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Found 1157 cases where Vaccine is RV5 and Symptom is Intussusception

Table

   
AgeCountPercent
< 3 Years106692.13%
3-6 Years10.09%
Unknown907.78%
TOTAL1157100%

Case Details

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VAERS ID: 258493 (history)  
Age: 0.22  
Gender: Female  
Location: Virginia  
Vaccinated:2006-06-07
Onset:2006-06-13
   Days after vaccination:6
Submitted: 2006-06-16
   Days after onset:3
Entered: 2006-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B037BA / - RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0540R / - LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH A98338B / - LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0145F / - - / PO

Administered by: Military       Purchased by: Military
Symptoms: Abdominal pain, Gastrointestinal necrosis, Haematochezia, Intussusception, Irritability, Laboratory test abnormal, Lethargy
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: AAS showed obstructive picture; Gastrogaffin enema could not reduce intussuscepted bowel. Discharge summary states lab test abnormal.
CDC Split Type:

Write-up: 2 weeks after administration presented with intermittent abdominal pain - noted to be pulling legs up and crying f/b infant lying still and not moving. After 24h of this pain brought in due to bloody stools and diagnosed with ileocecal intussusception. Had bowel necrotic bowel resected in OR immediately and is currently recovering in the PICU. Discharge summary states lethergy. Medical record states irritable.


VAERS ID: 261485 (history)  
Age: 0.24  
Gender: Female  
Location: Texas  
Vaccinated:2006-08-01
Onset:2006-08-07
   Days after vaccination:6
Submitted: 2006-08-14
   Days after onset:7
Entered: 2006-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception
SMQs:, Gastrointestinal obstruction (narrow), Depression (excl suicide and self injury) (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: None
Diagnostic Lab Data: KUB and Barium enema
CDC Split Type:

Write-up: Patient developed intermittent severe crying WITH failure to pass stool for one day. She got RotaTeq a week prior to onset of illness. KUB and Barium enema were suggestive of Intussusception. Reduction of intusussception made by barium enema hydrostatic pressure. Patients symptoms resolved.


VAERS ID: 261949 (history)  
Age: 0.35  
Gender: Unknown  
Location: Texas  
Vaccinated:2006-07-18
Onset:2006-08-10
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2006-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B056AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B086560 / - RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

Administered by: Private       Purchased by: Unknown
Symptoms: Apnoea, Intussusception, Pyrexia, Urinary tract infection, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Acute central respiratory depression (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received rotavirus shot 7/18/06. Diagnosed with Intussusception 8/10/06. Medical record states apnea, urinary tract infection, vomiting, fever. msv


VAERS ID: 262993 (history)  
Age: 0.41  
Gender: Male  
Location: Texas  
Vaccinated:2006-08-04
Onset:2006-09-05
   Days after vaccination:32
Submitted: 2006-09-13
   Days after onset:8
Entered: 2006-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER 03897 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0192R / 1 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE812AA / 1 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1051 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08655E / 1 RA / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO

Administered by: Private       Purchased by: Public
Symptoms: Constipation, Haematochezia, Intussusception, Irritability, Laboratory test abnormal, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: URI and congestion
Preexisting Conditions:
Diagnostic Lab Data: Open reduction with diagnosis of by CT scan Labs: On admission WBC 16,000, hematocrit 35, essentially normal electrolytes. US did not show evidence of intussusception and Upper GI was anatomically normal. CT on 9/6/06: significant for ileocolic intussusception. Upper GI normal, US failed to disclose a suspected intussusception. Underwent trial of feeds which were unsuccessful. Follow up CT scan disclosed intussusception in right lower quadrant which was masked by overlying small bowel. Labs: On admission WBC 16,000, hematocrit 35, essentially normal electrolytes.
CDC Split Type:

