| VAERS ID: |
385839 (history) |
| Form: |
Version 1.0 |
| Age: |
0.32 |
| Sex: |
Male |
| Location: |
New York |
| Vaccinated: | 2010-04-19 |
| Onset: | 2010-04-20 |
| Days after vaccination: | 1 |
| Submitted: |
2010-04-23 |
| Days after onset: | 3 |
| Entered: |
2010-04-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR |
C3591AA, C450AA / 1 |
RL / IM |
| HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS |
AHBVB818BA / 2 |
LL / IM |
| PNC: PNEUMO (PREVNAR) / PFIZER/WYETH |
E15305 / 1 |
RL / IM |
| RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. |
1612Y / 1 |
MO / PO |
Administered by: Public Purchased by: Other
Symptoms: Abdominal X-ray,
Crying,
Diet refusal,
Enema administration,
Eosinophil percentage,
Haematochezia,
Haematocrit decreased,
Haemoglobin decreased,
Intussusception,
Lymphocyte count normal,
Monocyte percentage,
Platelet count increased,
Ultrasound abdomen abnormal,
Vomiting,
White blood cell count increased,
X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 2 days
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: WBC 19.5 with 69.7% granulocytes, 23.6% lymphocytes, 5.4% monocytes and 1.1% eosinophils; hemoglobin 10.5, hematocrit 31.1%, platelets 599. Abdominal xray (prone and supine) suspicious for intussusception. Abdominal ultrasound with ileocolic intussusception; reduction with air enema.
CDC Split Type:
Write-up: Onset of loud intermittent crying spells, non-bloody/non-bilious emesis and refusal to take PO. At 5am the next day, the mother brought the baby to ED, where he had normal physical exam but abdominal x-ray suspicious for intussusception. Abdominal ultrasound at 9:30am revealed ileocolic intussusception successfully reduced by subsequent air enema. Pt had a currant jelly stool prior to ultrasound. Pt observed for 24 hours with one further currant jelly stool and later normal stool and was able take PO. No recurrence of intussusception. |
