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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: 312538 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Georgia  
Vaccinated:2008-03-14
Onset:2008-04-24
   Days after vaccination:41
Submitted: 2008-05-16
   Days after onset:22
Entered: 2008-05-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B136CA / 1 UN / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF343AD / 1 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0106X / 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 7/23/08-records received-Barium and air enema revealed intussusception to level of rectum three unsuccessful attempts at reduction.
CDC Split Type: WAES0805USA02081

Write-up: Information has been received from a physician concerning an approximately 17 week old male who on 25-MAR-2008 was vaccinated PO with his first 2.0 ml dose of Rotateq. The patient was hospitalized for 8 days from 25-APR-2008 to 02-MAY-2008 with intussusception requiring surgery with a loss of a section of the terminal ileum. The patient was noted to be recovering. There was no product quality complaint. No additional information at this time. Intussusception was also considered to be an other important medical event (surgery) by the physician. Additional information has been requested. 7/23/08-records received for DOS 4/25-4/30/08-DC DX: Intussusception. Presented with 2 day history of abdominal pain and bright red blood per rectum morning of 4/24/08-Not interested in eating and decrease of diapers/decreased urine output. Pain, severe fussiness, lethargy, rectal bleeding. PE: abdomen positive bowel sounds with a palpable wave. Partial colectomy with excision of terminal ileum.


VAERS ID: 313034 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Missouri  
Vaccinated:2008-03-31
Onset:2008-04-26
   Days after vaccination:26
Submitted: 2008-05-22
   Days after onset:26
Entered: 2008-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF242AB / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH CS4763 / 1 LL / ID
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1839U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abnormal behaviour, Barium double contrast, Colectomy, Decreased appetite, Dehydration, Explorative laparotomy, Ileostomy, Intussusception, Irritability, Resuscitation, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: Contrast enema-- intussusception. Then OR with Exploratory lap LABS: abdominal x-ray revealed distal IS
CDC Split Type:

Write-up: Presented to ER (April 26 th 2008) for fussiness, decreased appt and acting "strange" for several hours. In ER passed large bloody stool. BE showed intussusception. Despite multiple attempts, it could not be reduced. Flown to Hospital. Arrived early April 27th. Exploratory Laparotomy after resuscitation ws performed by Dr. In OR, he had reduction of intussusception with right hemicolectomy and ileostomy. Total hospital stay was 10 days (D/C was May 7th). He was re-admitted 2 days later for vomiting and dehydration. He is now home. 5/29/08 Reviewed hospital medical records for 4/27-5/7/2008. FINAL DX: Intussusception Records reveal patient experienced irritability, reduced oral intake, inconsolable crying, abdominal pain, emesis. Seen at outlying ER where BE revealed IS & initially reduced it. Had bloody diarrhea & bilious emesis in ER & transferred to higher level of care. Attempt to reduce w/air contrast enema unsuccessful & taken to OR. 8/8 Received operative report which reveals patient had exp lap, reduction of IS, right hemicolectomy w/ileostomy & central line placement.


VAERS ID: 314577 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: California  
Vaccinated:2008-05-22
Onset:2008-05-28
   Days after vaccination:6
Submitted: 2008-05-29
   Days after onset:1
Entered: 2008-06-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2935AA / 1 RL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1372U / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF346AC / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A04742 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C48894 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1702U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Intussusception, Lethargy, Mucous stools, Urinary system X-ray
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), Hypoglycaemia (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:
Preexisting Conditions: PMH: none
Allergies:
Diagnostic Lab Data: (1) KUB-stacking of bowel loops (2) Barium Enema. Labs and Diagnostics: KUB showed dilated bowel loops. Stool Guiac (+). Barium Enema (+) for colonic-colonic IS. CBC WNL. BMP WNL.
CDC Split Type:

Write-up: Presented with currant-jelly stool and lethargy and abdominal pain on 5/29/08- Found to have intussusception, Treated with Barium Enema at clinic. 6/12/2008 MR received for DOS 5/29-30/2008 with DX: Intussusception S/P reduction with Barium Enema. Infant presented to ER from PCP''s office with vomiting, bloody diarrhea and currant jelly stool. Infant fussy. IS reduced with BE. No further problems and D/C next day.


VAERS ID: 314720 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: New York  
Vaccinated:2008-03-26
Onset:2008-05-19
   Days after vaccination:54
Submitted: 2008-05-29
   Days after onset:10
Entered: 2008-06-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2935AA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF225AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0474 / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45153 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1840U / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: 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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 6/18/08-records received-Hemoglobin 8.6, hematocrit 25.5, lymphocytes 32, absolute neutrophils 9.19. blood urea nitrogen 2, creatinine <0.2. Ultrasound diagnosis of intussusception with unsuccessful attempt to reduce with Gastrografin enema. Post op abdominal pain with repeat ultrasound negative.
CDC Split Type:

Write-up: Child developed intussusception 7 1/2 weeks after receiving second dose of ROTATEQ. 6/18/08-records received for DOS 5/19-5/24/08- DC DX: Colocolic intussusception. One day history of lethargy and irritability. Diet refusal, non-bilious emesis and mucus bloody stool. Exploratory laparotomy and reduction. Post op abdominal pain with repeat ultrasound negative. Foley catheter placement.


