically serious by GSK. The subject was treated with surgery. At the time of reporting the outcome of the event was unspecified. Follow-up information received from healthcare professional on 18 May 2010: Previous and/or concurrent vaccination included DTPA-POLIO-HIB (non-GSK) ;non-GSK manufacturer given on 12 January 2010 and 9 March 2010; either ENGERIX B or RECOMBIVAX ;manufacturer unspecified given on 12 January 2010 and 9 March 2010; ROTARIX ;GlaxoSmithKline;oral given on 12 January 2010; PREVNAR (non-GSK) ;non-GSK manufacturer given on 12 January 2010 and 9 March 2010. On 9 March 2010 the subject received 2nd dose of ROTARIX (oral). On 9 April 2010, 31 days after vaccination with ROTARIX, the subject experienced intussusception, vomiting and abdominal pain. The subject was hospitalised and the healthcare professional considered the events were life threatening and clinically significant (or requiring intervention). Relevant test results included abdominal ultrasound on 09 April 2010 which revealed intussusception. The subject was treated with surgical repair. On 15 April 2010, the events were resolved. Relationship of the events to vaccination with ROTARIX was not specified, but the healthcare professional identified ROTARIX as the suspect product.


VAERS ID: 393611 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Colorado  
Vaccinated:2010-07-14
Onset:2010-07-20
   Days after vaccination:6
Submitted: 2010-07-26
   Days after onset:6
Entered: 2010-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B249BA / 1 UN / SC
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1421Y / 1 UN / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E60221 / 1 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41BB088A/A41FB / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Barium enema, Computerised tomogram abnormal, Haematochezia, Intussusception, Small intestinal intussusception reduction
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 6 days after vaccines developed crampy abdominal pain and bloody stools. CT showed ileocecal intussusception. Surgical reduction was performed after barium enema failed.


VAERS ID: 396263 (history)  
Form: Version 1.0  
Age: 0.18  
Gender: Female  
Location: South Carolina  
Vaccinated:2010-08-09
Onset:2010-08-14
   Days after vaccination:5
Submitted: 2010-08-18
   Days after onset:4
Entered: 2010-08-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3682A / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1484Y / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E61989 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB05 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Barium double contrast, Enema administration, 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Air contrast barium enema
CDC Split Type:

Write-up: Intussusception =$g vomiting 8 days after vaccines; air contrast barium enema diagnosed and reduced intussusception.


VAERS ID: 403352 (history)  
Form: Version 1.0  
Age: 0.36  
Gender: Female  
Location: Missouri  
Vaccinated:2010-08-10
Onset:2010-08-31
   Days after vaccination:21
Submitted: 2010-10-14
   Days after onset:44
Entered: 2010-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPV: DTAP + IPV (KINRIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B187AA / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0235Z / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E52353 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB058A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Abdominal distension, Colectomy, Ileectomy, Intussusception, Surgery, Ultrasound scan abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: had ultrasound and then surgery
CDC Split Type:

Write-up: Pt went to hospital with abdominal distention and vomiting. Was dx with intussusception. Was taken to operating room on 8/31/2010 and they preformed a resection of the terminal ileum and right hemicolectomy for non reducible intussusception. Pt had two doses of rotavirus. One was Rotateq on 6/10/2010 the other dose on 8/10/2010.


VAERS ID: 405245 (history)  
Form: Version 1.0  
Age: 0.56  
Gender: Male  
Location: California  
Vaccinated:2010-07-12
Onset:2010-10-03
   Days after vaccination:83
Submitted: 2010-10-25
   Days after onset:22
Entered: 2010-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3622AA / 3 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB789AA / 3 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E49136 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB056A / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Intussusception, Large intestinal obstruction reduction, Small intestinal intussusception reduction, Ultrasound abdomen
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: N/A
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: ABDOMINAL ULTRASOUND
CDC Split Type:

Write-up: RECEIVED REPORT STATING PT WAS DIAGNOSED WITH ILEOCOLIC INTUSSUSCEPTION REDUCED AT HOSPITAL


VAERS ID: 406334 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Male  
Location: Colorado  
Vaccinated:2010-09-01
Onset:2010-10-23
   Days after vaccination:52
Submitted: 2010-11-01
   Days after onset:9
Entered: 2010-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B205AA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH019AA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E60220 / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB056A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Surgery
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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Had intussusception on 10/23/10 which required surgical reduction.


