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This is VAERS ID 311431

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

Case Details

VAERS ID: 311431 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Foreign  
Vaccinated:2007-09-11
Onset:2008-02-23
   Days after vaccination:165
Submitted: 2008-05-02
   Days after onset:68
Entered: 2008-05-01
   Days after submission:1
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, Barium enema abnormal, Dehydration, Diarrhoea, Haematochezia, Hyperaemia, Intestinal anastomosis, Intussusception, Pallor, Surgery, Vitello-intestinal duct remnant, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Congenital, familial and genetic disorders (narrow), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 26Feb2008 Abnormalunit; Barium enema 26Feb2008 Abnormalunit
CDC Split Type: B0518050A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 9-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was under no other medication and had no relevant medical history nor allergy. Previous and/or concurrent vaccination included attenuated human rotavirus vaccine ;GlaxoSmithKline ;oral given on 11 July 2007. On 11 September 2007, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 23 February 2008, 5 months after vaccination with 2nd dose of ROTARIX, the subject experienced bloody stools like current jelly stool with liquid diarrhea and vomiting. On 26 February 2008, the subject was hospitalised for 6 days. The physical examination showed pallor with dehydration, pharyngeal hyperemia and abdominal distension without peristalsis. The abdominal X-ray revealed dilated bowel loops with air fluid levels and lack of air in the distal colon. Barium enema was performed three times and showed a filling defect in the transverse colon, without a successful desinvagination. A surgery was performed and an ileocecocolic intussusception was found and reduced by taxis without complication. Furthermore, meckel diverticulum was observed in the distal ileon. The subject was treated with ceftriaxone, Ranitidine and Metamizole. ON 2 March 2008, the events were resolved and the subject was discharged from hospital in good clinical condition. The physician considered the events were unrelated to vaccination with ROTARIX.


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