VAERS ID: 314724 (history)  
Form: Version 1.0  
Age: 0.37  
Gender: Female  
Location: New Hampshire  
Vaccinated:2008-04-29
Onset:2008-05-12
   Days after vaccination:13
Submitted: 2008-05-23
   Days after onset:11
Entered: 2008-06-03
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B142AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF261AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C57536 / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0018X / 2 MO / PO

Administered by: Unknown       Purchased by: Public
Symptoms: Barium enema abnormal, Diarrhoea, Enema administration, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (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:
Current Illness: no
Preexisting Conditions: none. PMH: none
Allergies:
Diagnostic Lab Data: Barium enema to reduce intussusception. Labs and Diagnostics: Barium Enema (+) for IS in the mid transverse colon. KUB (- for free air, Abd US (+) for IS.
CDC Split Type:

Write-up: Intussusception. Rec''d vaccines 4/29/08 - vomiting/diar. Onset 5/12/08 ER -$g hospital 5/13/08 dc''d 5/14/08. 6/12/2008 MR received for ER admit 5/13-14/2008 with DX: Intussusception. Infant presented from another hospital after unsuccessful atempt to reduce IS with Barium Enema. Infant had presented with 2 day hx of vomiting, diarrhea and bloody stool. Decreased po intake, crying and cofee ground emesis noted. Air contrast enema was succssful at reduction. Admitted for o/n observation and D/c home


VAERS ID: 314989 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Florida  
Vaccinated:2008-03-07
Onset:2008-03-26
   Days after vaccination:19
Submitted: 2008-06-05
   Days after onset:71
Entered: 2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS SKB AC21B133AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR PMC UF343AD / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH WY C35170 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. MSD 0975U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enema administration, Haematochezia, Intussusception, Pallor, Ultrasound scan abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (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: CONGESTION
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 03/26/08 ULTRASOUND DONE AND 03/27/08 GASTROGRAFIN ENEMA DONE WHICH REVEALED AN INTUSSUSEPTION THAT COULD NOT BE REDUCED 6/19/08-records received-WBC 537, HGB 9.7, HCT 28.6, segs 69.3, lymphs 22.4. Urine 1+ protein, ketone 1+ and WBC 7-10, blood culture gram positive cocci. Stool guaiac positive. 6/24/08-records received-Ultrasound of abdomen negative. X-ray abdomen normal. Enema with contrast:intussusception, unsuccessful reduction attempt.
CDC Split Type:

Write-up: 03/26/08 PRESENTED TO HOSPITAL W/ VOMITING, PALE IN COLOR, AND BRIGHT RED BLOOD IN DIAPER. LAB WORK AND IV''S DONE PRIOR TO TRANSFER TO HOSPITAL. 6/19/08-records received for DOS 3/26/08-presented to ED with C/O blood in stool, low grade fever, vomiting. Assessment: abdominal pain, vomiting, rectal bleeding. Transferred. 6/24/08-records received for DOS 3/26-3/27/08- DX: Intussusception. Vomiting began day prior to admission. Surgery laparotomy reduction of intussusception.


VAERS ID: 315516 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Florida  
Vaccinated:2007-09-28
Onset:2008-01-08
   Days after vaccination:102
Submitted: 2008-06-06
   Days after onset:149
Entered: 2008-06-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B115AA / 3 RL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0066U / 3 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54007H / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0877U / 3 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None. PMH: RAD
Allergies:
Diagnostic Lab Data: None. Labs and Diagnostics: Barium Enema (+) for IS. Abd X-ray 1/19/08 WNL. CBC and Chem unremarkable.
CDC Split Type: WAES0806USA00031

Write-up: Information has been received from a physician assistant (PA) concerning an approximately 6 to 7 month old patient with no medical history or allergies who on unspecified dates was vaccinated po with all three doses of ROTATEQ. There was no concomitant medication. The PA reported the patient experienced intussusception and was hospitalized (no time frame was available). The patient''s outcome was not reported. Additional information has been requested. 6/16/2008 MR received for 2 ER visits 1/8/08 and 1/19/2008 with DX: Intussusception. 2nd visit for not eating well s/p IS. infant presented with 12 hr hx of vomiting as well as crying as if in pain. Taking nothing po. IS noted on Barium enema but uncuccessful at reducing. Transfered to higher level of care. 7/10/2008 MR received for DOS 1/9-11/2008 with D/C Dx Intussusception s/p reduction and appendectomy. Infant received for transfer s/p unsuccessful BE reduction. Pt taken to OR for laparotomy and reduction with appendectomy and lymph node biopsy. Did well post-op and d/c home


