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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: 321007 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Tennessee  
Vaccinated:2008-06-23
Onset:0000-00-00
Submitted: 2008-07-31
Entered: 2008-08-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2934BA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF260AB / 2 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A480 / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C35173 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0211XDT / 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: therapy unspecified; PREVACID; REGLAN
Current Illness:
Preexisting Conditions: Gastrooesophageal reflux
Allergies:
Diagnostic Lab Data: Unknown LABS: US of abdomen (+). Gastrografin enema. Neutros 75%(H), lymphs 21%(L), monos 3%(L). CO2 21(L), creatinine 0.27(L). Blood c/s neg.
CDC Split Type: WAES0807USA05332

Write-up: Information has been received from a physician concerning a 5 month old patient with a history of gastrooesophageal reflux who was vaccinated with the second dose of ROTATEQ, 1 ml. Concomitant therapy included PREVACID (TAP), routine vaccines and REGLAN (Unspecified). The patient experienced "intussusception" after receiving the second dose of ROTATEQ and had to be hospitalized overnight. It was reported that "patient is fine now." Unspecified medical attention was sought. No product quality complaint. Additional information has been requested. 8/22/08 Reviewed PCP office records of 6/23/2008 FINAL DX: ileocecal intussusception. Records reveal patient experienced vomiting & constipation on day of vaccination. Slept in bassinet w/bottle on side. Next vs of 7/24 was s/p overnight hospitalization for enema reduced IS. Patient had projectile vomiting & reduced oral intake. 9/5/08 Reviewed hospital medical records of 7/9-7/11/2008. FINAL DX: Intussusception Records reveal patient experienced projectile vomiting, severe abdominal pain, irritability, crying. Pt admitted for observation s/p enema reduction of IS.


VAERS ID: 321669 (history)  
Form: Version 1.0  
Age: 0.21  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2008-08-01
Onset:2008-08-06
   Days after vaccination:5
Submitted: 2008-08-08
   Days after onset:2
Entered: 2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B192AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF261AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C63115 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0280X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Faeces discoloured, Haematochezia, Intussusception, Lethargy, Mucous stools, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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 (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: none
Current Illness: none
Preexisting Conditions: Port Wine Nevus Flammeus
Allergies:
Diagnostic Lab Data: surgery . Labs and Diagnostics: KUB showed no obstuction or free air. Air contrast enema (+) for IS. Stool Guaiac (+). Stool occult blood initially (-) then (+). Blood cx (-).
CDC Split Type:

Write-up: lethargy, fever, vomiting, currant jelly colored mucousy stools / confirmed proximal transverse colon intususception. 09/02/2008 MR received for DOS 8/7-8/2008 with D/C DX: Intussusception. Pt presented with 1 day hx of fever, vomiting and dark colored emesis as well as dark, foul smelling stool. In ER had Guaiac (+) currant jelly stool. Transfered to higher level of care. IS of the transverse colon was dx and reduced by air contrast enema. Pt remained stable, po progressed and d/c next day.


VAERS ID: 321722 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Tennessee  
Vaccinated:2007-10-05
Onset:2008-02-20
   Days after vaccination:138
Submitted: 2008-08-08
   Days after onset:169
Entered: 2008-08-11
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B127A / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2442A / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1053U / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Intussusception, Vomiting
SMQs:, Acute pancreatitis (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? Yes
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown LABS: CT abdomen/pelvis revealed large bowel gas loops. Abdominal x-ray. CBC w/hematocrit 36.6(L) & neutros 22%(L). CO2 18.7(L), creatinine 0.22(L). Stool culture neg. US of abdomen c/w mesenteric adenitis but no IS.
CDC Split Type: WAES0807USA05710

Write-up: Information has been received from a physician and a nurse concerning a 10 month old female who on 19-JUN-2007 was vaccinated with a first dose of ROTATEQ oral. On 07-AUG-2007 the patient was vaccinated with a second dose of ROTATEQ (lot# 657515/0668U) oral. On 05-OCT-2007 the patient was vaccinated with a third dose of ROTATEQ (lot# 657045/1053U) oral. Concomitant therapy on 05-OCT-2007 included PREVNAR and PEDIARIX. On 20-FEB-2008 the patient experienced vomiting and diarrhea. The patient was taken to the hospital and was diagnosed with intussusception. A CT scan was performed with no result provided. The patient was then airlifted to a different hospital. When the patient got to that hospital the intussusception was gone. Intussusception was considered to be disabling and immediately life-threatening. Additional information has been requested. 8/19/08 Reviewed hospital medical records of 2/21/2008. FINAL DX: gastroenteritis; IS spontaneously resolved Records reveal patient had been transferred via helicopter from outlying ER with diagnosis of intussusception. Patient had experienced abdominal pain x 2 days w/nausea, vomiting, copious watery diarrhea, decreased urine output & irritability. In outlying ER had abdominal distention. CT scan done which was c/w IS & transferred to higher level of care. Surgical consult done. Tolerated PO fluids in ER & d/c to home. 8/26/08 Reviewed ER medical records of 2/20/2008. FINAL DX: Intussusception Records reveal patient experienced vomiting, diarrhea & reduced oral intake x 2 days. In ER had fever 101, pulling at ears, behaving abnormally, decreased urine output, no tears w/crying. Transferred to higher level of care.


