From the 2/18/2021 release of VAERS data:
This is VAERS ID 302939
| Days after vaccination:||8
| Days after onset:||12
| Days after submission:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS
||B127AA / 3
||LL / -
|HIBV: HIB (ACTHIB) / SANOFI PASTEUR
||UF196AB / 3
||RL / -
|PNC: PNEUMO (PREVNAR) / PFIZER/WYETH
||B47442L / 3
||RL / -
|RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC.
||0670U / 3
||MO / PO
Administered by: Other Purchased by: Other
Symptoms: Barium enema,
SMQs:, Gastrointestinal obstruction (narrow)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
Extended hospital stay? No
Other Medications: Unknown
Preexisting Conditions: Unknown. PMH: none. NKDA.
Diagnostic Lab Data: barium enema X-ray 01/??/08. Labs and Diagnsotics: KUB with non-specific bowel gas pattern. Abdominal US (-). Stool heme (+). Barium enema (+) for IS in the ascending colon. CBC with WBCs 21.0. UC no growth.
CDC Split Type: WAES0801USA02707
Write-up: Information has been received from a physician concerning a 6 month old male who on 27-DEC-2007 was vaccinated with the third dose of Rotateq. On 04-JAN-2008 the patient experienced intussusception and was hospitalized for an unspecified period of time. The patient had a "contrast enema" performed on an unknown date, results not reported. Subsequently, the patient recovered from intussusception. Upon internal review, intussusception is considered an other important medical event. No product quality complaint reported. Additional information has been requested. 01/22/2008 Vax record received and updated in database. 01/29/2008 MR received for DOS 01/4-5/2008 with DX: Intussusception. Child presented to ER with 1 day hx of diarrhea with screaming and abdominal pain. Reduced by Barium Enema. Pt tolerating diet and D/Cd next day.
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