National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 272903

(NOTE: This result is from the 4/7/2010 version of the VAERS database)

Case Details

VAERS ID: 272903 (history)  
Form: Version .0  
Age: 0.2  
Gender: Male  
Location: Massachusetts  
Vaccinated:2006-09-18
Onset:2006-09-25
   Days after vaccination:7
Submitted: 2007-02-22
   Days after onset:150
Entered: 2007-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B055AA / 0 LA / IM
HIBV: HIB (ACTHIB) / AVENTIS PASTEUR UE830AA / 0 RA / IM
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES B22930F / 0 RA / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0695F / 0 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium double contrast, Diarrhoea haemorrhagic, Intussusception, Ultrasound abdomen abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), 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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: An abdominal ultrasound showed a target fluid mass in the upper mid-abdomen, consistent with intussusception. A subsequent air contrast enema confirmed the presence of the intussusception and was able to successfully reduce it. LABS: KUB
CDC Split Type:

Write-up: Baby was taken to the Emergency Department due to vomiting and bloody diarrhea. He was found to have an intussusception, which was reduced with an air contrast enema. 3/15/07 Medical records reviewed which reveal patient admitted 9/25/06 after 1 day history of multiple episodes of vomiting w/1 episode of currant jelly diarrhea. IS reduced w/air contrast enema. Held overnight for observation. Did well & was d/c to home on 9/26/06. FINAL DX: Intussusception.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100407&IDNUMBER=272903


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166