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This is VAERS ID 270581

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 270581 (history)  
Form: Version 1.0  
Age: 0.42  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-12-13
Onset:2006-12-19
   Days after vaccination:6
Submitted: 2007-01-16
   Days after onset:28
Entered: 2007-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1034F / 2 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Abdominal distension, Computerised tomogram, Decreased appetite, Dehydration, Faeces discoloured, Intestinal obstruction, Intussusception, Lethargy, Pain, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: NONE
Current Illness: NONE
Preexisting Conditions: Prematurity (35 weeks gestation)
Allergies:
Diagnostic Lab Data: 1. Abdominal x-ray: distal small bowel obstruction 2. CT pelvic and abdomen: small bowel obstruction with fat containing therue soft mass in high right abdomen. LABS: WBC 15.3. Abd xray showed distended small bowel. CT of abd showed likely volvulus.
CDC Split Type:

Write-up: Patient brought to office by mom with c/o vomiting x6 and green pasty stools x 4. Decreased appetite, lethargy, and squealing with pain. Patient admitted to hospital for dehydration. In the hospital pt developed billous enemis and abdominal distention. Surgery showed ileocolic intussusception with partial volvulas. 1/22/07 Received medical records from hospital which reveal patient admitted 12/20-12/25/06 after 2 day hx of emesis, progressive lethargy & increasing abdominal distention. Seen in ER & admitted to outlying hospital overnight & then transferred to Childrens. Progress notes, labs & rad from 1st hospital included. Taken to OR for exp lap & found to have ileocolic intussussception, partial volvulus secondary to mobile cecum in LUQ both of which reduced w/o complication & Meckels diverticulum. Appendix was also removed. FINAL DX: Ileocolic intussussception with partial volvulus s/p surgical reduction; appendectomy; & Meckels diverticulum.


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