Age: 0.5
Sex: M
Vaccine: RV5, RV5, RV5
Symptoms: Ear discomfort, Feeling hot, Gastroenteritis rotavirus, Rotavirus test positive, Vomiting
Clinical narrative: Information has been received from a registered nurse with medical records concerning a 12-month-old male patient with no medical history or allergy.  The patient had no known sick contact.  On 13-SEP-2007, 19-NOV-2007 and 18-JAN-2008 the patient was vaccinated orally with the first (lot # 656705/0241U), the second (lot # 657518/1192U) and the third (lot # 657988/1193U) doses of ROTATEQ, respectively.  It was noted the patient "received the routine vaccines at 2 months, 4 months, and 6 months".  On 06-AUG-2008 the patient was brought to the emergency room by his mother where she reported her 1 year old son had had two days of vomiting and diarrhea that had stopped "last night" (05-AUG-2008).  She also reported he had been holding his left ear.  The patient was taking PEDIALYTE SOLUTION).  The physical examination revealed the patient was afebrile, otherwise normal and stable who did not appear to be in any acute distress.  Examination of his ears revealed clear auditory canals and tympanic membranes bilaterally with hearing grossly intact.  The patient was discharged from the emergency room and the mother was instructed to return with a stool sample as soon as possible, but otherwise continue the PEDIALYTE and return for any worsening symptoms.  As stool sample was returned the same day.  On 07-AUG-2008 the patient and his mother returned to the emergency room and reported that since 04-AUG-2008 (12:30 AM), the patient had loose watery foul-smelling non-bloody stools for 3 days (previously reported by the mother as 2 days) and vomiting of nonbilous & previously ingested food several hours after (e.g. banana eaten at 6 AM was vomited undigested at 5 PM same day).  The patient also felt warm.  Last episode of vomiting was early morning on 07-AUG-2008.  Then, he was able to keep down the PEDIALYTE SOLUTION) his mother was giving him to keep him well hydrated.  The patient's mother said, "He has good urine output; is playing at times and seems to be improving, intermittently stops playing to hold his belly and cringed a little bit as if he has abdominal cramps".  It was noted that on 06-AUG-2008, the patient had visited someone in the hospital but did not play on the floors.  The stool culture from 06-AUG-2008 showed heavy enteric flora and no white blood cells.  Stool rotavirus antigen test was positive.  The patient's diagnosis was ROTAVIRUS gastroenteritis without sign of dehydration.  The patient was discharged from the emergency room and the mother was given the following instructions: continue PEDIALYTE and alternate with ginger ale; no oily food; no dairy; no milk until stools are formed and patient has no more abdominal cramps; give apple, fruit; bananas, cereals; maintain strict hand washing; may give TYLENOL (max of 15 mg/kg/dose) po q4hrs for pain &/or fever; and return to the clinic immediately if symptoms worsen or persist in spite of above measures.  Subsequently, the patient recovered.  This is one of the several reports from the same source.  Additional information is not expected.  Medical records available upon request.