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This is VAERS ID 316666

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 316666
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdom
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 316666 Before After
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
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, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdom
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 316666 Before After
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdom abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 316666 Before After
VAERS Form:(blank) 1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 316666 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 316666 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 316666 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 316666 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-24
Onset:2008-05-06
Submitted:2008-06-19
Entered:2008-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Blood potassium increased, Blood sodium decreased, Dehydration, Haematochezia, Haematocrit normal, Haemoglobin normal, Intestinal obstruction, Intussusception, Nausea, Pallor, Platelet count normal, Pyrexia, Surgery, Tachycardia, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, Abdominal X-ray

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 08May2008, 34.7%; Hemoglobin, 08May2008, 12.5g/dl; Neutrophils, 08May2008, 48%; Platelet count, 08May2008, 445mm3; Potassium, 08May2008, 6.4Eq/l; Sodium, 08May2008, 134.6Eq/l; White blood cells, 08May2008, 11.100mm3; x-ray abdomen: showed air fluid levels, dilated intestinal loops and absent distal gas.
CDC 'Split Type': B0524126A

Write-up: This case was reported by a physician in the frame of study and described the occurrence of ileocecal obstruction in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 24 March 2008 the subject received 2nd dose of ROTARIX (oral). On 6 May 2008, 43 days after vaccination with ROTARIX, the subject experienced ileocolic intussusception, blood in stool(s), abdominal distension, vomiting (8 times), fever, nausea, inability to pass flatus (abdominal distention gaseous), dehydration, pallor, tachycardia and abdominal pain. The subject was hospitalised on 8 May 2008. Urgent surgery was done ileocolic intussusception was found with perforation at 15cm of ileocecal valve (distal ileon), resection with term to term anastomosis of this portion of ileon (2cm approximately) was performed, no other complication was found. Postsurgical recuperation was slowly, finally was discharged on 15 May 2008. Lab test were performed. The subject was treated with amikacine, dimenhydrinate, paracetamol, cefoxtamine and metamizole. On 15 May 2008, the event was resolved. The physician considered the event was unrelated to vaccination with ROTARIX.

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