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This is VAERS ID 338851

Case Details

VAERS ID: 338851 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-01-29
Entered: 2009-02-03
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Enema administration, Haematochezia, Intussusception, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0901USA03564

Write-up: Information has been received from an investigator concerning a 3 month old female who was vaccinated with a first dose of ROTATEQ. This report was part of a post-marketing surveillance study. The infant (33 week twin) with 4 days of diarrhea and bloodystool and vomiting for 1 day referred to emergency department to rule out intussusception. The patient was hospitalized on 30-SEP-2007. Diagnosis confirmed by first air contrast enema, second air contrast enema successfully reduced ileocolic intussusception. The patient was discharged home. Event was 53 days post dose 1 of ROTATEQ. Intussusception was determined to be an other important medical event. No further information is available.


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