National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 320287

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

320287
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-14
Onset:2008-05-04
Submitted:2008-07-23
Entered:2008-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Gastrointestinal necrosis, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count increased, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count increased, Pharyngeal erythema, Band neutrophil count decreased

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: Band neutrophil count, 05May2008, 2%; Hematocrit, 05May2008, 32.1%; Hemoglobin, 05May2008, 11.2g/dl; Leukocyte count NOS, 05May2008, 15500/mm3; Lymphocytes, 05May2008, 4000/mm3; Neutrophil count, 05May2008, 10500/mm3; Platelet count, 05May2
CDC 'Split Type': B0529599A

Write-up:This case was reported by a physician in the frame of a PASS study and described the occurrence of ileocolic intussusception in a 6-month-old male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject was on no other medications and had no relevant medical history and no allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 13 February 2008. On 14 April 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 4 May 2008, 20 days after vaccination with ROTARIX, the subject started with irritability, colic pain, vomiting (5) and fever. The subject was hospitalized on 4 May 2008 with hyperemic pharynx and without evidence of abdominal complication. Later, the patient experienced tympanic abdomen, persistent pain, abdominal distension and bloody stools. Surgery was done on 5 May 2008. Invagination ileo-ileo-colic with intestinal necrosis was found and corrected by taxis. Intestinal resection of necrosed segment and term to term anastomosis at 4 cm of ileocaecal valve was performed. Necrotic segment was 20 cm. Post surgical evolution showed cough and surgical site infection with good response to antibiotics treatment, without more complication. Laboratory tests performed on 5 May 2008 showed the following: Hemoglobin: 11.2 g/dl, hematocrit: 32.1%, leukocytes: 15500/mm3, neutrophils: 10500/mm3, lymphocytes: 4000/mm3, bands: 2%, platelets: 458000/mm3. The subject was treated with paracetamol, metronidazole and amikacin. Clinical recuperation was favorable, the subject evolved in good clinical conditions. The date of discharge was not available in the chart. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 5/13/2013

320287 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-14
Onset:2008-05-04
Submitted:2008-07-23
Entered:2008-07-23
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, Gastrointestinal necrosis, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count increased, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count increased, Pharyngeal erythema, Band neutrophil count decreased

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: Band neutrophil count, 05May2008, 2%; Hematocrit, 05May2008, 32.1%; Hemoglobin, 05May2008, 11.2g/dl; Leukocyte count NOS, 05May2008, 15500/mm3; Lymphocytes, 05May2008, 4000/mm3; Neutrophil count, 05May2008, 10500/mm3; Platelet count, 05May2
CDC 'Split Type': B0529599A

Write-up:This case was reported by a physician in the frame of a PASS study and described the occurrence of ileocolic intussusception in a 6-month-old male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject was on no other medications and had no relevant medical history and no allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 13 February 2008. On 14 April 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 4 May 2008, 20 days after vaccination with ROTARIX, the subject started with irritability, colic pain, vomiting (5) and fever. The subject was hospitalized on 4 May 2008 with hyperemic pharynx and without evidence of abdominal complication. Later, the patient experienced tympanic abdomen, persistent pain, abdominal distension and bloody stools. Surgery was done on 5 May 2008. Invagination ileo-ileo-colic with intestinal necrosis was found and corrected by taxis. Intestinal resection of necrosed segment and term to term anastomosis at 4 cm of ileocaecal valve was performed. Necrotic segment was 20 cm. Post surgical evolution showed cough and surgical site infection with good response to antibiotics treatment, without more complication. Laboratory tests performed on 5 May 2008 showed the following: Hemoglobin: 11.2 g/dl, hematocrit: 32.1%, leukocytes: 15500/mm3, neutrophils: 10500/mm3, lymphocytes: 4000/mm3, bands: 2%, platelets: 458000/mm3. The subject was treated with paracetamol, metronidazole and amikacin. Clinical recuperation was favorable, the subject evolved in good clinical conditions. The date of discharge was not available in the chart. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 4/14/2017

