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Found 568 cases where Vaccine is RV1 and Symptom is Intussusception and Appearance Date from '2008-02-01' to '2014-12-31'

Case Details

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VAERS ID: 515482 (history)  
Form: Version 1.0  
Age: 0.18  
Gender: Male  
Location: Nevada  
Vaccinated:2013-11-21
Onset:2013-11-26
   Days after vaccination:5
Submitted: 2013-12-03
   Days after onset:7
Entered: 2013-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 1 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J010385 / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G57035 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AHDB397A / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Colectomy, Intussusception
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), 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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Patient taken to OR -$g hemicolectomy
CDC Split Type:

Write-up: 11/26/2013 Severe Other. Pt went to ER with Dx: Intussusception.


VAERS ID: 516736 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Unknown  
Location: Nevada  
Vaccinated:2013-11-01
Onset:2013-11-01
   Days after vaccination:0
Submitted: 2013-12-16
   Days after onset:45
Entered: 2013-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Colon operation, Gastrointestinal disorder, 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Concomitant vaccinations, medications and relevant medical history were unknown. It was unknown if adverse events occurred with previous vaccinations.
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: A1053306A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 2-month-old subject of unspecified gender who was vaccinated with ROTARIX (GlaxoSmithKline). In November 2013 the subject received 1st dose of ROTARIX (1 ml, oral). In November 2013, 6 days after vaccination with ROTARIX, the subject experienced intussusception and GI side effects. The sales representative reported on behalf of the physician that the subject received ROTARIX on an unknown date around 18 or 19 November 2013, exact date was unknown. In November 2013, six days after receiving ROTARIX the subject had GI side effects, (details not provided) and intussusception. The subject was therefore admitted to the hospital (length of stay was unknown) "where some type of colon surgery was performed. As a result of the surgery, the subject is now doing better". The ROTARIX series has likely been discontinued but the reporting sales representative was unsure about this. It was reported that the physician''s office reported this occurrence to the CDC. At the time of reporting the intussusception and GI side effects were improved. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). The physician considered the events were probably related to vaccination with ROTARIX.


VAERS ID: 522387 (history)  
Form: Version 1.0  
Age: 0.19  
Gender: Male  
Location: Alabama  
Vaccinated:2013-12-06
Onset:2013-12-12
   Days after vaccination:6
Submitted: 2014-02-05
   Days after onset:55
Entered: 2014-02-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 5A5T5 / 1 RL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH854AB / 1 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G66539 / 2 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB355A / 2 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Barium enema, Colectomy, Enema administration, Haematochezia, Intussusception, Lethargy, Surgery, Ultrasound abdomen, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: BACTRIM
Current Illness: Impetigo
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abd. Ultrasound/Barium enema
CDC Split Type:

Write-up: Went to ER due to vomiting and bloody stools, also lethargic on 12-12-13 was admitted. Abd. ultrasound and barium enema was done. Was diagnosed with intussusception. Was taken to surgery where he had 2 inches of colon removed.


VAERS ID: 522516 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: California  
Vaccinated:2014-02-05
Onset:2014-02-09
   Days after vaccination:4
Submitted: 2014-02-12
   Days after onset:3
Entered: 2014-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / UNK LL / UN
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH976AA / UNK LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G75064 / UNK RL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 2 MO / PO

Administered by: Private       Purchased by: Other
Symptoms: Barium enema, Enema administration, Intussusception, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (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: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Abdmoinal ultrasound and barium enema
CDC Split Type:

Write-up: Patient was diagnosed with intussusception via abdominal ultrasound; she presented with billous vomiting for 2 days and was then admitted to Medical Center, where she was diagnosed by myself. While in the hospital she had a barium enema reduction of the intussusception that reduced the ailment without surgery. Patient was discharged the next day in stable condition. She was found to have the Rotavirus vaccine (as well as her other 2 month vaccines) given on 02/05/2014 by her PMD.


