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This is VAERS ID 312638

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

Case Details

VAERS ID: 312638 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Foreign  
Submitted: 2008-05-20
Entered: 2008-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Dehydration, Diarrhoea, Enema administration, Gastroenteritis rotavirus, Intussusception, Rotavirus test positive, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Diagnostic Lab Data: Abdominal X-ray, Mar2008, see textunit; Stool rotavirus antigen positive, May2008, positiveunit
CDC Split Type: B0520071A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 2-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). In March 2008 the subject received 1st dose of ROTARIX (oral). In March 2008, 1-2 weeks after vaccination with ROTARIX, the subject experienced intussusception. Relevant test included abdominal x-ray: plain abdominal radiograph showing a visible intussusception or soft tissue mass; demonstration of the invagination of the intestine by air or liquid contrast enema; plain abdominal radiograph showing non-specific abnormalities. Abdominal ultrasound as well as abdominal computerized tomography scan were not performed. The event was resolved by barium enema close reduction. In April 2008 the subject had vomiting symptoms and the diagnosis of recurrent intussusception was made. The symptom was resolved spontaneously. On 13 May 2008 the subject presented diarrhea. The subject was hospitalised. The stool exam showed positive rotavirus. At the time of reporting the outcome of diarrhea was unspecified. In the follow up received on 16 may 2008 it was specify that the subject was vaccinated on 14 March 2008. The 1st intussusception occurred 11 days after vaccination with 1st dose of ROTARIX. In April 2008 the subject only had vomiting and recurrent intussusception was diagnosed after clinical and physical examination. No imaging studies were performed. It was confirmed that the symptoms was resolved spontaneously. On 13 May 2008 the subject started with diarrhea and the subject was hospitalised due to dehydration. The final diagnosis was Rotavirus gastroenteritis which was resolved on 16 May 2008.

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