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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: 348346 (history)  
Form: Version 1.0  
Age: 0.51  
Sex: Female  
Location: Illinois  
Vaccinated:2009-05-15
Onset:2009-05-25
   Days after vaccination:10
Submitted: 2009-06-02
   Days after onset:8
Entered: 2009-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3224AA / 3 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0085Y / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D34438 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0274X / 3 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enema administration, 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Air contrast enema. 7/14/09 Hospital records received DOS 5/25/09 to 5/26/09. LABS and DIAGNOSTICS: Abdominal Ultrasound - intussusception. CT Scan - Intussusception.
CDC Split Type:

Write-up: This patient recevied 3rd dose of Rotateq on May 15, 2009. She developed intussusception on May 25, 2009. 7/14/09 Hospital records received DOS 5/25/09 to 5/26/09. Assessment: Intussusception. Patient presented with vomiting and bloody diarrhea. Cough, fussy, abdomen tender to palpation. Air enema with successful reduction. ICD-9 Codes: 560.0


VAERS ID: 348612 (history)  
Form: Version 1.0  
Age: 0.45  
Sex: Female  
Location: Virginia  
Vaccinated:2009-04-03
Onset:2009-04-09
   Days after vaccination:6
Submitted: 2009-06-05
   Days after onset:57
Entered: 2009-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3083AA / 2 - / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR A1060Z / 2 - / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C87310 / 2 - / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1586X / 2 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? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: 7/24/09 Hospital records received DOS 4/9/09 to 4/27/09. Hyperbilirubinemia at birth, phototherapy. Eczema. 7/31/31 Hospital records received DOS 12/15/08 to 6/17/09. Nasal congestion, nonproductived cough. Fever, upper respiratory infection. Umbilical hernia, completely reducible.
Allergies:
Diagnostic Lab Data: 7/24/09 Hospital records received DOS 4/9/09 to 4/27/09. LABS and DIAGNOSTICS: Abdominal X-ray - Possible Intussusception. Air contrast barium enema in which intussusception was confirmed and partially reduced. CBC - RBC 4.78 10e6/microliter (H) MCV 72.7 Fl (L) MCH 23.6 pg (L) Platelets 644 10e3/microliter (H) MPV 5.9 Fl (L) Seg 70% (H) Lymph 6% (L) Mono 12% (H) Atyp Lymph 3% (H). Surgical Path Report - appendix, minimal mucosal inflammation, ganglion cells present.
CDC Split Type:

Write-up: Child received rotateq on 4/3/09 and was admitted to the hospital for intussusception on 4/9/09. 7/24/09 Hospital records received DOS 4/9/09 to 4/27/09 (Inpatient 4/9/09 to 4/13/09). Discharge Diagnosis: Status post exploratory laparotomy with manual reduction of intussusception and appendectomy. Parent reports child has bloody stools, projectile vomiting, and fever, ''grape jelly'' stools. Unwilling to lay flat on her stomach. Abdominal pain. Has not been urinating as much as usual. Operative reduction of intussusception with appendectomy performed. 7/28/09-Diagnosis, 560.0; Abdominal Procedure, 46082; Surgery, 47.19 7/31/31 Hospital records received DOS 12/15/08 to 6/17/09. Additional information abstracted. ASSESSMENT: URI, wheezing, bronchospasm. Several months post surgery (exploratory laparotomy with manual reduction of intussusception and appendectomy) patient presents with wheezing, runny nose, and cough. A few episodes of posttussive emesis. Slight decreased by mouth intake.