VAERS ID: 315578 (history)  
Form: Version 1.0  
Age: 0.51  
Gender: Male  
Location: Illinois  
Vaccinated:2007-10-22
Onset:2008-04-08
   Days after vaccination:169
Submitted: 2008-05-02
   Days after onset:24
Entered: 2008-06-09
   Days after submission:38
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B124DB / 3 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08702A / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1053U / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Fluid intake reduced, Intussusception, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: None
Preexisting Conditions: None. PMH: intestinal d/o. NKDA.
Allergies:
Diagnostic Lab Data: Abd u/s and intussusception. Labs and Diagnostics: Abd X-ray concerning for IS. Abd US (+) for IS. Barium Enema (+) IS. Head CT (-).
CDC Split Type:

Write-up: Symptoms started in Feb. 29 08. Pt came in with emesis and loose stool. 3/17/08 again pt came in with emesis and diarrhea x5 days, no bloody stools. 4 8 08 h/o emesis, not tolerating liquids. 4/10/08 continues with vomiting not tolerating liquids, dehydrated went to ER. 07/02/2008 MR received for DOS 4/10-12/2008 with D/C DX: Intussusception. Infant presented to ER for 3rd time with c/o 4 day hx of emesis, abdominal tenderness and bloody stools. (+) URI sx-mild productive cough. PE WNL except crying and agitation and periods of staring and difficulty with arousal. Ileocolic Intussusception reduced by BE on 4/11/08.


VAERS ID: 315579 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: North Carolina  
Vaccinated:2008-05-30
Onset:2008-06-03
   Days after vaccination:4
Submitted: 2008-06-04
   Days after onset:1
Entered: 2008-06-09
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B142AA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF350AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65929 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0211X / 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: TYLENOL
Current Illness: hematochezia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intussusception, surgical intervention. 7/23/08-follow up visit for DOS 6/18/08-seen for routine follow up after laparoscopic reduction of intussusception and appendectomy. Presented with nonreducible intussusception with uneventful recovery.


VAERS ID: 315651 (history)  
Form: Version 1.0  
Age: 0.44  
Gender: Male  
Location: California  
Vaccinated:2008-06-05
Onset:2008-06-07
   Days after vaccination:2
Submitted: 2008-06-09
   Days after onset:2
Entered: 2008-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B143AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF263AB / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65934U / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1928U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal mass, Abdominal pain, Barium double contrast, Dehydration, Fatigue, Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound abdomen abnormal, Urinary system X-ray, Urine output decreased, Vomiting, X-ray abnormal
SMQs:, Acute renal failure (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: Intussusception~Rotavirus (Rotateq)~2~0.40~Patient
Other Medications: None
Current Illness: Possibly tactile fever, per mother''s report. recent vomiting and fever prior to vax
Preexisting Conditions: Noncommunicating hydrocoele. PMH: none except recent vomiting and fever prior to vax
Allergies:
Diagnostic Lab Data: Abdominal Ultrasound showed intussusception 6/8, KUB showed paucity of air in RLQ 6/8. Labs and Diagnostics: KUB with paucity of air in RLQ. Abd US (+) for IS. Barium enema (+) for IS. K+ 3.4. CBC with WBC 19.1, Hgb 9.5. Hct 27.9.
CDC Split Type:

Write-up: Patient was given vaccine on 6/5/08. Mother and father brought in child to ED on 6/7/08 for concerns of 5 days of tactile fevers (reportedly before vaccine was given, unknown to MD), 2 days of emesis after feeds, abdominal pain, and one episode of bloody stool. At ED, MD noted multiple bilious emesis, abdominal pain, bloody mass in rectum, and palpated a "sausage-shaped" RLQ mass; patient was also noted to look tired and dehydrated with decrease in urine output, but had no other symptoms. Patient was found to have an ileocolic intussusception upon fluoroscopy and air contrast enema, and was reduced. After over 24 hours of observation and on Flagyl and Rocephin, patient has not had recurrence of symptoms and is tolerating bottle formula, doing well. It is unclear that patient''s intussusception was due to Rotavirus vaccine administration, as patient was febrile prior to administration. 08/08/2008 MR received for DOD 6/7-9/2008 with D/C DX: Intussusception. Pt seen in ER for fever and vomiting 1 day prior to vax admin. Returned 6/7/08 twice with fever and vomiting and inability to maintain po intake. With 2nd visit new onset of bloody stool. Dx with gastroenteritis and again D/c home. Later requested to return to hospital with concern for Intussusception. Pt had continued to vomit multiple times now bilious and green. On PE a sausage shaped abd mass noted. Transfered to higher level of care. Upon arrival US confirmed IS, NG tube placed and pt given barium enema which was successful at reduction. did well post procedure and d/c home next day.


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