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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: 394334 (history)  
Form: Version 1.0  
Age: 0.37  
Gender: Male  
Location: Oklahoma  
Vaccinated:2010-07-15
Onset:2010-08-01
   Days after vaccination:17
Submitted: 2010-08-04
   Days after onset:3
Entered: 2010-08-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3622AA / 3 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E49136 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0176Y / 3 MO / PO

Administered by: Private       Purchased by: Public
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
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Intussusception.


VAERS ID: 394401 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: New York  
Vaccinated:2010-07-20
Onset:2010-07-29
   Days after vaccination:9
Submitted: 2010-08-05
   Days after onset:7
Entered: 2010-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B187AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF707AB / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E49136 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1524Y / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Abdominal pain, Barium enema, Intussusception, Irritability
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), 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? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Barium enema on 7.31.2010
CDC Split Type:

Write-up: Irritability and abdominal cramps developed 7.29.2010 or 7.30.2010. Intussusception diagnosed 7.31.2010 at hospital.


VAERS ID: 394758 (history)  
Form: Version 1.0  
Age: 0.21  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2010-07-30
Onset:2010-08-05
   Days after vaccination:6
Submitted: 2010-08-10
   Days after onset:5
Entered: 2010-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C684AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E69009 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0687Z / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Enema administration, Hyperhidrosis, Intussusception, Irritability, Occult blood positive, Pallor, Staring, Ultrasound abdomen abnormal
SMQs:, Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Heme positive stools Intussusception on U/S
CDC Split Type:

Write-up: Diaphoresis, pallor, staring spells, fussiness. Admitted to hospital where he was eventually diagnosed with intussusception. This was successfully corrected with air enema, confirmed by ultrasound.


VAERS ID: 395468 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-08-13
Entered: 2010-08-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 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? No
Office Visit? No
ER Visit? No
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: WAES1008USA01103

Write-up: Information has been received concerning a patient who on an unspecified date was vaccinated with the second dose of series ROTATEQ, oral. It was reported that the patient from a physician''s office received two doses of ROTATEQ and then experienced intussusception. No further information is available at this time of reporting. Upon internal review, intussusception was considered to be an other important medical event. Additional information has been requested.


VAERS ID: 395889 (history)  
Form: Version 1.0  
Age: 0.21  
Gender: Female  
Location: Kentucky  
Vaccinated:2010-07-22
Onset:2010-08-12
   Days after vaccination:21
Submitted: 2010-08-16
   Days after onset:4
Entered: 2010-08-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3529AA / 1 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E45350 / 1 RL / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0500Z / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Laboratory test, X-ray
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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: See attached hospital records, labs, and radiographic studies.
CDC Split Type:

Write-up: Patient diagnosed with intussusception to hepatic flexure on 8/12/10 (3 months of age). On 7/22/10, she was given ROTATEQ, (DTaP, Hib, and IVP=$gPENTACEL), and PREVNAR.


VAERS ID: 396182 (history)  
Form: Version 1.0  
Age:   
Gender: Male  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-08-20
Entered: 2010-08-23
   Days after submission:3
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? No
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: WAES1008USA01797

Write-up: Information has been received from a physician concerning a baby boy who was vaccinated with a second dose of ROTATEQ (Lot number unknown) and one month after receiving it, he experienced intussusception. At the time of report, the patient had recovered from intussusception. Upon internal review, intussusception was considering to be an other important medical event. Additional information has been requested.


VAERS ID: 396646 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Male  
Location: Pennsylvania  
Vaccinated:2010-08-09
Onset:2010-08-25
   Days after vaccination:16
Submitted: 2010-08-26
   Days after onset:1
Entered: 2010-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B248CA / 2 LL / IJ
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UO090AB / 2 RL / IJ
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E51167 / 2 RL / IJ
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0200Z / UNK MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Enema administration, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dx: Small bowel intussusception. Treatment: Reduced with an air enema. Signs/Symptoms: Went to hospital with vomiting.


VAERS ID: 396931 (history)  
Form: Version 1.0  
Age: 0.22  
Gender: Female  
Location: Massachusetts  
Vaccinated:2010-07-22
Onset:2010-08-14
   Days after vaccination:23
Submitted: 2010-08-20
   Days after onset:6
Entered: 2010-08-31
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3625AC / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E51167 / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0500Z / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Surgery
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? 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:
Allergies:
Diagnostic Lab Data: Intussusception
CDC Split Type:

Write-up: Rotavirus given 7/22/10. 8/14/10 fussiness/abd pain, bloody stool. Transferred to tertiary care for intussusception. Reduced surgically.


VAERS ID: 397080 (history)  
Form: Version 1.0  
Age: 0.23  
Gender: Female  
Location: New Jersey  
Vaccinated:2010-08-25
Onset:2010-08-25
   Days after vaccination:0
Submitted: 2010-08-27
   Days after onset:2
Entered: 2010-09-01
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3745AA / 1 LA / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E71440 / 1 RA / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0512Z / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Haematochezia, Intussusception, Irritability, Ultrasound abdomen abnormal
SMQs:, 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), Hostility/aggression (broad), Ischaemic colitis (broad), 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, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: GERD
Allergies:
Diagnostic Lab Data: Ultrasound of abdomen; Air enema -$g corrected the intussusception
CDC Split Type:

Write-up: Patient started with extreme irritability after receiving her first DAPT-IPV-HIB, PREVNAR, and rotavirus vaccines. Sx''s started the night of the administration and had a current jelly stool the next day - Ultrasound showed intussusception.


VAERS ID: 397748 (history)  
Form: Version 1.0  
Age: 0.51  
Gender: Male  
Location: California  
Vaccinated:2010-08-09
Onset:2010-08-15
   Days after vaccination:6
Submitted: 2010-08-20
   Days after onset:5
Entered: 2010-09-08
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3681AB / 3 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E72960 / 3 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0510Z / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Haematochezia, Intussusception, Lethargy, Pain, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: As above
CDC Split Type:

Write-up: Child received ROTATEQ Aug. 9, 2010. On 15th - pain - lethargy - vomiting, bloody stool - intussusception - needed open reduction.


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