VAERS ID: 348664 (history)  
Form: Version 1.0  
Age: 0.6  
Sex: Male  
Location: Arizona  
Vaccinated:2009-05-28
Onset:2009-05-30
   Days after vaccination:2
Submitted: 2009-06-05
   Days after onset:6
Entered: 2009-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3140AA / 3 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF604AB / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D46873 / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0286Y / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Intussusception, Surgery
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: viral exanthem, probable Fifth disease
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Contrast enema 6/16/09 Medical records LABS: BE diagnosed IS but unable to reduce.
CDC Split Type:

Write-up: Pt developed intussusception requiring surgical reduction. Also had symptoms of resolving virus + viral exanthem c/w parvovirus (fifth''s disease) on the day of when vaccines given. 6/15/09 Received hospital medical records of 5/31-6/3/2009. FINAL DX: Intussusception, s/p laparotomy w/manual reduction & appendectomy Records reveal patient experienced bilious emesis & bloody stools x 1 day. Surgical consult done. To OR when BE failed to reduce. Progressed well & d/c to home.


VAERS ID: 349973 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Female  
Location: Unknown  
Vaccinated:2009-04-17
Onset:2009-06-04
   Days after vaccination:48
Submitted: 2009-06-23
   Days after onset:19
Entered: 2009-06-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3084AA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF614AA / 1 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR B0009 / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D37017 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0084Y / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Enema administration, 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. 8/6/09 Hospital records received DOS 6/03/09 to 6/4/09. Eczema.
Allergies:
Diagnostic Lab Data: Unknown. 6/25/09 Medical records received DOS 5/22/09. LABS and DIAGNOSTICS: C. Difficile Toxins A&B not detected. 7/31/09 Consultant medical records received DOS 6/03/09. LABS and DIAGNOSTICS: KUB X-ray - consistant with / suggestive of intussusception. Air Contrast Enema - Pending. 8/6/09 Hospital records received DOS 6/03/09 to 6/4/09. LABS and DIAGNOSTICS: Air Contrast Enema - WNL. CHEM - Potassium 5.3 MMOL/L (H) BUN/Creatinine Ratio 27 (H) Total Protein 7.6 g/dL (H) Albumin 5.0 g/dL (H). CBC - Hemoglobin 12.9 g/dL (L) Hematocrit 37.6% (L) MCV 85.3 FL (L) Platelets 484 K/uL (H)
CDC Split Type: WAES0906USA03651

Write-up: Information has been received from a nurse concerning a 4 month old female who on 15-APR-2009 was vaccinated with a first dose of ROTATEQ (LOT# not reported). Concomitant vaccinations included, "Usual 2 month routine vaccinations", DTAP (unspecified), HIB conj vaccine (unspecified carrier) and PREVNAR. On 04-JUN-2009 the patient developed intussusception. The patient was admitted to a hospital and after treating with air enema the patient recovered on an unspecified date. The intussusception was considered to be immediately life-threatening. Additional information has been requested. 7/31/09 Consultant medical records received DOS 6/03/09. Assessment: Intussusception. Patent reports patient fed formula. 2 hours later was screaming drawing her legs towards her chest, clenching fists, and had piercing scream. Burping made worse. Patient presents with hyperactive bowel sounds. Mild distension abdomen. Generalized rash, flat macular red lesions. Eczema abdomen. ICD-9 Codes: Fussy baby 780.91 Free text DX - rule out intussusception 999.99 8/6/09 Hospital records received DOS 6/03/09 to 6/4/09. Assessment: Colicky Abdominal Pain. Patient presents with 8 hour history of intermittant colicky pain. Drawing legs up to chest and flailing her arms. Mild erythematous rash on trunk. ICD-9 Codes: 789.00 Abdominal pain unspecified site.


