This is VAERS ID 308859
| Days after vaccination:||7
| Days after onset:||20
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS
||AC21B141AA / 1
||RL / IM
|PNC: PNEUMO (PREVNAR) / PFIZER/WYETH
||C35172 / 2
||LL / IM
|RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC.
||1195U / 2
||MO / PO
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium double contrast,
SMQs:, Gastrointestinal obstruction (narrow)
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
Preexisting Conditions: PMH: none. NKDA.
Diagnostic Lab Data: Reduction of intussusception by air contrast enema. Labs and Diagnostics: Abdominal X-ray with mild stool load and non-obstructive bowel pattern. CXR WNL. Air Contrast Barium enema (+) for ileocolic Intussusception. Head CT (+) for sinus disease. CBC, UA, Chemistry unremarkable except Alk Phos 308. urine drug screen (-). Urine, stool and nasal cx (-).
CDC Split Type:
Write-up: 03/14/2008 ileocolic intussusception reduced by air contrast enema at Hospital. Admitted for observation and discharged home the following day. 4/23/2008 MR received for DOS 3/14-15/2008 with D/C DX: Intussusception. Infant presented to ER with somnolence/unresponsiveness following an episode of vomiting milk. Pt also had a spastic/shaking episode with bloody emesis and bloody/mucusy stool. PE (+) for lethargy and bloody stool in diaper. IS reduced by Air contrast Barium enema and d/c home next day.
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