Write-up: Rotateq given 5/23/06 and 8/4/06 developed intussusception Sept 5th requiring surgical reduction. 99/19/06-received office note for DOS 8/1-9/5/06- note for 9/5/06-vomiting/possible dehydration. vomiting times 2 days, constipated 2 days ago, blood in diaper today, small amount of stool. PE: awake alert responsive, unsmiling. Abdomen soft non-tender, transfer to hospital. Operative Report received from Southwest Texas Methodist Hospital: 9/7/06-Pre operative DX: Intussusception Postoperative DX and DC DX/: Ileo ileocolic intussusception. Procedure: open reduction of intussusception. Incidental appendectomy. Preoperative Note: admitted to hospital with bilious emesis approximately 36 hours ago. Upper GI normal, US failed to disclose a suspected intussusception. Underwent trial of feeds which were unsuccessful. Follow up CT scan disclosed intussusception in right lower quadrant which was masked by overlying small bowel. Open reduction recommended due to failure of hydrostatic reduction in radiology. HX of Present Illness: admitted 9/5/06 with emesis which progressed to bilious and fussiness and dry heaves. Seen in office after 2 hours of emesis and a normal BM. No diarrhea and no fever. PMH: Bronchitis. PE: Temp 99.5, HR 131, resp rate 32. Slightly lethargic, dry lips and mucous membranes. Mild tachycardia. Lungs clear. ABD: very supple without guarding, soft, nontender and nondistended. Normal bowel sounds. 2 trials of feeds failed with bilious emesis and started to have mucosy bloody stools. Attempted hydrostatic reduction was unsuccessful. Surgery 9/7/06 open reduction and intussusception and internal appendectomy. He did not require a bowel resection. Uncomplicated postoperative course with gradual resumption of p.o. feeds. Post op day #3 tolerating goal calorie and fluid diet. Afebrile, vital signs stable. DC to home follow up in 3-4 weeks.


VAERS ID: 264467 (history)  
Age: 0.34  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-09-01
Onset:2006-09-17
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2006-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1397AB / 1 LL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE930AA / 1 LL / -
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR X1166 / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08683E / 1 RL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 1 - / PO

Administered by: Private       Purchased by: Private
Symptoms: Haematochezia, Intestinal ischaemia, Intussusception, Necrosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Initial exam showed bloody stools, intussusception. DC DX: Intussusception. Procedure: exp. lap. with reduction of intussuception and right hemicolectomy. Taken emergently to operating room after water-soluble contrast enema was unable to reduce intussusception. Currant jelly stools starting at 8am on 9/17/06. Mass palpable at the midline of her abdomen. Hospital course uneventful, developed rash thought to be due to Unasyn, changed to Clindamycin. Surgical pathology report: sections show extensive ischemic necrosis secondary to intussusception. Appendiceal nucosa also shows ischemic necrosis. The amount of lymphoid tissue appears to be increased. Resected margins contain viable tissue.


VAERS ID: 264682 (history)  
Age: 0.35  
Gender: Male  
Location: Georgia  
Vaccinated:2006-09-28
Onset:2006-09-30
   Days after vaccination:2
Submitted: 2006-10-13
   Days after onset:13
Entered: 2006-10-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UN / UN
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / - UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0777F / 0 - / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Anaemia, Appendicectomy, Barium enema abnormal, C-reactive protein increased, Computerised tomogram, Diarrhoea haemorrhagic, Haematochezia, Intestinal perforation, Intussusception, Laboratory test abnormal, Leukocytosis, Lung disorder, Pleural effusion, Pyrexia, Respiratory distress, Vomiting, White blood cell count
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal perforation (narrow), Gastrointestinal haemorrhage (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 18 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Barium enema X ray 10/02/06 revealed intussusception. elevated CRP, severely elevated WBC & anemia WBC of 42,550 w/53 segs & no bands, 21 monos. H&H 5.6 & 17.2. CMP was WNL CRP max was 35.4 & was slowly decreasing. CT scan of abd done 10/10 as w/u for persistent fever revealed min fluid accumulation along the lateral aspect of the liver, with a few more loculated-appearing areas & infected fluid could not be excluded; tiny bubbles of intraperitoneal air related to recent abd surgery; bowel wall thickening in RLQ, likely the cecum & distal ileum; no evidence for recurrent intussusception or bowel obstruction; thickening of right hemidiaphragm w/very small right pleural effusion & area of probable atelectasis in RLL. LABS: WBC on d/c 16,8
CDC Split Type: WAES0610USA04290