VAERS ID: 350567 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Missouri  
Vaccinated:2009-06-18
Onset:2009-06-21
   Days after vaccination:3
Submitted: 2009-06-30
   Days after onset:9
Entered: 2009-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3305AA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBUB608AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D34347 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0069Y / 1 MO / PO

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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? 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. 9/8/09 Hospital records received DOS 6/21/09 to 6/25/09. Concerns regarding respiratory pattern in newborn nursery.
Allergies:
Diagnostic Lab Data: 9/8/09 Hospital records received DOS 6/21/09 to 6/25/09. LABS and DIAGNOSTICS: KUB - Abnormal, distended loops of bowel. Barium enema - abnormal, intussusception. CBC - WBC 7.2 Hemoglobin 11.9 (L) Hematocrit 33.8 Platelets 417,000 (H) Segs 52% (L) Bands 11% (L) Lymphocytes 31% Monocytes 6%. Chem - Sodium 136 Potassium 4.6 Chloride 100 CO2 22 BUN 11 Creatinine 0.3. Urinalysis - Urobilinogen 4 mg/dL (H) Leukocyte Esterase 2+ (H) WBC 10-15 (H) RBC 2-5 (H) Bacteria 3+ (H). CSF - Glucose 67 Protein 40. CSF Gram Stain - No Bacteria. CSF Culture - No Growth.
CDC Split Type:

Write-up: Rotateq given on 6-18-09 & patient had to undergo surgery for intussusception on 6-22-09. 9/8/09 Hospital records received DOS 6/21/09 to 6/25/09. Assessment: Intussusception status post exploratory laparatomy for reduction and appendectomy. Patient presented with a history of vomiting yesterday morning X3. Gagging, poor oral intake, some discomfort, decreased activity level. Cries out during abdominal examination. Blood in stool, anal fissure. Reduction of intussusception, bowel necrosis, appendectomy performed. 9/4/09 Received hospital ICD9 codes: 5600; 542; 56089; 5601; 78062; 5609.


VAERS ID: 350763 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-07-02
Entered: 2009-07-06
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Barium enema, Intussusception, Irritability, Nausea, Ultrasound scan abnormal, Vomiting
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? No
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: ultrasound, ileocolic intussusception
CDC Split Type: WAES0906USA05211

Write-up: Information has been received from a study for ROTATEQ concerning a 17 week old male who was vaccinated with a second dose of ROTATEQ. Eight days after vaccination, the infant was with one day of nausea, vomiting and fussiness. Pediatrician referred him to ED for ultrasound. On 14-AUG-2007 the patient was hospitalized. Ileocolic intussusception was confirmed by ultrasound and hydrostatically reduced via barium enema. The infant was discharged home next day. At the time of reporting, the outcome was unknown. Ileocolic intussusception was considered to be an other important medical event. The relationship of intussusception to ROTATEQ was not reported. Additional information is not expected.


VAERS ID: 350764 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-07-02
Entered: 2009-07-06
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Enema administration, Ileectomy, Intussusception, Rectal haemorrhage, Ultrasound scan abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Ultrasound, intussusception
CDC Split Type: WAES0906USA05214

Write-up: Information has been received from a study for ROTATEQ concerning a 17 week old male who was vaccinated with a second dose of ROTATEQ. Three days after vaccination, the infant experienced one day of vomiting and bright red blood per rectum, on 16-DEC-2007 the patient was hospitalized. Diagnosis was confirmed as intussusception by ultrasound. Reduction via air contrast enema was not successful. Ileo-colic intussusception was surgically resected due to ileocecal enteric duplication cyst. The infant was discharged at day 3. At the time of reporting, the outcome was unknown. Intussusception was considered to be an other important medical event. The relationship of intussusception to ROTATEQ was not reported. No further information is available.


VAERS ID: 350869 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Texas  
Vaccinated:2009-03-23
Onset:2009-04-12
   Days after vaccination:20
Submitted: 2009-06-26
   Days after onset:75
Entered: 2009-07-07
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3293AA / 3 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D37016 / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0039Y / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Blood test, Intussusception, Urinary system X-ray
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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Blood w/u; KUB; LABS: abdominal x-ray, abdominal US both abnormal.
CDC Split Type:

Write-up: Pt was admitted to hospital on 4/13/09 for intussusception after receiving vaccines on 3/23. 7/7/09 Received vaccine & PCP records which include ER medical records of 4/13-14/2009. FINAL DX: Intussusception, enema reduced. REcords reveal patient experienced abdominal pain, constipation x 5 days, irritable, lethargic. Seen in outlying ER & transferred to higher level of care. Enema administered & successfully reduced IS. Observed w/o complication s/p reduction & d/c to home w/PCP f/u.


