National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273495

(NOTE: This result is from the 8/31/2010 version of the VAERS database)

Case Details

VAERS ID: 273495 (history)  
Form: Version .0  
Age: 0.3  
Gender: Female  
Location: Georgia  
Vaccinated:2007-02-28
Onset:2007-03-01
   Days after vaccination:1
Submitted: 2007-03-06
   Days after onset:5
Entered: 2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2553AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF009AB / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0547 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B36258C / 1 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1238F / 1 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal mass, Barium swallow abnormal, Intussusception
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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: Omnicef 125mg/5ml 3ml po QD X 10DI
Current Illness: Improved AOM
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Labs: WBC 22,000. All other labs WNL
CDC Split Type:

Write-up: Intussusception 03/08/07-records received from facility for DOS 03/03-03/05/07 DC DX: Intussusception Increased fussiness times one day, the day prior to admission became more fussy, noticed currant jelly stools times three. Presented to PCP palpated sausage like mass in right upper quadrant as well as currant jelly stools. PE: Abdomen positive tenderness to palpation, no masses at that time. Positive for currant jelly stool in diaper. Air contrast enema showed intussusception all way down the descending colon. Reduced by enema. However, no air could be pushed the the ileocecal valve, surgery laparoscopic converted to open reduction of intussusception. Small bowel intussusception into the colon, the appendix was sucked into the intussusception, the intussusceiption went to the beginning of the transverse colon.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100831&IDNUMBER=273495


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