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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: 323866 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: New Jersey  
Vaccinated:2008-08-05
Onset:2008-08-22
   Days after vaccination:17
Submitted: 2008-08-26
   Days after onset:4
Entered: 2008-09-02
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2935AA / 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1203R / 3 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A0342 / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C86145 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1886U / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Haematochezia, Intussusception, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (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:
Current Illness: None
Preexisting Conditions: 7/3/08 - Bronchitis. PMH: none
Allergies:
Diagnostic Lab Data: Unknown. Labs and Diagnsotics: Abd US (+) for evidence for IS. Abd X-ray suggestive of possible ileus. CBC with WBC 7.7, RBC 2.0-4.28, Hgb 5.5-11, Hct 16.1-33.3, platelets 65K-389K. Repeat specimen 3 hrs later all WNL. Chemistry abnormal-hemolyzed spec.
CDC Split Type:

Write-up: Baby to see pediatrician for bloody stools x 2 and fever 8-22-08. Dx hematochezia, R/O intussusception. Admitted to hospital and dx''d with positive intussusception on 8/22/08. 9/10/2008 ER rec received from CDC for DOS 8/22/08 with D/C DX: Intussusception. Infant presented with fever, decreased po intake and bloody/mucousy stool. Frank blood in diaper at PCP office. To ER to r/o IS. Barium enema used to confirm and reduce IS of the large bowel in the RLQ.


VAERS ID: 324159 (history)  
Form: Version 1.0  
Age: 0.1  
Gender: Female  
Location: Alabama  
Vaccinated:2008-07-14
Onset:2008-09-02
   Days after vaccination:50
Submitted: 2008-09-03
   Days after onset:1
Entered: 2008-09-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2934BA / 1 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1884U / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF373AB / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A12182 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65042 / 1 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0407X / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Haematochezia, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Barium enema LABS: abdominal US revealed ileocolic IS & air contrast enema reduced it. WBC 14.55(N), neutros 65.2%(H), lymphs 28.1%(L), plts 471(H). Chloride 112(H), BUN 3(L), albumin 3.1(L).
CDC Split Type:

Write-up: Intussusception - reduced by air contrast enema (did not require surgery). Had vomiting/blood in stool - sent to hospital for treatment. 11/7/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: Intussusception Records reveal patient experienced vomiting & bloody stools x 1 day. Seen by PCP & was to be sleepy & lethargic. Admitted for observation s/p reduction of IS. Progressed well & d/c to home.


VAERS ID: 324279 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Louisiana  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-09-04
Entered: 2008-09-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


VAERS ID: 324591 (history)  
Form: Version 1.0  
Age:   
Gender: Male  
Location: Maryland  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-09-08
Entered: 2008-09-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0809USA00459

Write-up: Information has been received from a physician concerning a male who was vaccinated PO with a 2.0 ml dose of ROTATEQ (date not reported). It was reported that the patient was taken to the hospital due to a case of intussusception after vaccination (date not reported). The course of treatment and the outcome were not reported. The reporter felt that the intussusception was life-threatening. A product quality complaint was not involved. Additional information has been requested.


VAERS ID: 325954 (history)  
Form: Version 1.0  
Age: 0.51  
Gender: Male  
Location: Texas  
Vaccinated:2008-07-31
Onset:2008-09-13
   Days after vaccination:44
Submitted: 2008-09-23
   Days after onset:10
Entered: 2008-09-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B156EA / 3 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF401AB / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45721K / 3 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0407X / 3 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, Blood test, Gastrointestinal obstruction, Intussusception, Laboratory test
SMQs:, Gastrointestinal obstruction (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, 9 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Diagnostic laboratory, lots of unspecified tests, blood lab work 9/25/08-records received-Abdominal x-rays revealed possible recurrent intussusception and air contrast enema revealed a leakage of air from bowel.
CDC Split Type: WAES0809USA03155