320287 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-14
Onset:2008-05-04
Submitted:2008-07-23
Entered:2008-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Gastrointestinal necrosis, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count increased, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count increased, Pharyngeal erythema, Band neutrophil count decreased

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: Band neutrophil count, 05May2008, 2%; Hematocrit, 05May2008, 32.1%; Hemoglobin, 05May2008, 11.2g/dl; Leukocyte count NOS, 05May2008, 15500/mm3; Lymphocytes, 05May2008, 4000/mm3; Neutrophil count, 05May2008, 10500/mm3; Platelet count, 05May2 05May2008, 458000/mm3.
CDC 'Split Type': B0529599A

Write-up:This case was reported by a physician in the frame of a PASS study and described the occurrence of ileocolic intussusception in a 6-month-old male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject was on no other medications and had no relevant medical history and no allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 13 February 2008. On 14 April 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 4 May 2008, 20 days after vaccination with ROTARIX, the subject started with irritability, colic pain, vomiting (5) and fever. The subject was hospitalized on 4 May 2008 with hyperemic pharynx and without evidence of abdominal complication. Later, the patient experienced tympanic abdomen, persistent pain, abdominal distension and bloody stools. Surgery was done on 5 May 2008. Invagination ileo-ileo-colic with intestinal necrosis was found and corrected by taxis. Intestinal resection of necrosed segment and term to term anastomosis at 4 cm of ileocaecal valve was performed. Necrotic segment was 20 cm. Post surgical evolution showed cough and surgical site infection with good response to antibiotics treatment, without more complication. Laboratory tests performed on 5 May 2008 showed the following: Hemoglobin: 11.2 g/dl, hematocrit: 32.1%, leukocytes: 15500/mm3, neutrophils: 10500/mm3, lymphocytes: 4000/mm3, bands: 2%, platelets: 458000/mm3. The subject was treated with paracetamol, metronidazole and amikacin. Clinical recuperation was favorable, the subject evolved in good clinical conditions. The date of discharge was not available in the chart. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2017

320287 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-14
Onset:2008-05-04
Submitted:2008-07-23
Entered:2008-07-23
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, Gastrointestinal necrosis, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Irritability, Lymphocyte count normal, Neutrophil count increased, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count increased, Pharyngeal erythema, Band neutrophil count decreased

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: Band neutrophil count, 05May2008, 2%; Hematocrit, 05May2008, 32.1%; Hemoglobin, 05May2008, 11.2g/dl; Leukocyte count NOS, 05May2008, 15500/mm3; Lymphocytes, 05May2008, 4000/mm3; Neutrophil count, 05May2008, 10500/mm3; Platelet count, 05May2008, 458000/mm3.
CDC 'Split Type': B0529599A

Write-up:This case was reported by a physician in the frame of a PASS study and described the occurrence of ileocolic intussusception in a 6-month-old male subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject was on no other medications and had no relevant medical history and no allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 13 February 2008. On 14 April 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 4 May 2008, 20 days after vaccination with ROTARIX, the subject started with irritability, colic pain, vomiting (5) and fever. The subject was hospitalized on 4 May 2008 with hyperemic pharynx and without evidence of abdominal complication. Later, the patient experienced tympanic abdomen, persistent pain, abdominal distension and bloody stools. Surgery was done on 5 May 2008. Invagination ileo-ileo-colic with intestinal necrosis was found and corrected by taxis. Intestinal resection of necrosed segment and term to term anastomosis at 4 cm of ileocaecal valve was performed. Necrotic segment was 20 cm. Post surgical evolution showed cough and surgical site infection with good response to antibiotics treatment, without more complication. Laboratory tests performed on 5 May 2008 showed the following: Hemoglobin: 11.2 g/dl, hematocrit: 32.1%, leukocytes: 15500/mm3, neutrophils: 10500/mm3, lymphocytes: 4000/mm3, bands: 2%, platelets: 458000/mm3. The subject was treated with paracetamol, metronidazole and amikacin. Clinical recuperation was favorable, the subject evolved in good clinical conditions. The date of discharge was not available in the chart. At the time of reporting the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=320287&WAYBACKHISTORY=ON


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