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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: 361357 (history)  
Form: Version 1.0  
Age: 0.55  
Sex: Female  
Location: Texas  
Vaccinated:2009-09-22
Onset:2009-09-27
   Days after vaccination:5
Submitted: 2009-10-15
   Days after onset:18
Entered: 2009-10-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3434AA / 3 LL / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3173GA / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D83900 / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0015Y / 3 MO / PO

Administered by: Private       Purchased by: Private
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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: 12/07/09 - PMH: none. 12/07/09 Allergies: NKDA
Allergies:
Diagnostic Lab Data: 12/07/09. Lab and Diagnostic studies for DOS 09/26/09 ? 09/28/09: US of abdomen confirmed intessusception. CBC: abnormal shift.
CDC Split Type:

Write-up: Intussusception 5 days after ROTATEQ vaccine given - Surg. done to fix problem. 12/01/09 Vaccine records received on 09/27/09 12/07/09 DC summary for DOS 09/26/09 ? 09/28/09 - DX: Intessusception Pt developed fever, irritability, vomiting, abdominal pain and stools of coffee color and jelly bean like. Surgery performed for intessusception. Pt discharged home in stable condition.


VAERS ID: 361470 (history)  
Form: Version 1.0  
Age: 0.51  
Sex: Male  
Location: Unknown  
Vaccinated:2009-07-13
Onset:2009-09-24
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2009-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B210AA / 4 UN / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF566AA / 4 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D59296 / 3 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0287Y / 4 UN / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Barium enema, Intestinal resection, Intussusception, Ultrasound scan
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), 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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S, BE LABS and DIAGNOSTICS: CBC - WBC 8.5 Hemoglobin 9.4 Hematocrit 28.7 Platelets 284000 Segs 24 Bands 9 Lymph 59 Mono 8. CHEM - Sodium 143 Potassium 4.5 Chloride 115 CO2 19 Glucose 122 BUN 10 Creatinine 0.4 Anion Gap 13 Serum calcium 9.3 Total Bilirubin 0.3 SGOT 40 SGPT 15 Alkaline Phos 105 Total Protein 4.9 Albumin 2.9 Globulin 2. Blood Culture - No growth.
CDC Split Type:

Write-up: Intussusception on 9-24-09. Required a bowel resection. 10/21/09 Hospital discharge summary received service dates 9/16/09 to 9/21/09. Assessment: Status post exploratory laparotomy for intussusception. Hemicolectomy secondary to intussusception. Patient presented with a one day history of bloody stools and repeated episodes of emesis. Diagnosed with intussusception. 11/3/2009 ICD-9 codes 560.0, 285.9


VAERS ID: 363465 (history)  
Form: Version 1.0  
Age: 0.53  
Sex: Male  
Location: New Jersey  
Vaccinated:2009-10-12
Onset:2009-10-17
   Days after vaccination:5
Submitted: 2009-10-28
   Days after onset:11
Entered: 2009-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR 3192AA / 3 RL / UN
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 3262FA / 1 LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF728AB / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D88185 / 3 LL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0532Y / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Hypophagia, Intussusception, Otitis media, Pain, Surgery, Ultrasound scan abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Amoxicillin; MOTRIN
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Ultrasound - (+) Intussusception Diag/Labs: US abdomen(+)intussusception, abd xray(-)
CDC Split Type:

Write-up: Onset of pain on 10/17/09. Dx with otitis media. Pain (+) with vomiting. Poor po. Presented to facility. Enter ER Dx with intussusception. Transferred to hospital on 10/20/09. Reduced by surgery radiographically. 11/27/09 DC summary received for date 10/18/09 to 10/19/09. DC DX: Intussusception. Contrast enema reduction of intussusception successful. 11/23/09 Medical records received for date 10/21/09. Presenting with f/u 2 post hospital stay for intussusception. No complications at this time. OV 10/17/09 parent c/o pt. decreased PO, irritable, (+)runny nose. 11/23/09 ER records received for date 10/21/09. DX: gastroenteritis, vomiting. ER visit on 10/21/09 Parent present pt with c/o irritability, abd pain, vomiting, decreased PO intake, ear pain, cough. Pt is 3 days s/p intussusception. US WNL. On 10/22/09 ER visit for cont. c/o abd pain, vomiting. Assessment: normal BM, US(-), abd xray(-).