Write-up: Information has been received from a medical assistant concerning a 7 month old male with NKDA and no pertinent medical history, who was given 3 doses of ROTATEQ, 2 ml, and developed intussusception. The patient received his first dose on 16-APR-2008 (lot # 660291/1829U), the second dose on 16-JUN-2008 (lot # 660596/0211X) and the third dose on 31-JUL-2008 (lot # 660679/0407X). Concomitant therapy included PEDIARIX, ACTHIB, PREVNAR and DTaP (unspecified). The patient went to the hospital ER on 13-SEP-2008 and was then transported to another hospital and hospitalized with intussusception. The patient had a GI obstruction, surgical repair work on the intussusception, and his appendix was removed. The patient was in the neonatal intensive care unit. The medical assistant states she does not have the medical charts from the hospital, and does not know if the patient has been discharged from the hospital. However, the caller states she thinks the child is "recovering, getting better". Blood lab work and lots of unspecified tests were performed. No product quality complaint involved. Intussusception and appendix disorder were considered to be immediately life-threatening, disabling and other important medical events. A lot check has been requested. Additional information has been requested. 9/25/08-records received for DOS 9/13-9/21/08-DC DX: Colonic perforation. Presented to ED with current jelly bowel movements and emesis suggestive of intussusception. Open reduction intussusception with incidental appendectomy performed on 9/14/08-Subsequently developed severe abdominal pain associated with severe tachycardia. Intubation. Returned to OR for exploratory lap, repair of colonic perforation. NG tube insertion. Recovered and discharged home.


VAERS ID: 326271 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Connecticut  
Vaccinated:2008-09-15
Onset:2008-09-22
   Days after vaccination:7
Submitted: 2008-09-25
   Days after onset:3
Entered: 2008-09-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B156BA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF472AB / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C50457 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0692X / 2 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Intussusception, Surgery, X-ray abnormal
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, 13 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None PMH: 35 wk preemie.
Allergies:
Diagnostic Lab Data: Radiologic confirmation of diagnosis LABS: US c/w IS. Multiple attempts to reduce IS w/air contrast enema unsuccessful. Abdominal x-ray abnormal w/dilated bowel loops & free air
CDC Split Type:

Write-up: Patient developed intussusception requiring surgical intervention on 6th day following vaccine admin. 11/25/08 Reviewed hospital medical record of 9/22-10/05/2008. FINAL DX: no d/c summary available. Admitted for intussusception; exp laparotomy w/ileocecectomy w/primary anastamosis; inverted Meckel''s diverticulum. Records reveal patient experienced bloody stools Tx w/parenteral nutrition, NGT, narcotic pain meds. Failed diet progression, developed firm abd distention, increased pain & irritability. Dx w/postop ileus. Returned to OR for re-exploration & repair of anastamotic leak 9/28, remained intubated & admitted to PICU. Had bilious emesis prior to intubation & concerned for aspiration. Extubated by next day & transferred to regular floor. Progressed well, tolerated oral feeds, completed antibiotics & d/c to home .


VAERS ID: 326343 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Maryland  
Vaccinated:2008-07-17
Onset:2008-07-27
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B82AA / 2 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF225AA / 2 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 1B70143E / 2 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0019X / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Diarrhoea, Enema administration, Intussusception, Irritability, Milk allergy, Mucous stools
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Thrush, Treatment - Diflucan PO
Preexisting Conditions: Thrush, mild pulmonary artery branch stenosis PMH: eczema, PABS murmur, colic.
Allergies:
Diagnostic Lab Data: (-) Stool culture (Rotavirus) LABS: Outlying air enema c/w IS & reduced it. Outlying BE c/w IS & reduced it. Hospital abdominal x-ray revealed nonspecific distended loops of bowel w/bowel wall thickening but no IS. US x2 WNL. Stool c/s (+) salmonella
CDC Split Type:

Write-up: 7/17/08 PEDIARIX, ROTATEQ. Mucousy diarrhea (10-15 x/day) began 7/23. 7/27-clots of blood in stool/fussy, to ER, had successful reduction of intussusception via air-contrast enema. Admitted. Continued bloody stools/fussy, on Nutranigen, 7/24-transferred to hosp. then diagnosed as milk protein allergy, bloody stools cleared on NEOCATE. Discharged 7/31/08. 11/14/08 Reviewed hospital medical records 7/29-7/31/2008. FINAL DX: abdominal pain & bloody stools s/p intussusception enema reduction Records reveal patient experienced irritability, diarrhea, bloody stools, mucous stools, decreased activity, oral intake reduced x 4 days. Evaluated in outlying ER/hospital. Had been admitted overnight for observation s/p enema reduction & developed recurrent symptoms. Barium enema done & reduced IS. Symptoms recurred again & family requested transfer. Surgery & GI consults done. Improved & d/c to home w/outpatient GI clinic f/u.