VAERS ID: 321975 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: West Virginia  
Vaccinated:2008-06-11
Onset:2008-06-12
   Days after vaccination:1
Submitted: 2008-08-12
   Days after onset:61
Entered: 2008-08-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B182AA / 1 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF350AA / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65928 / 1 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0142X / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Barium enema, Crying, Enema administration, Haematochezia, Intussusception, Irritability, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes
Previous Vaccinations:
Other Medications: PREVACID
Current Illness: Gastrooesophageal reflux
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, fluoroscopy for barium enema. Labs and Diagnostics: Abdominal X-ray WNL. Barium enema WNL. CBC with Hgb 9.8. Hct 28.4. RBC 3.02. Platlets 534
CDC Split Type: WAES0808USA01128

Write-up: Information has been received from a physician concerning a female with reflux who was vaccinated with the first dose of ROTATEQ. Concomitant therapy included PREVACID. It was reported that the patient had intussusception. The patient had inconsolable crying episodes and fussiness 1 day after receiving her 2 month immunizations. The patient had a normal bowel movement on the morning of 12-Jun-2008 but had episodic crying and later had 3 small bowel movements with specs of blood with a low grade fever. There was no vomiting and the patient was on breast milk. The patient was admitted to the hospital on 12-Jun-2008 and discharged on 13-Jun-2008. It was reported that the patient had fluoroscopy for barium enema. It was reported that the patient recovered from these events on 13-Jun-2008. The reporter considered intussusception, inconsolable crying episodes, fussiness, low grade fever, 3 small bowel movements with specs of blood and episodic crying to be other important medical events. Unspecified medical attention was sought. No product quality complaint. Additional information has been requested. 9/15/2008 D/C summary received for DOS 6/12-13/2008 with D/C DX: Intussusception. Pt presented with inconsolable crying and 3 BMs with blood. PE WNL except for crying. Barium enema done with no residual IS identified. It was felt that the IS was resolved. Pt admitted for observation, had no pain o/n and was able to advance diet. Pt had a slightly heme (+) stool post-procedure.


VAERS ID: 323038 (history)  
Form: Version 1.0  
Age: 0.6  
Gender: Male  
Location: California  
Vaccinated:2008-05-22
Onset:2008-07-30
   Days after vaccination:69
Submitted: 2008-08-15
   Days after onset:16
Entered: 2008-08-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC210127AA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF295AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C35171 / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0508U / 3 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: none
Allergies:
Diagnostic Lab Data: Ultrasound. Labs and Diagnostics: Abdominal X-ray non specific. Abdominal US (+) for IS in mid abdomen. Barium Enema (+) for IS. CBC, Chem and UA unremarkable. UC (-).
CDC Split Type:

Write-up: Intussusception noted 07/30/2008. Bloody stool, Air intussusception reduction successful, reporting because of association of rotavirus immunization and intussusception. 9/8/2008 MR received for DOS 7/30-31/2008 with D/C DX: S/P Reduction of Intussusception. Pt presented with abdominal pain, vomiting x10-12 and bloody stool. IS was noted on Barium Enema following a (+) US and reduced successfully. Admitted for observation o/n with no further problems.


VAERS ID: 323228 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Maryland  
Vaccinated:2008-07-29
Onset:2008-08-17
   Days after vaccination:19
Submitted: 2008-08-23
   Days after onset:6
Entered: 2008-08-25
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2952BA / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1070U / 1 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF449AA / 1 LL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0491 / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65931 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0309X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Barium enema abnormal, Frequent bowel movements, Haematochezia, Intussusception, Irritability, Occult blood positive, Urinary system X-ray
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), 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), Hostility/aggression (broad), 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: None
Current Illness: None
Preexisting Conditions: Fussy baby; ? formula intolerance/colic
Allergies:
Diagnostic Lab Data: Barium enema - intussusception noted in (L) colon which was reduced with contrast column. Reflux of barium was noted intermime ileum 8/22/08. 9/5/08-records received-Passed stool while in ED hemoccult positive. Success reduction of intussusception with barium contrast enema.
CDC Split Type:

Write-up: Pt had increase stooling 3 days prior to hospitalization. There was no bowel movement the next day but increased fussiness. By on night prior to admission baby refused pacifier and only liked upright position. Patient seen in our office and sent to hospital to r/o intussusception. KUB, labs normal but heme (+) stool noted. Patient admitted for observation and Ba enema done due to increased fussiness and intussusception diagnosed. Baby recovered well and discharged home 2 days later. 8/26/08-DC summary received for DOS 8/22/08-DC DX: Intussusception. Admitted with C/O irritability. 9/5/08-records received for DOS 8/20-8/22/08-presented to ED with 3 day history of fussy, crying difficult to console, minimal stool output. Breastfeeding until 2 nights ago when rice cereal was introduced. Abdomen hard with poor bowel sounds.


