National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 320744

Case Details

VAERS ID: 320744 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Female  
Location: Foreign  
   Days after vaccination:4
Submitted: 2008-07-30
   Days after onset:74
Entered: 2008-07-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Enema administration, Intussusception, Lethargy, Rectal haemorrhage, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
CDC Split Type: B0530264A

Write-up: This case was reported by a healthcare professional and described the occurrence of intussusception in a 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). This case was collected through the foreign Surveillance Unit Acute Intussusception study occurring post Rotavirus vaccination. The subject was born at term. The subject''s birth weight is 3.39Kg. The subject had no history of intussusception. The subject had no previous significant illness/hospitalisations/operations. Feeding history: The subject currently fed formula. Until the age of 3 months the subject was exclusively breastfed. There was a change to the subject''s diet in the last week (change to formula). The subject had no feeding intolerance or food sensitivities. The subject received no current treatment. The subject received other vaccines as per schedule. Previous vaccination included ROTARIX (GlaxoSmithKline) given on 19 March 2008. On 13 May 2008, the subject received the 2nd dose of ROTARIX (unknown). On 17 May 2008, 4 days after vaccination with the 2nd dose of ROTARIX, the subject was admitted at hospital due to intussusception. The subject experienced passage of blood per rectum, vomiting and lethargy. No faeces sample was collected. The diagnosis of intussusception was made based on Enema (Site of intussusception: sigmoid colon). The subject was treated with guided fluoroscopy Enema. On 18 May 2008, the subject was discharged alive. At the time of reporting the outcome of the events was unspecified.

New Search

Link To This Search Result:

Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166