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This is VAERS ID 333084

Case Details

VAERS ID: 333084 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Unknown  
Submitted: 2008-11-21
Entered: 2008-11-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Diarrhoea, Enema administration, Intussusception, Lethargy, Pallor, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

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
Diagnostic Lab Data: diagnostic laboratory, air contrast enema-complete reduction
CDC Split Type: WAES0811USA02628

Write-up: Information has been received from an investigator concerning a 6 month old female who was vaccinated PO with her second dose of ROTATEQ. This report was part of a post-marketing surveillance program. The patient experienced ileocecalcolic intussusception at hepatic flexure characterized by sudden onset severe, colicky abdominal pain, yellowish vomiting, loose stool and some lethargy and pallor 53 days after vaccination and was hospitalized for 2 days. Possible complete reduction of the intussusception via air contrast enema was evidenced by dramatic immediate clinical improvement. The patient was discharged on day 2 and the outcome was noted to be recovering. At this time, relationship of ileocecalcolic intussusception to study therapy is unknown. Ileocecalcolic intussusception was considered to be an other important medical event (enema) by the reporter. Additional information has been requested.

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