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This is VAERS ID 309285

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 309285 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Male  
Location: Foreign  
Vaccinated:2008-02-16
Onset:2008-03-15
   Days after vaccination:28
Submitted: 2008-04-10
   Days after onset:26
Entered: 2008-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal distension, Abdominal pain, Appendicectomy, Body temperature increased, Crying, Gastrointestinal hypermotility, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 15Mar2008, See text; Body temperature, 15Mar2008, 38deg. C
CDC Split Type: B0515484A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 6-month-old male subject who was vaccinated with Rotarix (GlaxoSmithKline). The subject had no relevant medical history or allergies. Previous vaccination included Rotarix (GlaxoSmithKline; oral) given on 26 October 2007. On 16 February 2008, the subject received the 2nd dose of Rotarix (oral). On March 15 2008, 28 days after vaccination with the 2nd dose of Rotarix, the subject experienced repeated vomiting (20 episodes/24H), some gastro-bilar vomiting, fever (38 deg. C) and fresh bloody stools (2). The subject was taken to the emergency room. The subject was hospitalised. Physical exam reported continuous crying, distended abdomen, painful to deep examination and hyperactive peristalsis. Abdominal X-ray was performed and showed distended loops with abnormal gas distribution. On 15 March 2008, ileocecal intussusception was confirmed by surgery and was resolved by taxis. Appendectomy was done. The subject was treated with cefotaxime, amikacin, Metamizol and Ketorolac. The subject evolved to clinical improvement and he was discharged on 19 March 2008 in good conditions. On 19 March 2008, the events were resolved. The physician considered the events were unrelated to vaccination with Rotarix.


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