VAERS ID: 351337 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: California  
Vaccinated:2009-06-02
Onset:2009-07-06
   Days after vaccination:34
Submitted: 2009-07-14
   Days after onset:8
Entered: 2009-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF611AA / 3 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D36145 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1487X / 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, 3 days
   Extended hospital stay? No
Previous Vaccinations: intussussception~Rotavirus (Rotarix)~3~0.60~Patient
Other Medications: none
Current Illness: none
Preexisting Conditions: none 7/30/09 Clinic records received DOS 6/2/09 and 7/6/09. Umbilical hernia.
Allergies:
Diagnostic Lab Data: inutssusception. 7/30/09 Clinic records received DOS 6/2/09 and 7/6/09. LABS and DIAGNOSTICS: CHEM - Anion Gap 19 (H). Urinalysis - Urine esterase (+) Protein (+) Ketones (+) Mucous 1+ Amorphous Crystals 3+. Ultrasound Abdomen (+) IS Additional Labs and diagnostics: Barium enema (+) for IS. Blood cx (-). K+ 3.1. PTT (L) 20.1. Platelets 457. KUB (+) for dilated bowel loops.
CDC Split Type:

Write-up: 6month term previously healthy female received her 6 month shots on 06/02/09 exactly 12 weeks after her 4month rota vaccine. On 07/6/09 the patient had an intussusceptive event that was successfully reduced with barium enema. Recovered with no additional events to this date. 7/30/09 Clinic records received DOS 6/2/09 and 7/6/09 Well child visit. Later child presents with bilious vomiting, dehydration. Tired, inactive, lost weight, not crying. Cough, blood in diaper. Sunken anterior fontanelle. Transferred to another facility for surgical consult. 9/9/09 MR received from transfer hospital for DOS 7/6-8/2009 with D/C DX: Intussusception. Arrived listless and dehydrated with emesis and bloody stools. Reduced by barium enema and d/c after taking po well. ICD9 560.0 IS.


VAERS ID: 353086 (history)  
Form: Version 1.0  
Age: 0.51  
Sex: Male  
Location: New York  
Vaccinated:2009-02-10
Onset:2009-07-22
   Days after vaccination:162
Submitted: 2009-07-29
   Days after onset:7
Entered: 2009-08-04
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B167AA / 3 UN / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR UT279GA / 1 - / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF519AA / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1273X / 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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None. 8/20/09 Vaccine records received. Pneumo / Wyeth Prevnar Lot# D33126 IM 2 Previous doses. Administered on 3/27/09 per vaccine records. 9/23/09 Medical records received for date of service 7/22/09 to 7/23/09 Left inguinal hernia repair
Allergies:
Diagnostic Lab Data: 09/23/09 Medical Records received for date of service 7/22/09 to 7/23/09 ultrasound: intussusception RUQ. Air contrast enema for reduction of intussusception. Subsequent increase in irritability, repeat U/S revealed reduced intussusception.
CDC Split Type:

Write-up: Intussusception 4 mo after completing 3 doses ROTATEQ. 9/23/09 Medical records received for date of service 7/22/09 to 7/23/09. DX Intussusception with successful reduction by air contrast enema. Sudden onset of abdominal pain and increased irritability. Nausea & vomiting, bloody BM, minimal intake PO, negative for fever/chills. Abdomen tender to palpate, firm palpable mass RUQ. 8/20/09 Vaccine records received. Pneumo / Wyeth Prevnar Lot# D33126 IM 2 Previous doses. Administered on 3/27/09 per vaccine records. /ksk 10/1/09 ICD-9 Codes received: 560.0 Intussusception.


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