Write-up: Information has been received from a physician concerning a 4 month old male, with no reported medical history, who on 9/28/06 was vaccinated with a first 2 ml oral dose of Rotavirus vaccine (lot 654970/0777F). Concomitant vaccines administered on the same day included a dose of Prevnar, a dose of Hib and a dose of Pediarix. It was reported that, on approx 9/30/06, the pt initially presented with edpsodic excruciating abdominal pain and was diagnosed with colic at the ER of the hospital. The next day the pt presented with bilious emesis and bloody diarrhea. No treatment was given, the pt was sent directly to the tertiary care hospital. The physician didn''t know the exact date, but he thought 10/2/06 sounded right. The physician reported that the pt had 2 days of signs of symptoms prior to going to the hospital. The pt had an air contrast enema which revealed the intussusception. He stated that the pt spent 12 hours at the hospital prior to the study being performed. It was reported that the pt developed intussusception with perforation. It was noted that at the time of report the pt was recovering, but had not been released from the hospital. The pts mother told the reporter that the pt was receiving his second blood transfusion. The reporter noted that since the pt received two blood transfusions, he thought that the pt possibly had surgery and was planning on contacting the physician at the hospital No product quality complaint was involved. No other information was provided. Additional information has been requested. 10/26/06 Received medical records from hospital which reveal patient admitted to ER with fever, vomiting & blood in stool for 1-2 day. Patient failed an air enema & underwent open laparotomy, open reduction & incidental appendectomy on 10/2/06. Intussusception of sigmoid colon was reduced only to mid transverse colon. Findings at surgery included difficult to reduce intussussception, markedly edematous distal ileum & serosal tears of cecum. Had transient respiratory distress & was in PICU from 10/3-10/5, no vent support needed. Continued to have persistent fever, elevated CRP, severely elevated WBC & anemia. Treated with multiple antibiotics. Blood c/s from 10/2 grew micrococcus which was considered to be a contaminant. Continued to have frequent loose stools but no blood. Consult on 10/9 revealed WBC of 42,550 w/53 segs & no bands, 21 monos. H&H 5.6 & 17.2. CMP was WNL CRP max was 35.4 & was slowly decreasing. CT scan of abd done 10/10 as w/u for persistent fever revealed min fluid accumulation along the lateral aspect of the liver, with a few more loculated-appearing areas & infected fluid could not be excluded; tiny bubbles of intraperitoneal air related to recent abd surgery; bowel wall thickening in RLQ, likely the cecum & distal ileum; no evidence for recurrent intussusception or bowel obstruction; thickening of right hemidiaphragm w/very small right pleural effusion & area of probable atelectasis in RLL. A PICC line was placed on 10/11. PMH: uneventful. SVD w/birth wt of 6 lbs 14 oz. No problems during pregnancy. G&D have been normal. No D/C summary included with med records. T/C to ROI. Patient was d/c home on 10/18 but no d/c summary available. Will send progress notes./ss 10/27/06 Received progress notes from hospital which reveal patient had an expected post op ileus s/p surgical reduction of intussusception on 10/2. Transferred to PICU on 10/3 due to resp distress even on blowby O2 w/grunting & markedly distended abdomen w/o NGT output. Temp on admit to PICU was 101.5. Dx: Restrictive lung disease secondary to distended but soft abdomen. Progressed well in PICU & was on RA by 10/5. Continued to spike temps of <102 on multi antibiotics. By 10/9, although clinically improving continued to spike temps & have significantly elevated WBCs & anemia. Continued on parenteral nutrition. ID consult requested & done on 10/9. Transfused on 10/10. PICC line inserted 10/11 for TP


