National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 385949

(NOTE: This result is from the 6/11/2011 version of the VAERS database)

Case Details

VAERS ID: 385949 (history)  
Form: Version .0  
Age: 0.2  
Gender: Male  
Location: Nebraska  
Vaccinated:2010-03-01
Onset:2010-04-24
   Days after vaccination:54
Submitted: 2010-04-26
   Days after onset:2
Entered: 2010-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3606AA / 0 UN / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB772CA / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH E20366 / 0 UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB036A / 0 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Barium double contrast, Blood alkaline phosphatase increased, Blood creatinine decreased, Enema administration, Haematochezia, Intussusception, Monocyte count increased, Mucous stools, Neutrophil count increased, Ultrasound abdomen abnormal, Vomiting, White blood cell count increased, X-ray normal
SMQs:, Liver related investigations, signs and symptoms (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad)

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: intussusception~Rotavirus (Rotarix)~1~0.00~Patient
Other Medications: PRILOSEC 1 ml BID (2mg/ml)
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Fluoro Barium Enema and ultra sound
CDC Split Type:

Write-up: Infant was admitted to hospital with intussusception on 4/24/10.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20110611&IDNUMBER=385949


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166