VAERS ID: 523871 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: Louisiana  
Vaccinated:2014-02-18
Onset:2014-02-21
   Days after vaccination:3
Submitted: 2014-02-24
   Days after onset:3
Entered: 2014-02-25
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / UNK RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / UNK LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G98915 / UNK LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB389A / UNK MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Enema administration, Haematochezia, Intussusception, Mental status changes, Urinary system X-ray, X-ray abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Ischaemic colitis (broad), Cardiomyopathy (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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Hytone PRN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: KUB (+) intussusception; Reduced by air enema x2.
CDC Split Type:

Write-up: 10 m/o presented to ED with c/o altered mental status on 2/21. KUB 2/22 showed intussusception. Bloody stools x 2, refusal of PO.


VAERS ID: 524481 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Missouri  
Vaccinated:2013-07-11
Onset:2013-10-09
   Days after vaccination:90
Submitted: 2014-03-04
   Days after onset:146
Entered: 2014-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 5GS71 / 3 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J000360 / 3 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G31938 / 3 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB292A / 3 MO / PO

Administered by: Unknown       Purchased by: Other
Symptoms: Enema administration, Intussusception, Ultrasound abdomen abnormal
SMQs:, Retroperitoneal fibrosis (broad), 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: Vitamin D
Current Illness: None
Preexisting Conditions: Sickle cell trait, umbilical hernia, feeding problems in the newborn
Allergies:
Diagnostic Lab Data: Ultrasound for diagnosis and air enema for reduction.
CDC Split Type:

Write-up: Intussusception diagnosed by ultrasound reduced by air enema October 9th, 2013. Observed overnight, discharged home in good condition October 10th, 2013.


VAERS ID: 524961 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: Mississippi  
Vaccinated:2014-02-26
Onset:2014-03-01
   Days after vaccination:3
Submitted: 2014-03-06
   Days after onset:5
Entered: 2014-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7537C / 1 - / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH997AA / 1 - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. H00137 / 1 - / -
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB401A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Enema administration, Intussusception, Rash
SMQs:, Anaphylactic reaction (broad), Gastrointestinal obstruction (narrow), Hypersensitivity (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Done in ED
CDC Split Type:

Write-up: Intussusception 3/1 - 3/2/ 2014. Enema reduction. ? Rash on the face 24 hours after vaccine. Resolved in 2 days.


VAERS ID: 525170 (history)  
Form: Version 1.0  
Age: 0.19  
Gender: Male  
Location: Arizona  
Vaccinated:2014-02-12
Onset:2014-02-18
   Days after vaccination:6
Submitted: 2014-03-07
   Days after onset:17
Entered: 2014-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J010385 / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH H00137 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB397A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Barium enema, Intussusception, Ultrasound abdomen, 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? 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: KUB; Abdominal ultrasound; Barium enema
CDC Split Type:

Write-up: Intussusception requiring hospitalization. Intussusception occurred 6 days after rotavirus, DTaP, HepB, IPV, Hib, OMP, PCV13.


VAERS ID: 525493 (history)  
Form: Version 1.0  
Age: 0.13  
Gender: Female  
Location: Florida  
Vaccinated:2014-02-26
Onset:2014-02-26
   Days after vaccination:0
Submitted: 2014-03-11
   Days after onset:12
Entered: 2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 1 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


VAERS ID: 527969 (history)  
Form: Version 1.0  
Age: 0.17  
Gender: Female  
Location: Michigan  
Vaccinated:2014-02-25
Onset:2014-04-02
   Days after vaccination:36
Submitted: 2014-04-08
   Days after onset:6
Entered: 2014-04-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UH973AA / 1 RL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G98652 / 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB414A / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Diarrhoea haemorrhagic, Intussusception, Irritability, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (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), Noninfectious diarrhoea (narrow), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: TYLENOL
Current Illness:
Preexisting Conditions: Apnea; GERD; RSV Bronchitis
Allergies:
Diagnostic Lab Data: Intussusception / Surgery
CDC Split Type:

Write-up: Vomiting, bloody diarrhea, fussy.


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