VAERS ID: 326440 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Florida  
Vaccinated:2008-06-03
Onset:2008-07-08
   Days after vaccination:35
Submitted: 2008-09-29
   Days after onset:83
Entered: 2008-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B141AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF349AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C45887 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1830U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal distension, Diarrhoea, Intussusception, Surgery, 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? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: REFLUX, BUT OFF MEDS AND DOING WELL
Allergies:
Diagnostic Lab Data: LABS: air enema (+) for IS but could not reduce.
CDC Split Type:

Write-up: INFANT DEVELOPED VOMITING, DIARRHEA, AND ABDOMINAL DISTENTION 1 MONTH AND 1 WEEK POST VACCINE ADMINISTRATION, AND WAS DIAGNOSED WITH INTRASUCCEPTION REQUIRING EMERGENCY SURGERY. 10/3/08 Reviewed hospital D/C summary of 7/11-7/17/2008. FINAL DX: Intussusception, exp lap w/small bowel resection & primary anastomosis Records reveal patient experienced fever & persistent emesis x 3-4 days, constipation, lethargy, abdominal distended & taut, dark red stool. Findings in OR included small segment of necrotic bowel which was resected. Admitted PICU, PICC line placed & started on parenteral nutrition. Gradually returned to normal BMs & diet advanced fo full formula. D/C to home w/surgery clinic f/u. 10/17/08 Reviewed additional hospital records of 7/11-7/17/2008. Included path report which reveals necrotizing entercolitis.


VAERS ID: 326527 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: California  
Vaccinated:2008-07-30
Onset:0000-00-00
Submitted: 2008-09-29
Entered: 2008-09-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / UNK UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0210X / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: 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, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0809USA04296

Write-up: Information has been received from a physician concerning a male who on 30-JUL-2008 was vaccinated with the first dose of ROTATEQ (lot #660681/0210X). Concomitant suspect vaccine therapy included a dose of PEDVAXHIB (manufacturer unknown) and a dose of RECOMBIVAX HB (manufacturer unknown). Other concomitant vaccine therapy included a dose of DTAP, IPOL and a dose of PREVNAR. It was reported that the patient was admitted to the hospital and operated on immediately for intussusception (on an unspecified date between 30-JUL-2008 and 24-SEP-2008). The patient has recovered (date not reported). Additional information has been requested.


VAERS ID: 326995 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Michigan  
Vaccinated:2008-07-29
Onset:2008-09-22
   Days after vaccination:55
Submitted: 2008-10-03
   Days after onset:11
Entered: 2008-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B110AB / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C65935 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0019X / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Appendicectomy, Haematochezia, Intussusception, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: US revealed IS in RUQ. BE failed to reduce.
CDC Split Type:

Write-up: ON 09/22/08 PATIENT WAS SEEN IN HOSPITAL FOR REPEATED VOMITING AND BLOOD IN THE STOOL,WAS TAKEN TO GI FLOOR WHERE A BARIUM ENEMA WAS ATTEMPTED FOR REDUCTION OF INTUSSUSCEPTION AND WAS UNSUCCESSFUL AND EMERGENCY SURGERY WAS PERFORMED TO REDUCE THE INTUSSUSCEPTION AND AN APPENDECTOMY WAS PERFORMED 10/17/08 Reviewed hospital medical records of 9/22-9/24/2008. FINAL DX: Intussusception, surgically reduced. Records reveal patient experienced vomiting, crampy abdominal pain & bloody stool. Emergent surgery to reduce IS & appendectomy. Progressed well & d/c to home w/PCP & surgery clinic f/u. 10/10/08 Reviewed PCP medical records of 2/21-10/06/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced good health on day of vaccination. Developed IS late 9/08. Did well postoperatively.


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