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Found 564 cases where Vaccine is RV1 and Symptom is Intussusception and Appearance Date from '2008-02-01' to '2014-12-31'

Case Details

This is page 5 out of 57

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VAERS ID: 431215 (history)  
Form: Version 1.0  
Age: 0.16  
Gender: Male  
Location: Ohio  
Vaccinated:2011-08-15
Onset:2011-08-23
   Days after vaccination:8
Submitted: 2011-08-25
   Days after onset:2
Entered: 2011-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B285EA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E88940 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AU1FB162A / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Ascites, Enema administration, Intussusception, Obstruction, Ultrasound abdomen abnormal, X-ray abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Abdominal x ray: air fluid levels abdominal ultrasound: obstruction, ascites, intussusception barium enema: air enema reduced ileocolic intussusception
CDC Split Type:

Write-up: ileocolic Intussusception


VAERS ID: 432001 (history)  
Form: Version 1.0  
Age: 0.34  
Gender: Female  
Location: Wisconsin  
Vaccinated:2011-08-09
Onset:2011-08-21
   Days after vaccination:12
Submitted: 2011-08-23
   Days after onset:2
Entered: 2011-08-30
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B300CA / 2 RL / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0487AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915347 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB203A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Enema administration, Haematochezia, Intussusception, Lethargy, 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), 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Contrast enema dx''d intussusception
CDC Split Type:

Write-up: ROTARIX #2 given 8/9/11. 1 currant jelly stool, severe lethargy, crampy abd pain, bile emesis. Intussusception occurred 8/21/11. Radiology reduced partially 8/21. Radiology reduced fully 8/22.


VAERS ID: 432805 (history)  
Form: Version 1.0  
Age: 0.37  
Gender: Male  
Location: California  
Vaccinated:2011-07-12
Onset:2011-07-19
   Days after vaccination:7
Submitted: 2011-08-30
   Days after onset:42
Entered: 2011-09-01
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3852AA / 2 LL / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 916007 / 2 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB155A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Intussusception, Surgery, 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: ROTATEQ was administered on 7/12/11. Pt. went to ER on 7/19/11 with bilious emesis - had surgery for suspicion per mother and had ileocolic intussusception.


VAERS ID: 433714 (history)  
Form: Version 1.0  
Age: 0.26  
Gender: Female  
Location: North Carolina  
Vaccinated:2011-07-25
Onset:2011-07-29
   Days after vaccination:4
Submitted: 2011-09-07
   Days after onset:40
Entered: 2011-09-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B300AA / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0173AA / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 916044 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB159A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Barium enema, Intestinal operation, 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: BE & Surgical repair
CDC Split Type:

Write-up: Pt developed intussusception 4 days after vaccines including ROTARIX.


VAERS ID: 435124 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Minnesota  
Vaccinated:2011-03-04
Onset:2011-08-11
   Days after vaccination:160
Submitted: 2011-09-20
   Days after onset:40
Entered: 2011-09-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB096A / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Enema administration, Exposure to communicable disease, 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, 2 days
   Extended hospital stay? No
Previous Vaccinations: In mssusc-phun of intestine~Rotavirus (no brand name)~2~1.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Intestinal intussusception - reduced - air enema
CDC Split Type:

Write-up: Sudden onset bilious vomiting. Intestinal intussusception. Hospitalized - reduced with air enema. Recovered well. Hospitalization complicated by measles exposure.


VAERS ID: 435399 (history)  
Form: Version 1.0  
Age: 0.31  
Gender: Male  
Location: Rhode Island  
Vaccinated:2011-09-16
Onset:2011-09-20
   Days after vaccination:4
Submitted: 2011-09-22
   Days after onset:2
Entered: 2011-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B277AB / 1 UN / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0259AA / 1 UN / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 916007 / 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB159A / 1 MO / PO

Administered by: Private       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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Stuffy nose; Cough
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: ? was in ER
CDC Split Type:

Write-up: Intussusception on (9/20/2011).


VAERS ID: 435498 (history)  
Form: Version 1.0  
Age: 0.15  
Gender: Female  
Location: New York  
Vaccinated:2011-07-06
Onset:2011-08-18
   Days after vaccination:43
Submitted: 2011-09-24
   Days after onset:37
Entered: 2011-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B280BA / 1 UN / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1515Y / 1 UN / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E63641 / 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB2102A / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Intussusception, Surgery, Vitello-intestinal duct remnant, Vomiting
SMQs:, Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), 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, 10 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: Patient had Meckels diverticulum. Intussusception in small bowel.
CDC Split Type:

Write-up: Vomiting after every feeding for 2 days. Vomiting even without any liquids or feedings. Baby was hospitalize with an IV and the intussusception was found once she started vomiting bios and they did an internal exam. She had emergency surgery 30 hours after first symptoms.


VAERS ID: 437718 (history)  
Form: Version 1.0  
Age: 0.18  
Gender: Male  
Location: New York  
Vaccinated:2011-09-29
Onset:2011-10-09
   Days after vaccination:10
Submitted: 2011-10-11
   Days after onset:2
Entered: 2011-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C39138A / 1 LL / UN
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. AHBVC032AA / 2 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH 915383 / 1 RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB159A / 1 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Intussusception w/ surgical correction.


VAERS ID: 439014 (history)  
Form: Version 1.0  
Age: 0.21  
Gender: Male  
Location: New York  
Vaccinated:2011-10-12
Onset:2011-10-16
   Days after vaccination:4
Submitted: 2011-10-19
   Days after onset:3
Entered: 2011-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B305BA / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0254AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 916617 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB16CA / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Full blood count, Intussusception, Metabolic function test, Ultrasound scan, X-ray
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: Had viral exanthem on 10/5/11
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC; BMP; X-ray; Ultrasound
CDC Split Type:

Write-up: On 10/16/11 pt seen in ER with intussusception. Transferred.


VAERS ID: 440249 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: New York  
Vaccinated:2011-06-20
Onset:2011-07-30
   Days after vaccination:40
Submitted: 2011-10-26
   Days after onset:88
Entered: 2011-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB158A / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Haematochezia, Intussusception, Nausea, 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? 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: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A0950139A

Write-up: This case was reported by a sales representative and described the occurrence of intussusception in a 4-month-old subject of unspecified gender who was vaccinated with ROTARIX (GlaxoSmithKline). A physician or other health care professional has not verified this report. On an unspecified date, when the subject was 8 weeks of age, the subject received 1st dose of ROTARIX (oral). Less than one year after vaccination with ROTARIX, at 4 months of age, the subject experienced intussusception, vomiting, blood in stools and nausea. The subject was hospitalised. At the time of reporting the outcome of the events was unspecified.


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