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This is VAERS ID 274556

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274556
VAERS Form:
Age:0.4
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Decreased appetite, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep."After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''''t slept well the night before and was having


Changed on 12/8/2009

VAERS ID: 274556 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hyperhidrosis, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Pallor, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep."After sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''''t hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed


Changed on 3/2/2010

VAERS ID: 274556 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hyperhidrosis, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Pallor, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed


Changed on 4/7/2010

VAERS ID: 274556 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hyperhidrosis, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Pallor, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed


Changed on 5/13/2013

VAERS ID: 274556 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hyperhidrosis, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Pallor, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed


Changed on 2/14/2017

VAERS ID: 274556 Before After
VAERS Form:
Age:0.4 0.35
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES PFIZER/WYETH - / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hyperhidrosis, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Pallor, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed reddened left TM. PMH: s/p IS 3 wks ago. FINAL DX: left otitis media. 4/13/07 Received medical records from treating hospital which reveals patient experienced jaw clenching, diaphoresis, screaming, pallor, gen fussiness & bloody stools. In ER had bilious vomiting. Held overnight s/p IS reduction by enema. Progressed well & d/c to home. FINAL DX: Intussusception, reduced by air contrast enema.


Changed on 9/14/2017

VAERS ID: 274556 Before After
VAERS Form:(blank) 1
Age:0.35
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 2 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 2 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 1 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 2 - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed reddened left TM. PMH: s/p IS 3 wks ago. FINAL DX: left otitis media. 4/13/07 Received medical records from treating hospital which reveals patient experienced jaw clenching, diaphoresis, screaming, pallor, gen fussiness & bloody stools. In ER had bilious vomiting. Held overnight s/p IS reduction by enema. Progressed well & d/c to home. FINAL DX: Intussusception, reduced by air contrast enema.


Changed on 2/14/2018

VAERS ID: 274556 Before After
VAERS Form:1
Age:0.35
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 2 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed reddened left TM. PMH: s/p IS 3 wks ago. FINAL DX: left otitis media. 4/13/07 Received medical records from treating hospital which reveals patient experienced jaw clenching, diaphoresis, screaming, pallor, gen fussiness & bloody stools. In ER had bilious vomiting. Held overnight s/p IS reduction by enema. Progressed well & d/c to home. FINAL DX: Intussusception, reduced by air contrast enema.


Changed on 6/14/2018

VAERS ID: 274556 Before After
VAERS Form:1
Age:0.35
Gender:Male
Location:Missouri
Vaccinated:2006-11-06
Onset:2006-12-09
Submitted:2007-03-22
Entered:2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 2 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 2 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Barium double contrast, Cold sweat, Crying, Haematochezia, Hypotonia, Insomnia, Intussusception, Irritability, Pain, Screaming, Shock, Stomach discomfort, Thrombosis, Vomiting, Wheezing, X-ray, Ultrasound abdomen, Decreased appetite, Foaming at mouth, Bowel movement irregularity

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux PMH: GERD, bilat ing hernia repair, chickenpox, Birth HX: full term, unremarkable
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC 'Split Type':

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep. After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''t slept well the night before and was having trouble being held and bending in the middle. As I tried to give him his morning feeding, he persistantly refused to nurse and became more and more fussy. He arched his back and his stomach became hard. He began screaming out in pain and essentially foaming at the mouth. Following a severe screaming and crying spell, he went into shock. His skin became cool and clammy and he went limp in my arms. We called the pediatrician and they told us to take a rectal temperature. While taking a rectal tempature he passed a large bowel movement containing jelly-like blood clots. We rushed him to the emeregency room where he began to wheeze and vomit up bile. They took an X-ray of his abdomin, and followed up the X-ray with an ultrasound. The ultrasound confirmed the bowel telescoping. They did an air contrast enema to reduce the obstruction and then kept him in the hospital for the next two days for monitoring. When we met with our pediatrician following the intussuception, he didn''t mention that it could be related to the rotavirus vaccine. He went ahead and administered the third dose of the vaccine about a month after our son''s hospitalization. Since the third dose of the vaccine, we have been back to the emergency room with the same symptoms, but the bowel twisting has resolved itself without further medical enemas. 3/23/07 Received ER medical records which reveal patient experienced nasal congestion, pulling at left ear & irritability for approx 3 days prior to being seen in ER on 3/18/07. Exam revealed reddened left TM. PMH: s/p IS 3 wks ago. FINAL DX: left otitis media. 4/13/07 Received medical records from treating hospital which reveals patient experienced jaw clenching, diaphoresis, screaming, pallor, gen fussiness & bloody stools. In ER had bilious vomiting. Held overnight s/p IS reduction by enema. Progressed well & d/c to home. FINAL DX: Intussusception, reduced by air contrast enema.

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