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This is VAERS ID 312402

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 312402
VAERS Form:
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 312402 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 312402 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 312402 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 312402 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 312402 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 312402 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Foreign
Vaccinated:2008-03-14
Onset:2008-04-29
Submitted:2008-05-15
Entered:2008-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Appendicectomy, Body temperature increased, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray 30Apr2008 see text unit; Body temperature 29Apr2008 38.8deg C
CDC 'Split Type': B0519432A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included live attenuated human rotavirus vaccine; GlaxoSmithKline; oral given on 15 January 2008. On 14 March 2008 the subject received 2nd dose of ROTARIX (oral). On 29 April 2008, 46 days after vaccination with ROTARIX, the subject presented abdominal pain, vomiting (2 episodes), bloody stools (2 times) and fever. On 30 April 2008 the subject was taken to the emergency room. Physical examination included fever 38.8 deg C, tender abdomen with decreased peristalsis and no abdominal mass. She had bloody stool in her diaper. Relevant test included abdominal x-ray which showed distended loops in upper left quadrant. The same day the subject underwent surgery in which ileoceco-colic intussusception was confirmed and resolved by taxis. Also appendectomy was done. The event was resolved without complication and good clinical evolution. On 02 May the subject was discharged in good condition. The subject was treated with metronidazole, amikacin and ranitidine hydrochloride (Ranitidine). The physician considered the events were unrelated to vaccination with ROTARIX.

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