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This is VAERS ID 385839

History of Changes from the VAERS Wayback Machine

First Appeared on 5/11/2010

VAERS ID: 385839
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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 ileoc
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.


Changed on 8/31/2010

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Lymphocyte percentage, Abdominal X-ray, Granulocyte percentage

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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 ileoc
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.


Changed on 1/4/2011

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Lymphocyte percentage, Abdominal X-ray, Granulocyte percentage

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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 ileoc 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.


Changed on 4/13/2011

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Granulocyte count increased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Sleep disorder, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Urine output decreased, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 5/13/2011

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Granulocyte count increased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Sleep disorder, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Urine output decreased, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 6/11/2011

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Granulocyte count increased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Sleep disorder, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Urine output decreased, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 5/13/2013

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Granulocyte count increased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Sleep disorder, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Urine output decreased, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 3/14/2015

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Granulocyte count increased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Sleep disorder, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Urine output decreased, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 2/14/2017

VAERS ID: 385839 Before After
VAERS Form:
Age:0.3 0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 - / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 9/14/2017

VAERS ID: 385839 Before After
VAERS Form:(blank) 1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
Entered:2010-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3591AA, C450AA / 0 1 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB818BA / 1 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E15305 / 0 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1612Y / 0 1 - MO / PO

Administered by: Public      Purchased by: Other
Symptoms: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 2/14/2018

VAERS ID: 385839 Before After
VAERS Form:1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
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: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 6/14/2018

VAERS ID: 385839 Before After
VAERS Form:1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
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: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 8/14/2018

VAERS ID: 385839 Before After
VAERS Form:1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
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: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 9/14/2018

VAERS ID: 385839 Before After
VAERS Form:1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
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: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.


Changed on 10/14/2018

VAERS ID: 385839 Before After
VAERS Form:1
Age:0.32
Sex:Male
Location:New York
Vaccinated:2010-04-19
Onset:2010-04-20
Submitted:2010-04-23
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: Crying, Diet refusal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Lymphocyte count normal, Vomiting, White blood cell count increased, X-ray abnormal, Enema administration, Platelet count increased, Ultrasound abdomen abnormal, Eosinophil percentage, Monocyte percentage, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     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.

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