This is VAERS ID 273760

Administered by: Private       Purchased by: Private
Symptoms: Intussusception, Surgery, Ultrasound abdomen
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? Yes
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: Meds: none.
Current Illness: NONE
Preexisting Conditions: NONE. PMH: none. Allergies: none.
Allergies:
Diagnostic Lab Data: abdominal u/s. Labs and Diagnsotics: X-ray of the abdomen revealed multiple dilated loops of small bowel. No free air noted. Findings suggestive of a small bowel obstruction. KUB showed a paucity of gas in the right colon. Ultrasound confirmed intussusception. A contrast enema was done and partially reduced the intussusception, but not completely.
CDC Split Type:

Write-up: 28 days after administration of Rotateq vaccine, patient developed intussusception requiring surgical reduction. Questioned relation to Rotateq? 03/12/2007 MR received from treating hospital. Child was transfered from local hospital for a several day history of intermittant vomiting and pain as shown by crying and curling up of his legs. Upon admission he was somnolent and lethargic. He has had episodes of bilious emesis and currant jelly stools. Also dehydrated. PE: revealed a soft, mildly distended abdomen with tenderness to palpation in the right mid and lower abdomen. Hypoactive bowel sounds. No masses noted. Otherwise WNL. The child was taken to sugery for a laparoscopic reduction of intussusception. Post -operative DX: Intussusception.