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This is VAERS ID 277757

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

Case Details

VAERS ID: 277757 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Connecticut  
Vaccinated:2007-02-06
Onset:2007-03-12
   Days after vaccination:34
Submitted: 2007-03-22
   Days after onset:10
Entered: 2007-05-02
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 MO / PO

Administered by: Other       Purchased by: Public
Symptoms: Barium swallow abnormal, Gastrointestinal necrosis, Intussusception, Mass, Surgery, Urinary system X-ray
SMQs:, Gastrointestinal obstruction (narrow), Ischaemic colitis (narrow)

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, 14 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: Progressive abd distention/pain
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: KUB - dilated bowel, BA swallow - obstructive mass, surgery for intussusception with removal necrosed bowel LABS: WBC 10.5, BUN 16, creatinine 0.7, Na 131, K 6.9. Abd x-ray was neg. Barium air contrast enema revealed IS which was not reducible.
CDC Split Type:

Write-up: Intussusception. 5/15/07 Received medical records from hospital which reveal patient experienced 4 days of vomiting/obstipation. Exam revealed very distended abdomen w/umbilical hernia & rectal exam revealed no stool or blood. Admitted 3/13-3/25/07. Surgery for exp lap & noted to have ischemic terminal ileum w/ileocolic IS which was resected & anastomosis was performed along w/appendectomy & hernia repair. Continued to have significant abdominal distention, tachypnea & fever. Transferred to PICU & started on multiple antibiotics. Initial hospital course was rocky, requiring multiple fluid replacements & w/resp distress, was intubated & started on hyperalimentation via central line. Continued to have fever & was kept on antibiotics. Slowly fevers & dehydration resolved & he was extubated. Oozing from abdominal wound was noted along w/increased WBC. CT of abdomen showed no sign of obstruction or leak but did reveal inflammatory changes & fascial dehiscence. Taken back to OR & wound was reopened. Small amount of murky drainage was cultured & grew out pseudomonas & enterobacter, both sensitive to antibiotics he was already on. Retention sutures were placed & he was returned to PICU, extubated & slowly progressed to be afebrile w/oral feeds & normal bowel movements. Central line & TPN were d/c. D/C to home on oral feeds, topical wound management & off all antibiotics. FINAL DX:Ileocolic intussusception, & umbilical hernia, s/p bowel resection w/anastomosis, hernia repair & appendectomy.


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