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This is VAERS ID 310110

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 310110 (history)  
Form: Version .0  
Age: 0.2  
Gender: Male  
Location: Foreign  
Vaccinated:2007-11-18
Onset:2008-03-01
   Days after vaccination:104
Submitted: 2008-04-18
   Days after onset:47
Entered: 2008-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal distension, Abdominal pain, Anal haemorrhage, Dehydration, Haematochezia, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Peristalsis visible, Pyrexia, Surgery, Ultrasound abdomen abnormal, 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), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), 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), Hypotonic-hyporesponsive episode (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, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 03Mar2008, see textunit; Ultrasound abdomen, 04Mar2008, see textunit
CDC Split Type: B0516401A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with Rotarix (GlaxoSmithKline). Previous and/or concurrent vaccination included Pentavac; manufacturer unspecified;intramuscular given on 18 November 2007 and 3 February 2008; hepatitis B; manufacturer unspecified; intramuscular given on 12 September 2007; pneumococcal vaccine, unspecified; manufacturer unspecified; intramuscular given on 18 November 2007 and 3 January 2008; tuberculosis vaccine; manufacturer unspecified; intradermal given on 12 September 2007. On 18 November 2007 the subject received 1st dose of Rotarix (oral). On 1 March 2008, 104 days after vaccination with Rotarix, the subject presented vomiting (6 times), fever and irritability. Two days after he presented bloody stools and abdominal distention. The subject required hospitalisation. He had abdominal bloating, with pain, decreased and distended peristalsis, pallor, dehydration and blood in anus. On 03 March 2008 abdominal x-ray was performed which showed absence of air, interloop edema and absence of air on pelvic fossa. On 04 April 2008 abdominal ultrasound showed free fluid on cavity and loops with air and abundant fluids. On 05 March 2008 the subject underwent a surgery which corroborated ileocolic intussusception. Intussusception was reduced by taxis without complications. Mesenteric nodes for biopsy was taken for further investigation but the results were unknown. Post surgical evolution was favorable. On 10 March 2008 the subject was discharged. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). The subject was treated with Ampicillin, Amikacin and surgery. The physician considered the events were unrelated to vaccination with Rotarix.


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