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This is VAERS ID 341826

Case Details

VAERS ID: 341826 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Massachusetts  
Vaccinated:2009-02-23
Onset:2009-02-25
   Days after vaccination:2
Submitted: 2009-03-16
   Days after onset:18
Entered: 2009-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C287099 / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C68307 / 2 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0968X / 2 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Enema administration, Intussusception
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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: In utero HIV exposure - patient on AZT for 6 weeks and has negative testing for HIV to date. PMH: none.
Allergies:
Diagnostic Lab Data: labs and Diagnostics: CBC with WBCs 26K. Stool heme (+). KUB (+) for bowel dilitationc/w SBO. US (+) for IS. BE (+) for IS.
CDC Split Type:

Write-up: Patient had an ileo-colic intussusception which presented to the ER 2 days after vaccine administration. It was reduced with an air enema and patient was admitted to the hospital. 4/13/2009 MR received for DOS 2/25-27/2009 with DX: Intussusception. Pt presented with new onset projectile vomiting after eating. One blood streaked BM. PE (+) for fussiness with palpation of the abdomen. Ileocolic IS dx with abd US. Reduced with air contrast BE. Tolerated feeds post procedure and d/c.


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