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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: 386687 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Male  
Location: North Carolina  
Vaccinated:2010-04-22
Onset:2010-04-25
   Days after vaccination:3
Submitted: 2010-05-04
   Days after onset:9
Entered: 2010-05-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3469AA / 2 UN / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E44520 / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1523Y / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Emotional distress, Haematochezia, Intussusception, Mucous stools
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Ischaemic colitis (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES1004USA04530

Write-up: Initial and follow-up information has been received from a physician and a front office employee concerning an 18 weeks old male with no pertinent medical history or allergies who on 22-APR-2010 was vaccinated orally with the first dose of ROTATEQ (lot# 664883/1523Y). Concomitant therapy included PENTACEL (lot# SPC#3469AA) and PREVNAR (lot# E44520) which were both vaccinated on 22-APR-2010. On 25-APR-2010 the patient had an inconsolable episode for 3-4 hours in the early afternoon. Then at 1:00 am the patient''s mother opened the patient''s diaper and there was a string of mucus with blood. The physician believed the patient may have had intussusception episode on the afternoon of 25-APR-2010 that self resolved by the time the patient''s mother contacted him around 1:00 am through phone call. It was reported that the patient was not experiencing any known symptoms. The physician also reported that no testing were done, so it was unknown if the patient experienced intussusception. Based on symptoms of the child being inconsolable along with the tiny amount of bloody mucus in diaper, the physician suspected that it was self-resolving intussusception. These adverse events were not considered to be disabling or life threatening by the physician. Upon internal review, intussusception was determined to be an other important medical event. No further information is available.


VAERS ID: 390447 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Female  
Location: Texas  
Vaccinated:2010-05-18
Onset:2010-05-22
   Days after vaccination:4
Submitted: 2010-06-10
   Days after onset:19
Entered: 2010-06-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3608AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E51194 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1522Y / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Full blood count normal, Hypophagia, Intussusception, Urine analysis normal, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Concomitant medications were not reported.
Current Illness: Unknown
Preexisting Conditions: Normal growth.
Allergies:
Diagnostic Lab Data: Urine analysis (results: negative) and full blood count (results: negative) were done in May-2010.
CDC Split Type: USWYEH15486010

Write-up: Information regarding PREVNAR 13 was received from a healthcare professional regarding a 3-month-old female patient who experienced intussusception, poor intake and persistent vomiting. The patient received a dose on 18-May-2010. The patient also received a dose of ROTARIX (GlaxoSmithKline) and a dose of PENTACEL (Aventis-Pasteur) on 18-May-2010. On 22-May-2010, the patient had persistent vomiting and poor intake for 24 hours. On 23-May-2010, the physician sent the patient to the emergency room and intussusception was diagnosed. The patient was given intravenous fluids and was still vomiting at each feeding. The patient was transferred to another hospital. On 27-May-2010, the issues had resolved; however the patient experienced the symptoms again. The outcome of the events is unknown at this time. No additional information was available at the time of this report.


VAERS ID: 390631 (history)  
Form: Version 1.0  
Age: 0.19  
Sex: Female  
Location: Michigan  
Vaccinated:2010-06-09
Onset:2010-06-12
   Days after vaccination:3
Submitted: 2010-06-14
   Days after onset:2
Entered: 2010-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3625AC / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB663AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E47472 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 02032 / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Eating disorder, Haematochezia, Intestinal resection, Intussusception, Irritability, Surgery, 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), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypoglycaemia (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Vaccine on 6/9/10, fussy PM 6/11/10 - 6/11/10 5PM not eating 6/12/10, vomited in ER - bloody stool - Intussusception diagnosed -$g to hospital. Pt required surgery- oper and colon resection.


VAERS ID: 391196 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Male  
Location: New York  
Vaccinated:2010-04-16
Onset:2010-05-29
   Days after vaccination:43
Submitted: 2010-06-22
   Days after onset:24
Entered: 2010-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3614AA / 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB807DA / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E47472 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0768Y / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Crying, Ear infection, Feeding disorder neonatal, Intussusception, Pain, Surgery
SMQs:, Gastrointestinal obstruction (narrow), 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, 7 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 5/29/2010- Amoxicillin for ear infection.
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: .
CDC Split Type:

Write-up: "Mother states poor feeding. Baby crying like he is in pain" On 5/30 was diagnosed with bilat ear infection. Family calling to report "pain". On 6/1 transfered from ER to tertiary care center for surgry- diagnosis Intussuception.


