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This is VAERS ID 320289

Case Details

VAERS ID: 320289 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Foreign  
   Days after vaccination:3
Submitted: 2008-07-23
   Days after onset:68
Entered: 2008-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Constipation, Gastrointestinal sounds abnormal, Haematochezia, Intussusception, Irritability, Malaise, Pallor, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Diagnostic Lab Data: UNK
CDC Split Type: B0529692A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 4-year-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history of allergy. On 13 May 2008, the subject received 1st dose of ROTARIX (oral, lot number not provided). On 16 May 2008, 3 days after vaccination with ROTARIX, the subject started with irritability, vomiting, constipation and malaise. On 18 May 2008, 5 days after vaccination with ROTARIX, the subject experienced bloody stools and he was hospitalized. The physical exam showed pallor, abdominal pain and bowel sounds increased. Barited enema was done on 18 May 2008 and showed ileocolic intussusception in transverse colon and reduction with pass through ileocaecal valve to ileon with success. The patient had good evolution and recuperation. The subject was discharged of emergency room on 18 May 2008 in good clinical conditions and pass to pediatric service for clinical observation. The date of hospitalization discharge was not available. The physician considered the events were possibly related to vaccination with ROTARIX.

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