VAERS ID: 409111 (history)  
Form: Version 1.0  
Age: 0.76  
Gender: Male  
Location: Indiana  
Vaccinated:2010-10-05
Onset:2010-10-19
   Days after vaccination:14
Submitted: 2010-11-17
   Days after onset:29
Entered: 2010-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A4IDB094A / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Barium double contrast, Decreased appetite, Diarrhoea, Haematochezia, Intussusception, Somnolence, Surgery, Urinary system X-ray, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: KUB, contrast enema
CDC Split Type:

Write-up: Presented to ER on 10/19/2010 with vomiting, anorexia, somnolence, and loose bloody stools. Irreducible ileocolonic intussusception noted with contrast enema. Surgical reduction was required.


VAERS ID: 412252 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-12-07
Entered: 2010-12-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 - / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 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? No
Office Visit? No
ER Visit? No
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: WAES1003USA03950

Write-up: Information has been received from a physician concerning a 30 week old male patient who on an unspecified date when he was 10 weeks old was vaccinated with the first dose of ROTATEQ orally. On an unspecified date, the patient received the third dose of ROTARIX. When the patient was 26 weeks old, he received the second dose of ROTATEQ orally. Subsequently, 32 days after the last vaccination, when he was 30 weeks old, the patient experienced intussusception. At the time of the report the patient''s outcome was unknown. Upon internal review intussusception was considered to be an other important medical event. This is an amended report. The narrative was updated. The patient received the third dose of ROTARIX (vaccines dose and series was unspecified). No further information is available.


VAERS ID: 412547 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Male  
Location: Texas  
Vaccinated:2010-10-11
Onset:2010-11-26
   Days after vaccination:46
Submitted: 2010-12-13
   Days after onset:17
Entered: 2010-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B249BA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH163AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E80082 / 1 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FBO93A / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal mass, Barium enema, Diarrhoea, Intestinal malrotation, Intussusception, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), 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, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: PREVACID
Current Illness: NONE
Preexisting Conditions: 783.3 FEEDING PROBLEMS, 530.81 GER, 579.8 FORMULA INTOLERANCE
Allergies:
Diagnostic Lab Data: BARIUM ENEMA + INTUSSUSCEPTION/MALROTATION
CDC Split Type: TX2010133PR

Write-up: STARTED WITH VOMITING AND DIARRHEA ON 11/26/2010. PRESENTED IN OFFICE ON 11/27/2010 WITH A SOFT, MOBILE SAUSAGE-SHAPED MASS IN LLQ/MID-ABDOMEN. SENT TO ER FOR EVALUATION. INTUSSUSCEPTION FOUND AND TRIED TO REDUCE TWICE WITHOUT SUCCESS. SURGERY DONE TO CORRECT. ALSO DISCOVERED MALROTATION WHICH REQUIRED SURGERY.


VAERS ID: 413829 (history)  
Form: Version 1.0  
Age: 0.39  
Gender: Male  
Location: New York  
Vaccinated:2010-12-17
Onset:2010-12-21
   Days after vaccination:4
Submitted: 2010-12-30
   Days after onset:9
Entered: 2010-12-31
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B256BA / 2 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB109A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Enema administration, Intussusception, Vomiting projectile, X-ray abnormal
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abdominal Xray revealed intussusception 4 days post ROTARIX vaccine, enema given to dx intussusception & treat.
CDC Split Type:

Write-up: On 12/17/10 pt received ROTARIX vaccine. On 12/21/10 pt''s mother reported projectile vomiting. Pt''s mother monitored pt and called back due to continued vomiting. Pt sent to ER for evaluation. Abdominal xray at Hospital revealed intussusception. Pt admitted and dc''d on 12/24/10. (3 days in pt.).


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