National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 280707

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 280707 (history)  
Form: Version .0  
Age: 0.3  
Gender: Male  
Location: Texas  
Vaccinated:2007-04-02
Onset:2007-05-06
   Days after vaccination:34
Submitted: 2007-06-06
   Days after onset:31
Entered: 2007-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079AA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF010AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC B36258H / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0979F / 1 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal X-ray, Barium double contrast, Blood gases abnormal, Decreased appetite, Diarrhoea
SMQs:, Lactic acidosis (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

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: None.~ ()~~0~In Patient
Other Medications: No
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 05/07/07 post- Air reduction US abdomen showed successful pneumatic reduction of ileocolic intussusception. x-ray of abdomen showed relative paucity of gas in right abdomen and region of right and transverse colon. Abdominal ultrasound con
CDC Split Type: None

Write-up: ER 05/06/07 abnl x-ray abdomen; 05/7/07 Us abdomen ''''findings highly suggestive of ileocolic intussusception. tx ''''Air reduction.'''' 06/07/07-rcords received from facility for DOS 5/8-5/11/07-DC DX: Intussusception. One day history of emesis, nonbilious, n"onbloody and multiple episodes of diarrhea with no blood no mucus. Refusing to eat. Seen in ER.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=280707


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