VAERS ID: 368102 (history)  
Form: Version 1.0  
Age: 0.51  
Sex: Male  
Location: Louisiana  
Vaccinated:2009-08-04
Onset:2009-09-01
   Days after vaccination:28
Submitted: 2009-11-10
   Days after onset:70
Entered: 2009-11-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3376AB / 3 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. AHBVB708BA / 3 RL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D48928 / 3 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0071Y / 3 MO / PO

Administered by: Private       Purchased by: Unknown
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? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergies: NKDA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vomiting. Diarrhea. Intussusception. 11/30/09 Medical records received for DOS 9/1-9/4. Final DX: Intussusception Status Post, Status Post LAP Appendectomy, Dehydration Resolved. Vomiting. Cough and runny nose w/GI sx. Intussusception non-reducible. Subsequently surgically reduced. Appendectomy performed and penile foreskin adhesions removed as well. Back to baseline.


VAERS ID: 368780 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: New York  
Vaccinated:2009-10-06
Onset:2009-11-17
   Days after vaccination:42
Submitted: 2009-11-19
   Days after onset:2
Entered: 2009-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3433AA / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D81704 / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0432Y / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Abdominal X-ray, Bladder catheterisation, Chest X-ray, Full blood count, Intussusception, Lumbar puncture, Pyrexia, Ultrasound abdomen
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), 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? 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; lumbar puncture; urinary catheterization; chest and abdominal x-rays; abdominal ultrasound.
CDC Split Type:

Write-up: Hospitalized/diagnosed with intussusception, fever on 11/18/09.


VAERS ID: 369154 (history)  
Form: Version 1.0  
Age: 0.41  
Sex: Male  
Location: California  
Vaccinated:2009-09-25
Onset:2009-11-09
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2009-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3141AA / 2 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0223U / 2 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR B0476 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0316Y / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Computerised tomogram abdomen, Gastrointestinal necrosis, Intestinal resection, Intussusception
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Ischaemic colitis (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None PMH: none Allergies: NKDA
Allergies:
Diagnostic Lab Data: CT scan abdomen Labs: CBC, wbc high, CMP normal, urine and blood cultures negative, Influenza AB test neg, rapid strep negative Dx studies: Abd xrays which noted gastric distension ? for distal ileus, ABD US which noted dilated bowel loops ? for bowel obstruction, CT ABD/Pelvis which was suspicious for bowel malformation and secondary SBO
CDC Split Type:

Write-up: 6 1/2 month developed ileocecal and ileocolic intussusception with resection of necrotic bowel. 12/3/2009 MR and DC summary for 11/10-11/15/2009. Dx Intussusception Patient presents with projectile vomiting, unable to tolerate anything po, lethargic. Had a laparotomy with reduction and resection of intussusception.


VAERS ID: 370777 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Florida  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-11-30
Entered: 2009-12-01
   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? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0911USA04284

Write-up: Information has been received from a physician concerning a female patient who on a Friday was vaccinated with a dose of ROTATEQ (oral route, lot number not available). On a Saturday, the patient was brought to the emergency room because of intussusception. It was unspecified if the patient was admitted in the hospital. At the time of the report, the patient''s outcome was unknown. Upon internal review, intussusception was considered to be an other important medical event. The health care professional contacted during telephone follow-up could not supply the following information: patient name, date of birth, dates of vaccination, dose number (if applicable), lot number (if applicable), date of event or recovery status. Additional information has been requested.


