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This is VAERS ID 320950

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

320950
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-14
Onset:2008-07-04
Submitted:2008-07-31
Entered:2008-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Anorexia, Appendicectomy, Decreased activity, Dehydration, Diarrhoea, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Prothrombin time prolonged, Surgery, Platelet count increased, Gastrointestinal hypomotility

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastro Esophageal Reflux
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 07Jul2008, 35%; Hemoglobin, 07Jul2008, 12.3g/dl; Partial prothrombin time, 07Jul2008 51sec; Platelet count, 07Jul2008, 531000/mm3; Prothrombin time, 07Jul2008, 11sec
CDC 'Split Type': B0530958A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included gastro esophageal reflux. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 19 March 2008. On 14 May 2008, the subject received 2nd dose of ROTARIX (oral, lot number not provided). On 4 July 2008, 51 days after vaccination with ROTARIX, the subject experienced intussusception but there was no more information in the clinical chart. On 6 July 2008, 53 days after vaccination with ROTARIX, the subject was admitted at emergency room with diarrhea, hypoactivity, hyporexia, dehydration and decreased gastrointestinal peristalsis. 12 hours later, the patient showed bloody stools and rectal tact with expulsion of abundant blood. The subject was hospitalized and surgery was done on 7 July 2008. Intestinal invagination was corroborated and corrected by taxis with appendectomy, without complication. The patient was discharged in good clinical conditions on 9 July 2008. Laboratory test were performed on 7 July 2008 and showed the following results: Hemoglobin: 12.3 g/dl; Hematocrit: 35%; Platelets: 531000/mm3; PT: 11sec; PTT: 51 sec. The subject was treated with AMIKACINE, RANITIDINE, METAMIZOLE and CISAPRIDE. On 9 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

320950 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-14
Onset:2008-07-04
Submitted:2008-07-31
Entered:2008-07-31
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: Anorexia, Appendicectomy, Decreased activity, Dehydration, Diarrhoea, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Prothrombin time prolonged, Surgery, Platelet count increased, Gastrointestinal hypomotility

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastro Esophageal Reflux
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 07Jul2008, 35%; Hemoglobin, 07Jul2008, 12.3g/dl; Partial prothrombin time, 07Jul2008 51sec; Platelet count, 07Jul2008, 531000/mm3; Prothrombin time, 07Jul2008, 11sec
CDC 'Split Type': B0530958A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included gastro esophageal reflux. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 19 March 2008. On 14 May 2008, the subject received 2nd dose of ROTARIX (oral, lot number not provided). On 4 July 2008, 51 days after vaccination with ROTARIX, the subject experienced intussusception but there was no more information in the clinical chart. On 6 July 2008, 53 days after vaccination with ROTARIX, the subject was admitted at emergency room with diarrhea, hypoactivity, hyporexia, dehydration and decreased gastrointestinal peristalsis. 12 hours later, the patient showed bloody stools and rectal tact with expulsion of abundant blood. The subject was hospitalized and surgery was done on 7 July 2008. Intestinal invagination was corroborated and corrected by taxis with appendectomy, without complication. The patient was discharged in good clinical conditions on 9 July 2008. Laboratory test were performed on 7 July 2008 and showed the following results: Hemoglobin: 12.3 g/dl; Hematocrit: 35%; Platelets: 531000/mm3; PT: 11sec; PTT: 51 sec. The subject was treated with AMIKACINE, RANITIDINE, METAMIZOLE and CISAPRIDE. On 9 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

320950 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-14
Onset:2008-07-04
Submitted:2008-07-31
Entered:2008-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Anorexia, Appendicectomy, Decreased activity, Dehydration, Diarrhoea, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Prothrombin time prolonged, Surgery, Platelet count increased, Gastrointestinal hypomotility

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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastro Esophageal Reflux
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit, 07Jul2008, 35%; Hemoglobin, 07Jul2008, 12.3g/dl; Partial prothrombin time, 07Jul2008 51sec; Platelet count, 07Jul2008, 531000/mm3; Prothrombin time, 07Jul2008, 11sec
CDC 'Split Type': B0530958A

Write-up:This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included gastro esophageal reflux. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 19 March 2008. On 14 May 2008, the subject received 2nd dose of ROTARIX (oral, lot number not provided). On 4 July 2008, 51 days after vaccination with ROTARIX, the subject experienced intussusception but there was no more information in the clinical chart. On 6 July 2008, 53 days after vaccination with ROTARIX, the subject was admitted at emergency room with diarrhea, hypoactivity, hyporexia, dehydration and decreased gastrointestinal peristalsis. 12 hours later, the patient showed bloody stools and rectal tact with expulsion of abundant blood. The subject was hospitalized and surgery was done on 7 July 2008. Intestinal invagination was corroborated and corrected by taxis with appendectomy, without complication. The patient was discharged in good clinical conditions on 9 July 2008. Laboratory test were performed on 7 July 2008 and showed the following results: Hemoglobin: 12.3 g/dl; Hematocrit: 35%; Platelets: 531000/mm3; PT: 11sec; PTT: 51 sec. The subject was treated with AMIKACINE, RANITIDINE, METAMIZOLE and CISAPRIDE. On 9 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


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