National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 313034

(NOTE: This result is from the 12/31/2008 version of the VAERS database)

Case Details

VAERS ID: 313034 (history)  
Form: Version .0  
Age: 0.2  
Gender: Male  
Location: Missouri  
Vaccinated:2008-03-31
Onset:2008-04-26
   Days after vaccination:26
Submitted: 2008-05-22
   Days after onset:26
Entered: 2008-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B138BA / 0 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF242AB / 0 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC CS4763 / 0 LL / ID
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1839U / 0 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal X-ray, Abdominal pain, Abnormal behaviour, Barium double contrast, Barium enema
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: Contrast enema-- intussusception. Then OR with Exploratory lap LABS: abdominal x-ray revealed distal IS
CDC Split Type:

Write-up: Presented to ER (April 26 th 2008)for fussiness, decreased appt and acting /"strange/" for several hours. In ER passed large bloody stool. BE showed intussusception. Despite multiple attempts, it could not be reduced. Flown to Hospital. Arrived early"April 27th. Exploratory Laparotomy after resuscitation ws performed by Dr. In OR, he had reduction of intussusception with right hemicolectomy and ileostomy. Total hospital stay was 10 days (D/C was May 7th). He was re-admitted 2 days later for vomiti


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20081231&IDNUMBER=313034


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166