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This is VAERS ID 315309

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 315309
VAERS Form:
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl,
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 315309 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
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, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl,
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 315309 Before After
VAERS Form:
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); P
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 315309 Before After
VAERS Form:(blank) 1
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); P Prothrombin time, 09May2008, 13.5s, 11 (low), 15 (high); Prothrombin time, 10May2008, 12s, 11 (low), 15 (high); Sodium, 09May2008, 121mEq/dl, 136 (low), 145 (high); Sodium, 10May2008, 131mEq/dl, 136 (low), 145 (high); Stool analysis, 09May2008, see text; Thromboplastin, 09May2008, 23.1s, 29.9 (low), 40.7 (high); Thromboplastin, 10May2008, 26.4s, 29.9 (low), 40.7 (high); Ultrasound abdomen, 10May2008 ISunit; Urea, 10May2008, 6mg/dl, 7 (low), 18 (high).
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 315309 Before After
VAERS Form:1
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); Prothrombin time, 09May2008, 13.5s, 11 (low), 15 (high); Prothrombin time, 10May2008, 12s, 11 (low), 15 (high); Sodium, 09May2008, 121mEq/dl, 136 (low), 145 (high); Sodium, 10May2008, 131mEq/dl, 136 (low), 145 (high); Stool analysis, 09May2008, see text; Thromboplastin, 09May2008, 23.1s, 29.9 (low), 40.7 (high); Thromboplastin, 10May2008, 26.4s, 29.9 (low), 40.7 (high); Ultrasound abdomen, 10May2008 ISunit; Urea, 10May2008, 6mg/dl, 7 (low), 18 (high).
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 315309 Before After
VAERS Form:1
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); Prothrombin time, 09May2008, 13.5s, 11 (low), 15 (high); Prothrombin time, 10May2008, 12s, 11 (low), 15 (high); Sodium, 09May2008, 121mEq/dl, 136 (low), 145 (high); Sodium, 10May2008, 131mEq/dl, 136 (low), 145 (high); Stool analysis, 09May2008, see text; Thromboplastin, 09May2008, 23.1s, 29.9 (low), 40.7 (high); Thromboplastin, 10May2008, 26.4s, 29.9 (low), 40.7 (high); Ultrasound abdomen, 10May2008 ISunit; Urea, 10May2008, 6mg/dl, 7 (low), 18 (high).
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 315309 Before After
VAERS Form:1
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); Prothrombin time, 09May2008, 13.5s, 11 (low), 15 (high); Prothrombin time, 10May2008, 12s, 11 (low), 15 (high); Sodium, 09May2008, 121mEq/dl, 136 (low), 145 (high); Sodium, 10May2008, 131mEq/dl, 136 (low), 145 (high); Stool analysis, 09May2008, see text; Thromboplastin, 09May2008, 23.1s, 29.9 (low), 40.7 (high); Thromboplastin, 10May2008, 26.4s, 29.9 (low), 40.7 (high); Ultrasound abdomen, 10May2008 ISunit; Urea, 10May2008, 6mg/dl, 7 (low), 18 (high).
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 315309 Before After
VAERS Form:1
Age:0.4
Gender:Male
Location:Foreign
Vaccinated:2008-02-29
Onset:2008-05-08
Submitted:2008-06-06
Entered:2008-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Blood glucose normal, Blood potassium decreased, Blood sodium decreased, Blood thromboplastin decreased, Blood urea decreased, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intestinal obstruction, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count normal, Platelet count normal, Prothrombin time normal, Surgery, Vomiting, White blood cell count decreased, X-ray abnormal, Ultrasound abdomen abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Transfusion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09May2008, see text; Blood glucose, 10May2008, 97mg/dl, 65 (low), 99 (high); Hematocrit, 10May2008, 28.6%, 37.7 (low), 53.7 (high); Hemoglobin, 09May2008, 10.3g/dl, 12.2 (low), 18.1 (high); Hemoglobin, 10May 2008, 9.82g/dl, 12.2 (low), 18.1 (high); Leukocyte count NOS, 09May2008, 12500mm3, 4600 (low), 10200 (high); Leukocyte count NOS, 10May2008, 8030mm3, 4600 (low), 10200 (high); Lymphocytes, 10May2008, 38.5%, 10 (low), 50 (high); Neutrophils, 10May2008, 44.9%, 37 (low), 80 (high); Platelet count, 09May2008, 379000mm3, 142000 (low), 424000 (high); Platelet count, 10May2008, 18500mm3, 142000 (low), 424000 (high); Potassium, 09May2008, 34mEq/dl, 3.5 (low), 5.1 (high); Potassium, 10May2008, 4.4mEq/dl, 3.5 (low), 5.1 (high); Prothrombin time, 09May2008, 13.5s, 11 (low), 15 (high); Prothrombin time, 10May2008, 12s, 11 (low), 15 (high); Sodium, 09May2008, 121mEq/dl, 136 (low), 145 (high); Sodium, 10May2008, 131mEq/dl, 136 (low), 145 (high); Stool analysis, 09May2008, see text; Thromboplastin, 09May2008, 23.1s, 29.9 (low), 40.7 (high); Thromboplastin, 10May2008, 26.4s, 29.9 (low), 40.7 (high); Ultrasound abdomen, 10May2008 ISunit; Urea, 10May2008, 6mg/dl, 7 (low), 18 (high).
CDC 'Split Type': B0523636A

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 male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject did not have any relevant medical history. Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 19 December 2007. On 29 February 2008 the subject received 2nd dose of ROTARIX. On 8 May 2008, 69 days after vaccination with ROTARIX, the subject experienced irritability, vomiting (2 episodes, one episode with bilis) and bloody stool. The subject was brought to emergency room with abdominal distension, without peristalsis and blood stain through anal examination. On 09 May 2008 relevant test included abdominal x-ray compatible with intestinal obstruction. On 10 May 2008 abdominal ultrasound confirmed intussusception. The same day the subject was hospitalised and abdominal surgery was performed. At surgery ileo-ileo-cecal intussusception was found and it was reduced by taxis without complications. Appendectomy was also done. After surgery the subject evolved slowly to clinical improvement. On 14 May 2008 the subject was discharged in good clinical conditions. The subject was treated with ranitidine hydrochloride, red blood cells and omeprazole. The physician considered the events were unrelated to vaccination with ROTARIX.

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