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This is VAERS ID 339106

Case Details

VAERS ID: 339106 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Washington  
Vaccinated:2009-01-29
Onset:2009-02-02
   Days after vaccination:4
Submitted: 2009-02-05
   Days after onset:3
Entered: 2009-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3243AA / 1 LL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB531AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D03124 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1357X / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Ascites, Barium double contrast abnormal, Enema administration, Intussusception, Lethargy, Small intestinal obstruction, Ultrasound abdomen abnormal, Ultrasound scan abnormal, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PMH: newborn jaundice. wt loss. recent URI
Allergies:
Diagnostic Lab Data: Ultrasound and contrast enema showed iliocolic intussusception, complete small bowel obstruction, ascites. Labs and diagnostics: Abd US (+) for IS. Contrast enema (+) for IS. Renal US (+) for ascites. Blood cx (+) for Staph, repeat (-). UC (+) for lactobacillus.
CDC Split Type:

Write-up: Sudden onset of lethargy and vomiting. Hospitalized for lethargy, to rule out sepsis. Continued vomiting lead to diagnosis of intussussception. Successfully reduced by contrast enema. 3/5/09 MR received for DOS 2/3-5/2009 with D/C DX: Intussusception. Pt presented with lethargy and emesis. PE (+) for apathy, systolic murmur, increased bowel tone and petechaie on legs. IS dx by US and reduced by contrast enema. D/C when taking po well.


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