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This is VAERS ID 266013

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266013
VAERS Form:
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Dehydration, Haematemesis, Haematochezia, Intussusception

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type':

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respe"ctively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diag


Changed on 12/8/2009

VAERS ID: 266013 Before After
VAERS Form:
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - 0779F / 1 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': (blank) WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respe"ctively. respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diag diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 5/13/2013

VAERS ID: 266013 Before After
VAERS Form:
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 6/14/2014

VAERS ID: 266013 Before After
VAERS Form:
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 5/14/2017

VAERS ID: 266013 Before After
VAERS Form:
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 9/14/2017

VAERS ID: 266013 Before After
VAERS Form:(blank) 1
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 2/14/2018

VAERS ID: 266013 Before After
VAERS Form:1
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 6/14/2018

VAERS ID: 266013 Before After
VAERS Form:1
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 8/14/2018

VAERS ID: 266013 Before After
VAERS Form:1
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


Changed on 9/14/2018

VAERS ID: 266013 Before After
VAERS Form:1
Age:0.6
Gender:Male
Location:Kansas
Vaccinated:2006-09-14
Onset:2006-10-22
Submitted:2006-11-03
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count, Intestinal resection

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC 'Split Type': WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss

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