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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: 316001 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Alabama  
Vaccinated:2008-06-04
Onset:2008-06-09
   Days after vaccination:5
Submitted: 2008-09-11
   Days after onset:94
Entered: 2008-06-11
   Days after submission:92
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), 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: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC Split Type:

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


VAERS ID: 316224 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Iowa  
Vaccinated:2008-03-14
Onset:2008-05-22
   Days after vaccination:69
Submitted: 2008-06-13
   Days after onset:22
Entered: 2008-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2799AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF297AA / 2 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0301 / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C54762 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1620U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intestinal obstruction, Intussusception, Surgery
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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none. PMH: FT, uncomplicated pregnancy & delivery.
Allergies:
Diagnostic Lab Data: LABS: abdominal x-ray revealed complete bowel obstruciton. Path report revealed transmural small bowel necrosis secondary to IS
CDC Split Type:

Write-up: Acute bowel obstruction due to irreducible intussusception, required surgery at hospital. Tissue samples sent to CDC Atlanta for testing. Child recovered and discharged home on 5/28/08. 6/24/08 Reviewed hospital medical records of 5/24-5/28/2008. FINAL DX: bowel obstruction secondary to nonreducible intussusception Records reveal patient had been transferred from outlying ER. Patient experienced bilious vomiting x 2 days, acute blood per rectum, abdominal tenderness & distention. Emergent laparotomy for abdominal exploration, ileal resection w/primary anastomosis, appendectomy & CVP placement. Did well post operatively, tolerating oral feeds well & d/c to home


VAERS ID: 316652 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Texas  
Vaccinated:2008-03-27
Onset:2008-04-30
   Days after vaccination:34
Submitted: 2008-06-19
   Days after onset:50
Entered: 2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ACZ1B139AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF329AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45893 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1731U / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
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, 3 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: 6/20/08-records received-PMH:mild gastroesophageal reflux disease
Allergies:
Diagnostic Lab Data: INTUSSUSCEPTION 6/20/08-records received-Air contrast enema showed intussusception but unsuccessful in reducing. 7/7/08-records received-KUB unremarkable moderate colonic stool, bloody stool, guaiac positive.
CDC Split Type:

Write-up: INTUSSUSCEPTION 6/20/08-records received for DOS 4/30-4/2/08-DC DX: Inussusception now resolved, status post surgical repair. Leukocytosis. Presented to ED with decreased activity, decreased oral intake, increased irritability and emesis. Bloody stool with diarrhea, lethargy. Surgical laparotomy with appendectomy. 7/7/08-ER recs received for DOS 4/29/08-C/O vomiting, lethargic, . Dehydration, irritability.


VAERS ID: 316703 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: New York  
Vaccinated:2008-05-19
Onset:2008-06-10
   Days after vaccination:22
Submitted: 2008-06-16
   Days after onset:6
Entered: 2008-06-20
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B142AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65047 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0018 / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Enema administration, 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None 7/23/08-records received-HX of runny nose and cough for 2 days.
Preexisting Conditions: None 7/23/08-records received-PMH:lactose intolerance, soy formula. April 08, Ear infections and treated with Amoxicillin which caused bloody diarrhea.
Allergies:
Diagnostic Lab Data: Abdominal air/air enema reduction at hospital. 7/23/08-records received-Air enema successful reduction of intussusception ileo-colic. Potassium 5.4, stool for occult blood negative. WBC 16.7, chem 7 WNL.
CDC Split Type:

Write-up: ROTATEQ #3 given on 5/19/08. On 6/10/08 pt diagnosed with intussusception. Treated at hospital. 7/23/08-records received for DOS 6/10/08-Presented with C/O irritability and intermittent crying since 3:00 am. Vomited. No bowel movement since 6/8/08. Subsequently had BM in hospital. PE: bowel sounds present. 7/23/08-DC records received for DOS 6/10-6/12/08-DC DX:Intussusception. Status post reduction of intussusception with air enema.


VAERS ID: 317921 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Male  
Location: New York  
Vaccinated:2008-06-16
Onset:2008-06-19
   Days after vaccination:3
Submitted: 2008-06-30
   Days after onset:11
Entered: 2008-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2934AA / UNK LA / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. UF440AA / UNK LA / SC
IPV: POLIO VIRUS, INACT. (POLIOVAX) / SANOFI PASTEUR A0996 / UNK LA / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0210 / UNK MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Diet refusal, Discomfort, Intussusception, Lethargy, Pain, Screaming, Ultrasound scan abnormal, Vomiting, X-ray
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), 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? 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? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: X-ray; Ultrasound confirmation and fluroscopic enema procedure. 7/14/08-records received-X-rays: transverse colon consistent with intussusception and stool filled colon. Successful reduction of intussusception with barium enema. 7/25/08-records received- Stool occult blood negative.
CDC Split Type:

Write-up: Received Rotavirus vaccine on Monday morning (am) (June 16th 2008) by Thursday morning my son had not had regular bowel movements, was discomfort during sleeping hours nights prior, Thursday morning my son began to show signs of being lethargic, refusal to eat and what ever he did eat he began to vomit and scream in pain. (reportingly a neighbor called the local police to report a child screaming excessively). My son was taken to our pediatrician for examination Thursday (June 19th, 2008) morning at that point the pediatrician recommended my son be taken to a local hospital for an X-Ray & Ultrasound for what appeared to be "Intussusceptions"; Local Hospital confirmed via. x-ray/ultrasound scans "Intussusceptions" but the facilities were unequipped for this type of pediatric condition and recommended my son be taken to "Hospital" immediately where it was confirmed via. scan the Intussusceptions was positive. A procedure was performed via. an "Enema" technique to reduce the intestine. The procedure worked, my son was hospitalized for observation and released on June 21st, 2008. In less than 24 hrs my son was rushed back to "Medical Center" on June 22nd, 2008 for the same condition reoccurring. All the previous signs began in the early morning of the 22nd of June. A scan was performed confirming the Intussusceptions had occurred for the second time in less than a few days apart from the 1st occurrence. The same "Enema" procedure was performed and my son was hospitalized again from June 22nd - to - June 25th. 7/14/08-records received for DOS 6/19/08-DX:Intussusception. Presented with irritability and intermittent inconsolability. Tenderness right side of abdomen. Day prior non-bloody non-bilious emesis and 2 non-bloody stools.. 7/25/08-records received for DOS 6/22-6/25/08-DX:Intussusception with successful reduction with air enema. C/O abdominal pain decreased oral intake. Seen prior to this admission for intussusception. No fever, diarrhea, vomiting. Abdomen nondistended, non tender.


VAERS ID: 317989 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: D.C.  
Vaccinated:2008-03-04
Onset:2008-05-08
   Days after vaccination:65
Submitted: 2008-06-27
   Days after onset:50
Entered: 2008-07-01
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 1 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1388U / 1 MO / PO

Administered by: Private       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? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Air contrast enema 9/8/08-records received-Successful reduction with fluoroscopy guided barium edema.
CDC Split Type:

Write-up: Intussusception 5-8-08 reduced by air enema on second attempt. 9/8/08-records received for DOS 05/05/08-DC DX: Intussusception. Presented to ED with C/O drowsiness starting morning of ED visit. Poor oral intake and decreased urinary output and no BM today. Observed grabbing at left ear. In ED passed currant jelly stool followed by bloody stool. Observed for 23 hours and discharged.


VAERS ID: 318518 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: North Carolina  
Vaccinated:2008-03-27
Onset:2008-04-21
   Days after vaccination:25
Submitted: 2008-07-01
   Days after onset:71
Entered: 2008-07-08
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC71B130AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45893 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1701U / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal distension, Barium enema abnormal, Ear infection, Explorative laparotomy, Faeces discoloured, Gastrointestinal tube insertion, Haematemesis, Haematochezia, Intussusception, Pain, Screaming, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Noninfectious diarrhoea (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: KUB (+) for dilated bowel loops concerning for obstruction. Barium enema (+) for IS. Stool Hemocult (+).
CDC Split Type: NC08086

Write-up: Intussusception - 3 1/2 wks after rotavirus vax. 7-month-old female who was previously healthy who was transferred here from another hospital with complaints of vomiting and blood in her stool. Based on the mom''s history, the patient woke up two days prior to admission was some pain and screaming. She was given some TYLENOL to relieve the pain; however, this did not seem to improve anything. She was initially seen in the Emergency Department at an outside hospital and was diagnosed with an ear infection and given a dose of ROCEPHIN IM, as well as a course of amoxicillin. After three doses of amoxicillin, she returned to the Emergency Room at the outside hospital as she was vomiting every time her medications were administered. Mom also noticed a black stool on Monday evening, two days prior to admission, which she had attributed to her drinking red PEDIALYTE. The vomiting continued into the morning prior to admission when she was brought back to the hospital. By the evening on that day, she began to vomit, what appeared to be, coffee ground emesis. She began to become slightly more distended, and therefore, transfer was arranged to another hospital. The patient was initially admitted as a direct admission to the General Pediatric Service. She was started on PROTONIX 1 mg/kg IV with concern for gastrointestinal bleed. She was started on maintenance IV fluids and remained N.P.O. Gastroenterology was consulted for the concern for gastrointestinal bleeding. Review of outside films that came with the patient from the other hospital showed dilated loops of bowel in the mid abdomen. This was concerning for obstruction. This was communicated to the primary Team who, on hospital day number one, ordered a barium enema. An intussusception was identified at the level of the mid transverse colon and was reduced to the mid ascending colon. On a second attempt, this was further reduced to the level of the ileum. However, it was felt that there was likely a lead point or ileal intussusception, which was not reduceable by this barium enema. Pediatric Surgery was therefore consulted and reviewed the films. She was taken urgently to the Operating Room for an exploratory laparotomy with reduction of the intussusception. Intraoperatively, a large amount of distended ileum and distal jejunum was seen. These lead distally into an intussusception of the ileum into the more distal portion of the ileum. This was easily reduced with manual pressure. There appeared to be no lead point. There was some edema in the lead of the intussusception, but there is no other pathology as the cause for the intussusception. The bowel all appeared viable. For full operative details regarding this procedure, please refer to the operative note dictated April 24, 2008 by Dr. Patient tolerated this procedure well and returned to the Pediatric Surgery floor with a nasogastric tube in place. She remained N.P.O. on postoperative day one as her bowels continued to decompress. On postoperative day two, she was started on by mouth PEDIALYTE. She tolerated this quite well and on postoperative day three, was advanced to normal formula feedings. She tolerated both a four, as well as six ounce, feeding of her ENFAMIL GENTLE EASE formula without any emesis. Her belly remained soft and she was having bowel movements without any evidence of blood in it. At this time, she was felt stable for discharge with follow up in two week in Neurosurgery Clinic. 07/09/2008 VAERS report submitted with medical records attached for DOS 4/22-23/2008 and 4/23-27/2008 with D/C DX: Intussusception with Bowel Obstruction. Infant initially presented to local hospital for a 2nd time with vomiting dark brown emesis and black diarrhea stool-hemocult (+). Pt admitted and became increasingly listless with abdominal distention and continued dark emesis and blood streaked stool. Abdomen very tender to touch. Transfered to higher level of care where previous films were reviewed and Barium enema ordered which identified an Intussusception and was only able to partially reduce. Pt taken to OR for Exploratory Lap and reduction of IS. Pt initially NPO with NGT in place with po gradually introduced with no problems. Normal BMs. D/C home.