VAERS ID: 265451 (history)  
Age: 0.36  
Gender: Male  
Location: Nebraska  
Vaccinated:2006-10-11
Onset:2006-10-14
   Days after vaccination:3
Submitted: 2006-10-26
   Days after onset:12
Entered: 2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR 20/08-08 SPC262 / 1 RL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 23/10-07 Y0991 / 1 RL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER 23/10-07 Y0991 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 9/4-08 B08683H / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ME0319F / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood bicarbonate decreased, Dehydration, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Laboratory test abnormal, Platelet count increased, Pyrexia, Vomiting, White blood cell count increased
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Lactic acidosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 15 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Nystatin cream
Current Illness: none
Preexisting Conditions: thrush and yeast rash in the diaper area
Diagnostic Lab Data: LABS and DIAGNOSTICS: 10/15/2006: Stool cultures were negative. WBCs were 14.2 with a left shift, Hgb was slightly low at 10.5. Metabolic panel WNL except bicarb low at 19 and glucose high at 134. LABS AND DIAGNOSTICS at time of this admission 10/16/2006: showed an increased WBC count of 22,000, Hg 9.8, Hct. 28.9, Plt. 593,000. AST 22, ALT 34 and C-reactive protein up to 2.5, urine and Blood cultures (-). Upper GI suggestive of malroatation with probable volvulus with differential including Ladd''s band. Surgical pathology report of 10/20/2006 is for an Ileocecal resection with focal transmural ischemic necrosis. Intussusception with transmural suppurative inflammation.
CDC Split Type:

Write-up: Intussusception resulting in surgical procedure and partial bowel resection. MR from pediatrician received which included hospital H&P from Oct. 16,2006 as well as a surgical pathology report dated Oct. 20, 2006. Well baby exams at 6 days, 3 weeks, 2 and 4 months significant only for thrush and yeast rash in the diaper area. Breast fed. Vax given 10/11/06 include DTaP, Comvax, IPV, Prevnar, and Rotateq. Bloody stools, fever, and vomiting began 10/15/2006 and infant was seen in the ER. F/U with pediatrician 10/16/06 resulted in a direct admission to the hospital for rehydration, with an admission assessment of "Fever with bloody diarrhea and at least 5% dehydration." Hospital MR received. Infant had been hospitalized at a local hospital prior to admission to another hospital on 10/20/06 for surgery due to new onset of bilious emesis. (Exploratory Laparotomy and a Ladd Procedure). Post-operatively, child became febrile on post-op day #3. Abd. X-ray negative. Antibiotics and TPN continued. Post op day #7, CT of the abd/pevis done due to child being febrile since post-op day#3 and 90cc output from NG tube of greenish fluid. No evidence for leak or obstruction found. Improvement began 10/29/06 and the infant was discharged on 10/31/2006. No discharge diagnosis written on discharge summary. Lot number obtained for Rotateq ME0319F exp. 1/11/2007 Per (FDA) "please add lot number to VAERS report if not yet done". Lot # added.


VAERS ID: 265698 (history)  
Age: 0.17  
Gender: Male  
Location: Texas  
Vaccinated:2006-10-25
Onset:2006-10-29
   Days after vaccination:4
Submitted: 2006-10-31
   Days after onset:2
Entered: 2006-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21BO73AA / 0 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR OE84AA / 0 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO862D / 0 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0319F / 0 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Decreased appetite, Dehydration, Diarrhoea haemorrhagic, Intestinal obstruction, Intussusception, Irritability, Lethargy, Leukocytosis, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Acetaminophen
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it. Pt did well after intervention, recovered and was discharged the following day. Labs and Diagnostics: Abdominal X-ray showed diffuse distention of the bowel with several air fluid levels CBC remarkable for mild/moderate leukocytosis. CT of Abdomen showed a "sausage like, target like structure" in the RLQ worrisome for intussusception as well as a pattern of obstructive bowel which was dilated with fluid levels. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day.
CDC Split Type:

