National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 341630

Case Details

VAERS ID: 341630 (history)  
Form: Version 1.0  
Age: 0.3  
Sex: Female  
Location: Arizona  
Vaccinated:2009-03-02
Onset:2009-03-10
   Days after vaccination:8
Submitted: 2009-03-12
   Days after onset:2
Entered: 2009-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3226AA / 2 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D26083 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1585X / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Intussusception, Surgery
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: mild diarrhea for 2 days
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: LABS: US abdomen x 2 (+) IS. Stool OB (-). BE unsuccessful.
CDC Split Type:

Write-up: Diagnosed with intussusception 8 days after 4 month vaccines. Neede surgery and was discharged 2 days later, 3/16/09 Received hospital medical records for 3/10-3/11/2009 & 3/12-3/15/2009. FINAL DX: Enterocololitis, probable intussusception, exp laparotomy, appendectomy, right inguinal hernia repair Records reveal patient experienced irritability, diarrhea x approx 7-10 days, intermittent abdominal cramping & nonbloody stool x1on 3/10. Multiple attempts to reduce w/BE unsuccessful. Taken to OR where no obvious IS seen. Progressed well post op & d/c to home. Developed recurrent bouts of abdominal pain & cough at home. Taken back to OR for diagnostic laparoscopy where no IS seen but colon dilated, prominent adenopathy & thickened ascending colon. Referred to GI.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=341630


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166