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This is VAERS ID 304412

Case Details

VAERS ID: 304412 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Unknown  
Submitted: 2008-02-05
Entered: 2008-02-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, Decreased appetite, Diarrhoea, Explorative laparotomy, Intussusception, Vitello-intestinal duct remnant, Volvulus, Vomiting
SMQs:, Acute pancreatitis (broad), Congenital, familial and genetic disorders (narrow), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0801USA05329

Write-up: Information has been received from a post-marketing evaluation program concerning a 5 month old female who was vaccinated PO with the first dose of Rotateq. Subsequently 7 days post dose, the patient was brought to the office with complaints of vomiting, diarrhea, poor appetite. The patient was admitted for exploratory laparotomy with reduction of partial volvulus, resection of Meckel''s diverticulum and appendectomy and was hospitalized for 6 days. The patient was discharged on day 6 with a diagnosis of ileocolic intussusception with partial volvulus. Subsequently, the patient recovered. The events were considered to be other important medical events (surgery) by the reporter. Additional information has been requested.

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