VAERS ID: 318547 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Kansas  
Vaccinated:2008-02-12
Onset:2008-02-29
   Days after vaccination:17
Submitted: 2008-07-08
   Days after onset:129
Entered: 2008-07-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2760AA / 3 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF209AA / 3 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B70145D / 3 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1241U / 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? 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: None. PMH: NKDA
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnostics: Abd US (+) for IS. Air contrast enema (+) for IS.
CDC Split Type: WAES0807USA00048

Write-up: Information has been received from a physician concerning a 6 month old male infant with no known allergies or pertinent medical history who on 12-FEB-2008 was vaccinated orally with third dose of ROTATEQ. Concomitant vaccinations included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (manufacturer unknown), Hib conj vaccine (OMPC) (manufacturer unknown) and PREVNAR. Subsequently, after receiving the third dose of ROTATEQ the patient developed intussusception. On 29-FEB-2008 the patient was hospitalized for 5 days. The patient was discharged on 05-MAR-2008. At the time of the report the patient recovered on an unspecified date. There was no product quality complaint involved. Additional information has been requested. 8/21/2008 MR received for ER observation visit 3/2/2008 with DX: Ileocecal Intussusception. Pt presented with 3 day hx of inconsolable crying, emesis with feeds, abdominal pain and no BM or flatus. PE (+) for mild distress, abdominal distention. IS reduced by Air Contrast Enema. Post procedure pt taking po well and d/c.


VAERS ID: 319397 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: New York  
Vaccinated:2008-04-08
Onset:2008-05-24
   Days after vaccination:46
Submitted: 2008-07-15
   Days after onset:52
Entered: 2008-07-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B074AA / 1 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR 356AB / 1 LL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0805 / 1 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45887 / 1 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0015X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Full blood count, Intussusception, Irritability, Lethargy, Rectal haemorrhage, Ultrasound abdomen abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Ischaemic colitis (broad), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC; ultrasound, positive for intussusception 7/17/08-records received- WBC 13.7. Ultrasound positive for intussusception. Air contrast enema partiall successful with repeat attempt folllowing day successful reduction.
CDC Split Type:

Write-up: Blood per his rectum, fussy, lethargic. 7/17/08-records received with report for DOS 5/24-5/26/08-DC DX: Intussusception. Presented to Ed with history of bloood per rectum. Fussy. Appetitie decreased. Constipated. One hard stool day before and vomtiting once.


VAERS ID: 319695 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Texas  
Vaccinated:2008-03-20
Onset:2008-05-23
   Days after vaccination:64
Submitted: 2008-07-18
   Days after onset:56
Entered: 2008-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 3 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF329AA / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B70145C / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1205U / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enema administration, 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: None
Preexisting Conditions: None PMH: none
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Air contrast enema (+) for IS. Abd X-ray with non-specific bowel gas pattern. UC (+) for E coli. Stool cx (-).
CDC Split Type:

Write-up: 2 months following the vaccine, Malayah was diagnosed with intussusception. It was reduced by air contrast enema and the infant was observed in the hospital overnight. She has had no issues related to the intussusception since. 8/12/2008 MR received for DOS 5/23-24/2008 with D/C DX: Intussusception. 2ndary DX: Infectious enteritis. Pt presented with hx of vomiting and diarrhea and eventually a bloody stool. Initial impression: dehydration & vomiting. Air contrast enema dx and reduced the IS with no further problems.


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