Write-up: Pt. is a 2 mo infant that recived his immunizations on 10/25/06 (pediarix, HiB, PCV and Rotateq). He had 2 days with reported fever, improved by day 3, on day 5 his parents noticed irritability, decreased appetite and also reported 2 emesis and one epysode of diarrhea with blood and mucus. They presented to our office where I found a sick looking infant, lethargic and mildly dehydrated. On physical exam he had abdominal pain. Abdominal films revealed several air-fluid levels and distention. Pt was admitted to hospital, I ordered an abdominal CT which was suggestive of intussusception, this was confirmed with gastrographin enema which also reduced it. Pt did well after intervention, recovered and was discharged the following day. 11/01/2006: MR received from PCP revealing well baby exam of October 25, 2006 where infant received Pediarix, pneumococcal vaccine, and Rotateq./pc 11/3/2006: MR received from overnight hospital stay documenting fever for several days post vax which resolved, and infant was doing well. Five days post vax infant became irritable and lethargic, with poor appetite, and was noted to have had one episode of bloody stool the day prior, and continued to have mucus in his stool. Infant was admitted to the hospital at this time to R/O intussusception. Gastrographin enema was performed which reduced the intussusception, and was confirmed by Abdominal X-ray the next day. Infant was discharged. No d/C summary dictated./pc Report received from pediatrician revealing F/U exam for intussusception on 11/2/2006: no fever, no vomiting, increased appetite. Stool to be sent to CDC for analysis/pc


VAERS ID: 266013 (history)  
Age: 0.6  
Gender: Male  
Location: Kansas  
Vaccinated:2006-09-14
Onset:2006-10-22
   Days after vaccination:38
Submitted: 2006-11-03
   Days after onset:12
Entered: 2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0779F / 1 - / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Appendicectomy, Chest X-ray, Dehydration, Haematemesis, Haematochezia, Intestinal resection, Intussusception, Lethargy, Lymphadenopathy, Nausea, Pyrexia, White blood cell count
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec; Zantac
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: LABS: CXR showed some minimal atelectasis of LLL. WBC 10.4, segs 50, lymps 39, 0 bands
CDC Split Type: WAES0611USA00634

Write-up: Information has been received from a consumer concerning her 8 month old son, with no medical history and no allergies, who was vaccinated with a first and second oral dose of rotavirus G1 G2 G3 G4 P1 reassortant vaccine live on 8/15/06 and 9/14/06, respectively. Concomitant therapy included ranitidine HCl and cetirizine hydrochloride. it was reported that on the evening of 10/22/06 the patient was lethargic, had blood in his stool, was vomiting with dried black blood, and was dehydrated. A physician diagnosed the patient with intussusception that was about 8mm in length on the morning of 10/23/06 and was hospitalized. It was reported that the patient had to have emergency surgery for a bowel resection. The reporter noted that the surgeon indicated that the patient also had a swollen lymph node about the size of a shooter marble and he believed that it may have been related to the experience. At the time of the report, it was noted that the patient was doing much better. The patient''s experience was considered to be immediately life-threatening and disabling by the reporter. Additional information has been requested. 11/27/06 Received medical records from hospital which reveal patient admitted 10/23/06 with nausea, vomiting & colicky symptoms. Barium enema did not reduce IS & patient taken to surgery for reduction of IS with ileocecal resection & appendectomy. Continued to improve w/o further complication & was d/c to home on 10/27/06. PMH: GERD, URIs Final Dx: Intussusception (IS) and chronic reflux. Patient was readmitted for overnight observation & hydration on 10/28-10/29/06 after running a fever of 102 for approx 1 day. It was felt to be a viral infection./ss


VAERS ID: 266155 (history)  
Age: 0.2  
Gender: Female  
Location: North Dakota  
Vaccinated:2006-10-13
Onset:2006-10-18
   Days after vaccination:5
Submitted: 2006-11-03
   Days after onset:16
Entered: 2006-11-07
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0695F / 0 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Agitation, Crying, Intussusception, Muscle spasms, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound 10/18/2006 intussusception.
CDC Split Type: WAES0610USA13121

Write-up: Information has been received from a physician concerning a 11 week old female who on 10/13/06 was vaccinated with the first 2.0ml dose of Rotavirus G1 G2 G3 G4 P1 reassortant vaccine live (human Bovine) (lot 654504/0695F). The physician reported that on 10/18/06, the pt developed severe vomiting. The pt was vomiting so much that she was hospitalized where an ultra sound was performed and a diagnosis of intussusception was made. On the evening of 10/18/06, the intussusception was reduced by Barium enema. It was noted that the pt experienced cramping, crying and whining until midnight. On 10/19/2006, the pt was discharged from the hospital as her intussusception was considered to be resolved. The physician also considered the intussusception to be life threatening. Additional information has been requested.


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