VAERS ID: 391832 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Kansas  
Vaccinated:2010-06-10
Onset:2010-06-28
   Days after vaccination:18
Submitted: 2010-06-30
   Days after onset:2
Entered: 2010-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3192BA / 3 UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1455Y / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH079AB / 3 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0123 / 3 UN / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E60221 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0021Z / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Xray abdomen and ultrasound abdomen
CDC Split Type:

Write-up: Vomiting-6-28-10 AM & PM no BM. Intussusception dx in evening by US. Reduction via air enema.


VAERS ID: 391836 (history)  
Form: Version 1.0  
Age: 0.22  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-06-14
Onset:2010-06-23
   Days after vaccination:9
Submitted: 2010-06-24
   Days after onset:1
Entered: 2010-07-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3614AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E46124 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Endotracheal intubation, Gastrointestinal sounds abnormal, Intensive care, Intussusception, Laparoscopic surgery, Shock, Tachycardia, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Respiratory failure (broad), Dehydration (broad)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Infant began vomiting 6 hrs prior to presentation to office, in office was tachycardic, shocky, with absent bowel sounds and bilious emesis. Treatment included intubation, intra osseous fluid bolus and stat med evac helicopter transfer to hosp where intussusception was reduced laparoscopically. Pt remained intubated in the ICU at this time.


VAERS ID: 392059 (history)  
Form: Version 1.0  
Age: 0.35  
Sex: Female  
Location: New York  
Vaccinated:2010-05-11
Onset:2010-06-15
   Days after vaccination:35
Submitted: 2010-07-01
   Days after onset:16
Entered: 2010-07-06
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3421AA / 2 UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1026Y / 3 UN / IM
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER F4535D / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1523Y / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Surgery, Ultrasound scan
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abdominal sonogram
CDC Split Type:

Write-up: Child received 2nd dose on 5/11/10. Child was admitted to hospital for intussusception on 6/15/10 which required surgery correction.


VAERS ID: 392560 (history)  
Form: Version 1.0  
Age: 0.33  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2010-06-30
Onset:2010-07-06
   Days after vaccination:6
Submitted: 2010-07-09
   Days after onset:3
Entered: 2010-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B248CA / 2 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH079AA / 2 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E60211 / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0595Z / 2 MO / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Intussusception, Lethargy, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: GER
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received the his 2nd RotaTeq vaccine on 6/30/10. He awoke on 7/6/10 with vomiting bile, then became lethargic; taken to pediatrician''s office at 2:45 PM on 7/6/10, and then sent directly to Emergency Department by Dr.; patient was then flown by STAT helicopter to another hospital, where he underwent emergency surgery on 7/7/10 for open repair of intussusception; patient was discharged from hospital today, 7/9/10.


VAERS ID: 394209 (history)  
Form: Version 1.0  
Age: 0.25  
Sex: Male  
Location: New Jersey  
Vaccinated:2010-06-01
Onset:2010-07-21
   Days after vaccination:50
Submitted: 2010-08-03
   Days after onset:13
Entered: 2010-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3139AA / 1 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF819AC / 1 UN / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0042 / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E49135 / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0148Z / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Laparoscopic surgery, Screaming, Vomiting
SMQs:, Acute pancreatitis (broad), 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), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypoglycaemia (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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Intussusception
CDC Split Type:

Write-up: Child developed severe abdominal pain on 7/22/10. He was very irritable, screaming from the pain, vomited once, seen in ER, had bloody stool there. Intussusception was diagnosed, laparoscopy surgery was done at hospital - on 7/23/10.


VAERS ID: 394211 (history)  
Form: Version 1.0  
Age: 0.34  
Sex: Female  
Location: Texas  
Vaccinated:2010-07-29
Onset:2010-07-31
   Days after vaccination:2
Submitted: 2010-08-03
   Days after onset:3
Entered: 2010-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C3358AA / 2 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH125AB / 2 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR D0674 / 2 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E69009 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0203Z / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Infantile spitting up, Intussusception, Pyrexia, Ultrasound scan, Vomiting projectile, X-ray
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Neonatal disorders (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? 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: Ultrasound; XRay at Emerg. Room
CDC Split Type:

Write-up: Intussusception. Ran fever on 7-29-10 (102 degrees) and 7-30-10; started spitting up on 7-31-10 --$g Progressed to projectile vomiting (1x) on 8-1-10 --$g Projectile vomiting increased on 8-2-10 (took to ER).


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