National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 306668

Case Details

VAERS ID: 306668 (history)  
Form: Version 1.0  
Age: 0.36  
Sex: Male  
Location: New Mexico  
Vaccinated:2008-02-22
Onset:2008-03-03
   Days after vaccination:10
Submitted: 2008-03-07
   Days after onset:4
Entered: 2008-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR C2760AA / 2 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0197F / 2 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER A0125 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B54015C / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1665U / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium enema, Barium enema abnormal, Diarrhoea, Intussusception, Laparoscopy, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), 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, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none. Pt was recovering from a recent respiratory infection which was improving on abx.
Allergies:
Diagnostic Lab Data: Barium enema revealed intussusception. Labs and Diagnostics: KUB showed distended loop of small bowel, Upper GI WNL, Barium enema (+) for IS. CBC with WBCs 22.2, RBC 4.97, Hct 39.4
CDC Split Type:

Write-up: Patient received immunization 2/22/08. On 3/3/88 patient developed vomiting and diarrhea. Admitted to the hospital 3/5/08. Barium enema revealed intussusception. Unable to reduce in radiology, taken to the operating room for surgical laparoscopic reduction. 04/07/2008 MR received for DOS 3/5-7/2008 with D/C DX: Intussusception. Laparoscopic reduction of Intussusception. Infant presented to hospital with bilious vomiting and one bout of hematochezia, decreased activity and very sleepy. Pt was recovering from a recent respiratory infection which was improving on abx. PE(+) for palpable bowel loop in RLQ, (+) abd tenderness, mild to moderately dehydrated and fussy. Intussusception seen on Barium Enema but unable to reduce. Taken to OR for a Laparoscopic reduction of IS. A small serosal tear was identified on the terminal ileum. Tolerated surgery well and d/c on POD #2.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=306668


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166