VAERS ID: 372527 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Michigan  
Vaccinated:2009-11-12
Onset:2009-11-15
   Days after vaccination:3
Submitted: 2009-12-11
   Days after onset:26
Entered: 2009-12-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3480AA / 1 UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1250Y / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D93212 / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1324Y / 1 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Crying, Enema administration, Intussusception, Screaming, Ultrasound scan abnormal, Vomiting projectile
SMQs:, Acute pancreatitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No illness
Preexisting Conditions: Sacral dimple
Allergies:
Diagnostic Lab Data: Ultrasound=intussusception, reduced by gastrograph enema.
CDC Split Type:

Write-up: 11-16-09-2 episodes of projectile vomiting and high-pitched screaming. Advised to go to a Peds ER. A XR showed OBSTRUCTION. Intussusception diagnosed by ultrasound.


VAERS ID: 373655 (history)  
Form: Version 1.0  
Age: 0.16  
Sex: Male  
Location: New Jersey  
Vaccinated:2009-10-23
Onset:2009-11-23
   Days after vaccination:31
Submitted: 2009-12-15
   Days after onset:22
Entered: 2009-12-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1030Y / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Enema administration, Haematochezia, Intussusception, Vomiting, X-ray abnormal
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? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: X-ray 11/26/2009 intussusception was diagnosed.
CDC Split Type: WAES0912USA00999

Write-up: Information has been received from a physician concerning a 12 week old male infant with no prior medical history, no predisposing conditions and no noted congenital malformations of the intestine who on 23-OCT-2009 was vaccinated with the first dose of ROTATEQ. On the morning of 23-NOV-2009 the baby was brought to the physician''s office because he had been vomiting. The baby weighed 15 lbs 4 ounces upon examination. There was no abdominal distention noted and bowel sounds were present. On 25-NoV-2009 the baby''s mother called the office to report that he was still vomiting. The physician recommended that the patient be taken to the emergency room for evaluation. The baby''s weight had gone down to 15 lbs 0.5 ounces. He was admitted to a hospital for observation and further testing. The baby had developed bloody stools in addition to the vomiting; an x-ray diagnosed the intussusception on 26-NOV-2009. The baby was transferred to another hospital due to the availability of a pediatric surgeon. On 27-NOV-2009 an air enema was performed, which successfully reduced the intussusception with no further surgical intervention needed. On 01-DEC-2009 the patient was seen in the office for a follow-up visit one day after his discharge from the hospital. His examination was normal and the physician noted that he had fully recovered. The physician was unsure if he was going to continue with ROTATEQ series. No further information is available.


VAERS ID: 374931 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Female  
Location: California  
Vaccinated:2009-09-16
Onset:2009-09-20
   Days after vaccination:4
Submitted: 2009-12-22
   Days after onset:93
Entered: 2009-12-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3434AA / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D7588Y / 1 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0184Y / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Haematochezia, Intestinal resection, Intussusception
SMQs:, 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), Ischaemic colitis (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: Reactive airways disease 1/7/10 Received PCP medical records w/constipation & dermatitis of both arms when seen 9/16/09.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown LABS: US of abd (+) IS. Abd x-ray abnormal. Contrast enema x 2.
CDC Split Type: WAES0912USA02096

Write-up: Information has been received from a physician concerning a 10 weeks old female patient with reactive airways disease and no allergies who on 16-SEP-2009 was vaccinated with a first oral dose of ROTATEQ (Lot No. not reported). concomitant vaccination received on the same day included PENTACEL and PREVNAR. There was no concomitant medication. On approximately 19-SEP-2009, "3-4 days later", the patient developed vomiting and bloody stools. The patient was diagnosed with intussusception. She was admitted to the hospital and underwent a bowel resection. Discharge date was not reported. It was reported that the patient "was doing well since surgery" and the patient was recovered. Additional information has been requested. 1/4/10 Received hospital medical records for 9/23-9/28/2009. FINAL DX: ileocecal intussusception Records reveal patient experienced bilious vomiting x 3 days & bloody mucousy stools x 1 day. Seen in outlying ERs x2. Transferred to higher level of care & peds surgery. Enema x 2 failed to reduce IS. Taken to OR for exp lap, ileocecectomy, appendectomy & primary reanastomosis. Gradually improved & able to tolerate oral feeding. 1/7/10 Received vaccine records & PCP medical records: 9/16 visit w/constipation & rash dx as dermatitis on both arms;and 10/1/09 f/u visit s/p surgery.


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