National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 315141

Case Details

VAERS ID: 315141 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Foreign  
Vaccinated:2008-05-07
Onset:2008-05-26
   Days after vaccination:19
Submitted: 2008-06-05
   Days after onset:10
Entered: 2008-06-05
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 pain, Intussusception, Rectal haemorrhage, Surgery, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad)

Life Threatening? Yes
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:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 26May2008, Abnormalunit
CDC Split Type: B0522850A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 7 May 2008, the subject received 1st dose of ROTARIX (oral), lot number not provided. On 26 May 2008, 19 days after vaccination with ROTARIX, the subject experienced rectal bleeding and abdominal pain. The diagnosis of intussusception was made based on symptoms evaluation and abdomen X-ray. The subject was hospitalised and the physician considered the events were life threatening and clinically significant (or requiring intervention).Surgery was performed on 26 May 2008. At the time of reporting the events were improved. The subject was still hospitalised and oral feeding was began.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=315141


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