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This is VAERS ID 333083

Case Details

VAERS ID: 333083 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-21
Entered: 2008-11-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Enema administration, Intussusception, Surgery, Ultrasound scan abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: diagnostic laboratory, contrast enema failed to reduce; ultrasound, ileocolic intussusception
CDC Split Type: WAES0811USA02627

Write-up: Information has been received from an investigator concerning a 2 month old male who was vaccinated PO with his first dose of ROTATEQ. This report was part of a post-marketing surveillance program. Seven days after vaccination the patient experienced ileocolic intussusception and was hospitalized for 2 days. Two days prior to admission the patient experienced crampy abdominal pain. Laboratory diagnostic studies included an ultrasonography which verified the ileocolic intussusception. A contrast enema failed to reduce the intussusception, however; it was reduced surgically. The patient was discharged from the hospital on day and the outcome was unknown. At this time, relationship of ileocolic intussusception to study therapy is unknown. Ileocolic intussusception was considered to be an other important medical event (surgery) by the reporter. Additional information has been requested.


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