National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 315148

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 315148
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-23
Onset:2008-05-27
Submitted:2008-06-05
Entered:2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA564A / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Crying, Depressed mood, Intussusception, Enema administration, Ultrasound abdomen abnormal

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: ultrasound abdomen, 27May2008, intussusceptunit
CDC 'Split Type': B0523095A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). No medical history of intussusception was reported. On 23 May 2008, the subject received 1st dose of ROTARIX (oral) as well as the vaccines corresponding for 4 months of age. His twin brother was also vaccinated the same day with ROTARIX. He experienced no adverse event. On 27 May 2008, 4 days after vaccination with ROTARIX, the subject experienced crying crisis and low mood. He didn''t experience diarrhea or bloody stools. The subject was brought to hospital and abdominal ultrasound revealed an intussusception which was resolved by air enema. The subject was hospitalised for 2 days. At the time of reporting the events were resolved. The subject was discharged from hospital in good condition. The physician did not think the intussusception was related to vaccination with ROTARIX but she could not rule out completely. Further information is not expected. This case has therefore been closed.


Changed on 5/13/2013

VAERS ID: 315148 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-23
Onset:2008-05-27
Submitted:2008-06-05
Entered:2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA564A / 0 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA564A / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Crying, Depressed mood, Intussusception, Enema administration, Ultrasound abdomen abnormal

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: ultrasound abdomen, 27May2008, intussusceptunit
CDC 'Split Type': B0523095A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). No medical history of intussusception was reported. On 23 May 2008, the subject received 1st dose of ROTARIX (oral) as well as the vaccines corresponding for 4 months of age. His twin brother was also vaccinated the same day with ROTARIX. He experienced no adverse event. On 27 May 2008, 4 days after vaccination with ROTARIX, the subject experienced crying crisis and low mood. He didn''t experience diarrhea or bloody stools. The subject was brought to hospital and abdominal ultrasound revealed an intussusception which was resolved by air enema. The subject was hospitalised for 2 days. At the time of reporting the events were resolved. The subject was discharged from hospital in good condition. The physician did not think the intussusception was related to vaccination with ROTARIX but she could not rule out completely. Further information is not expected. This case has therefore been closed.


Changed on 9/14/2017

VAERS ID: 315148 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-23
Onset:2008-05-27
Submitted:2008-06-05
Entered:2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA564A / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Crying, Depressed mood, Intussusception, Enema administration, Ultrasound abdomen abnormal

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: ultrasound abdomen, 27May2008, intussusceptunit
CDC 'Split Type': B0523095A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). No medical history of intussusception was reported. On 23 May 2008, the subject received 1st dose of ROTARIX (oral) as well as the vaccines corresponding for 4 months of age. His twin brother was also vaccinated the same day with ROTARIX. He experienced no adverse event. On 27 May 2008, 4 days after vaccination with ROTARIX, the subject experienced crying crisis and low mood. He didn''t experience diarrhea or bloody stools. The subject was brought to hospital and abdominal ultrasound revealed an intussusception which was resolved by air enema. The subject was hospitalised for 2 days. At the time of reporting the events were resolved. The subject was discharged from hospital in good condition. The physician did not think the intussusception was related to vaccination with ROTARIX but she could not rule out completely. Further information is not expected. This case has therefore been closed.


Changed on 2/14/2018

VAERS ID: 315148 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-23
Onset:2008-05-27
Submitted:2008-06-05
Entered:2008-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA564A / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Crying, Depressed mood, Intussusception, Enema administration, Ultrasound abdomen abnormal

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: ultrasound abdomen, 27May2008, intussusceptunit
CDC 'Split Type': B0523095A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). No medical history of intussusception was reported. On 23 May 2008, the subject received 1st dose of ROTARIX (oral) as well as the vaccines corresponding for 4 months of age. His twin brother was also vaccinated the same day with ROTARIX. He experienced no adverse event. On 27 May 2008, 4 days after vaccination with ROTARIX, the subject experienced crying crisis and low mood. He didn''t experience diarrhea or bloody stools. The subject was brought to hospital and abdominal ultrasound revealed an intussusception which was resolved by air enema. The subject was hospitalised for 2 days. At the time of reporting the events were resolved. The subject was discharged from hospital in good condition. The physician did not think the intussusception was related to vaccination with ROTARIX but she could not rule out completely. Further information is not expected. This case has therefore been closed.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=315148&WAYBACKHISTORY=ON


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