| Days after vaccination:||53
| Days after onset:||21
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR
||C2657AA / 3
||LL / IM
|FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR
||UT2459LA / 1
||LL / IM
|RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC.
||1052U / 3
||UN / UN
Administered by: Unknown Purchased by: Unknown
Symptoms: Abdominal pain upper,
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC Split Type:
Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.