VAERS ID: 323278 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Florida  
Vaccinated:2008-06-17
Onset:2008-08-06
   Days after vaccination:50
Submitted: 2008-08-20
   Days after onset:14
Entered: 2008-08-26
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B182AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF447AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45721F / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0141X / 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None. PMH: none.
Allergies:
Diagnostic Lab Data: Barium Enema diagnostic and therapeutic. Labs and Diagnostics: KUB with abnormal gas pattern. Barium enema (+) for IS, also noted possible malrotation.
CDC Split Type:

Write-up: Intussusception. 09/05/2008 MR received for DOS 8/6/2008 with DX: Intussusception reduced, suspect malrotation. Infant presented with 7-8 hr hx of intermittant crying and pulling the legs to the abdomen, increased sleep and later blood/mucus in the diaper. (+) gagging but no vomiting. PE (+) for an abdominal mass left to the umbilicus and dehydration. IS identified and reduced by barium enema. Pt was stable and to be transfered for further eval of abnormal BE. 9/08/2008 No further diagnostic tests done.


VAERS ID: 323515 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Hawaii  
Vaccinated:2008-07-23
Onset:2008-08-24
   Days after vaccination:32
Submitted: 2008-08-27
   Days after onset:3
Entered: 2008-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B182AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF237AD / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C86138 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0277X / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Barium enema abnormal, Intussusception, Laparoscopy, Lymphadenitis, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (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: Vit A, D, C
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Ultrasound, Gastrografin enema under fluoroscopy 9/10/08-records received-Reduction of intussusception with gastrograph en enema. Labs and Diagnostics: US Abd (+) for IS in LLQ. Free fluid. Saline enema unsuccessful at reduction. Abd X-ray WNL
CDC Split Type:

Write-up: Onset 8/24/08 vomiting 9 PM. Seen at hospital where intussusception dx''ed by abd ultrasound, failed enema reduction. Transferred to another hospital where laparoscopy was done - enlarged mesenteric node was resected. 9/10/08-hospital records received for DOS 8/25-8/27/08-DC DX: Intussusception status post reduction. Dissection of large mesenteric lymph node. Laparoscopic resection of enlarged lymph node. At initial hospital, saline enema failed to reduce intussusception. Vomiting began on evening prior to admission, some blood in stools.


VAERS ID: 323614 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Louisiana  
Vaccinated:2008-07-17
Onset:2008-07-28
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2008-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B143AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C80880 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1620U / 2 MO / PO

Administered by: Public       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? No
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. PMH: none
Allergies:
Diagnostic Lab Data: ultrasound abdomen, contrast study. Labs and Diagnostics: Stool (+) C diff. LP WNL. CT Brain scan with retraction of the L operculum. CXR WNL. MRI/MRA brain (+) for L opercular dilitation. KUB suspicious for bowel obstruction. Abd US suggestive of IS. Abd CT (+) for Ileo-colonic IS with severe small bowel dilitation. Barium enema (+) for IS. CBC with Hgb 9.7, Hct 30.1. EEG abnormal but suboptimal.
CDC Split Type:

Write-up: Intussusception. 9/12/2008 MR received for DOS 7/28-8/06/2008 with D/C DX: New onset seizures. Intussusception, s/p surgical reduction. Microcytic anemia. Infant presented with new onset of seizures which began the am of admission. Pt''s eyes would roll back with body shaking followed by sleeping. There were 4-5 episodes that am. Vomiting noted after episodes. On admission pt lethargic. PE (+) for scatter L lung wheezes and sleepiness. While being w/u for seizures pt had bloody diarrhea. IS was dx but unable to reduce with BE. Taken to OR for Laparotomy, Reduction of IS, Appendectomy and R femoral central line placement. Pt was kept NPO x 3 days and then po andvanced w/o difficulty. Pt did have 1 seizure during admission. Large tongue noted by neurology.


VAERS ID: 323815 (history)  
Form: Version 1.0  
Age: 0.54  
Gender: Female  
Location: Virginia  
Vaccinated:2007-07-19
Onset:2008-08-22
   Days after vaccination:400
Submitted: 2008-08-23
   Days after onset:1
Entered: 2008-09-01
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C25700AA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE965AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B588458 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1233F / 3 MO / PO

Administered by: Private       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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: ER - Admitted 9/3/08-records received-Stool culture negative. US revealed ileocolic intussusception at level of hepatic flexure.
CDC Split Type:

Write-up: ? Intussusception w/successful reduction by air enema 8/22/08. 9/3/08-records received for DOS 8/21/08-DX:Intussusception with successful reduction by air enema of US revealed ileocolic intussusception at level of hepatic flexure. Presented to ED with C/O bloody diarrhea with blood and mucus noted in diaper. Fever 103 and decreased appetite. Lethargy. Abdominal cramping. Just returned 2 days prior from another country.


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