National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 315017

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

315017
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-01-08
Onset:2008-03-14
Submitted:2008-06-04
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Decreased activity, Dehydration, Flatulence, Gastrointestinal necrosis, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Intestinal resection, Intestinal anastomosis, Abdominal X-ray, Faecal vomiting

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: 14     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 19Mar2008, Abnormalunit
CDC 'Split Type': B0522325A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 6-month-old female 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 ROTARIX; GlaxoSmithKline; oral given on 8 November 2007. On 8 January 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 14 March 2008, 66 days after vaccination with ROTARIX, the subject experienced vomiting and fever. On 16 March 2008, she experienced bloody stools. On 19 March 2008, the subject experienced abdominal distension without peristalsis and 2 vomitings like feces, leading to hospitalisation at emergency ward. At physical examination, the subject was dehydrated, hypoactive with a distended abdomen. Abdominal X-ray showed air fluid levels and lack of air in rectum. The subject was transferred to another hospital where after confirmation of previous examination results, surgery was performed and ileocecocolic intussusception to descendent colon and ileocecal valve with proximal ascendant colon necrosis were found. Taxis was performed in 80 % of intussusceptoin as well as 15 cm of bowel resection end to end anastomosis. The subject was hospitalised for 14 days. The subject was treated with ranitidine, cefotaxime, metamizole, ampicilline, amikacin, metronadizole and dicloxacillin. On 1 April 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.


Changed on 5/13/2013

315017 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-01-08
Onset:2008-03-14
Submitted:2008-06-04
Entered:2008-06-04
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 distension, Decreased activity, Dehydration, Flatulence, Gastrointestinal necrosis, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Intestinal resection, Intestinal anastomosis, Abdominal X-ray, Faecal vomiting

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: 14     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 19Mar2008, Abnormalunit
CDC 'Split Type': B0522325A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 6-month-old female 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 ROTARIX; GlaxoSmithKline; oral given on 8 November 2007. On 8 January 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 14 March 2008, 66 days after vaccination with ROTARIX, the subject experienced vomiting and fever. On 16 March 2008, she experienced bloody stools. On 19 March 2008, the subject experienced abdominal distension without peristalsis and 2 vomitings like feces, leading to hospitalisation at emergency ward. At physical examination, the subject was dehydrated, hypoactive with a distended abdomen. Abdominal X-ray showed air fluid levels and lack of air in rectum. The subject was transferred to another hospital where after confirmation of previous examination results, surgery was performed and ileocecocolic intussusception to descendent colon and ileocecal valve with proximal ascendant colon necrosis were found. Taxis was performed in 80 % of intussusceptoin as well as 15 cm of bowel resection end to end anastomosis. The subject was hospitalised for 14 days. The subject was treated with ranitidine, cefotaxime, metamizole, ampicilline, amikacin, metronadizole and dicloxacillin. On 1 April 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.


Changed on 9/14/2017

315017 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-01-08
Onset:2008-03-14
Submitted:2008-06-04
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Decreased activity, Dehydration, Flatulence, Gastrointestinal necrosis, Haematochezia, Intussusception, Pyrexia, Surgery, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Intestinal resection, Intestinal anastomosis, Abdominal X-ray, Faecal vomiting

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: 14     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 19Mar2008, Abnormalunit
CDC 'Split Type': B0522325A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 6-month-old female 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 ROTARIX; GlaxoSmithKline; oral given on 8 November 2007. On 8 January 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 14 March 2008, 66 days after vaccination with ROTARIX, the subject experienced vomiting and fever. On 16 March 2008, she experienced bloody stools. On 19 March 2008, the subject experienced abdominal distension without peristalsis and 2 vomitings like feces, leading to hospitalisation at emergency ward. At physical examination, the subject was dehydrated, hypoactive with a distended abdomen. Abdominal X-ray showed air fluid levels and lack of air in rectum. The subject was transferred to another hospital where after confirmation of previous examination results, surgery was performed and ileocecocolic intussusception to descendent colon and ileocecal valve with proximal ascendant colon necrosis were found. Taxis was performed in 80 % of intussusceptoin as well as 15 cm of bowel resection end to end anastomosis. The subject was hospitalised for 14 days. The subject was treated with ranitidine, cefotaxime, metamizole, ampicilline, amikacin, metronadizole and dicloxacillin. On 1 April 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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=315017&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166