National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 313535

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

Case Details

VAERS ID: 313535 (history)  
Form: Version .0  
Age: 0.3  
Gender: Male  
Location: Foreign  
   Days after vaccination:32
Submitted: 2008-05-27
   Days after onset:39
Entered: 2008-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Intussusception, Surgery
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (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? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0522066A

Write-up: This case was reported by a regulatory authority and described the occurrence of intussusception in a 3-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). No concomitant medication was reported. On 17 March 2008, the subject received unspecified dose of ROTARIX (oral), lot number not provided. Two days prior to the event onset, the 2 subject''s siblings experienced gastroenteritis. On 18 April 2008, 32 days after vaccination with ROTARIX, the subject experienced intussusception. The regulatory authority reported that the event was clinically significant (or requiring intervention). The subject was treated with surgery. No structural anomaly was detected. At the time of reporting the event was resolved. The regulatory authority reported that the event was probably related to vaccination with ROTARIX.

New Search

Link To This Search Result:

Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166