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This is VAERS ID 322074

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 322074
VAERS Form:
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 322074 Before After
VAERS Form:
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 322074 Before After
VAERS Form:(blank) 1
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 322074 Before After
VAERS Form:1
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 322074 Before After
VAERS Form:1
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 322074 Before After
VAERS Form:1
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 322074 Before After
VAERS Form:1
Age:0.2
Gender:Female
Location:Foreign
Vaccinated:2008-03-07
Onset:2008-05-04
Submitted:2008-08-13
Entered:2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Grand mal convulsion, Haematochezia, Intussusception, Melaena, Mucous stools, Pyrexia, Surgery, Vomiting, X-ray normal, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0532328A

Write-up: This case was reported by a physician and described the occurrence of ileo-caeco-colic intussusception in an 4-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. Previous vaccination included hepatitis B vaccine recombinant (manufacturer unspecified, intramuscular) ; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 29 December 2007. On 7 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided; On 4 May 2008, 58 days after vaccination with ROTARIX, the subject was taken to emergency room and started with abdominal pain, colic, 8 episodes of vomiting, 2 bloody stools like black currant jelly, fever and 1 tonic-clonic seizure. The initial diagnosis was gastroenteritis but the occurrence of bloody stools corroborated the diagnosis of intussusception which was confirmed by abdominal x-ray. The surgery was done on 4 May 2008. Ileo-caeco-colic intussusception was resolved by taxis without intestinal resection and complication. The patient had good response and favorable evolution. Abdominal radiography performed did not show abnormalities, visible intussusception or soft tissue mass, fluid levels and dilated bowel loops. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. The physician considered the events were clinically significant (or requiring intervention). On 7 May 2008, the events were resolved and the patient was discharged. The physician considered the events were unrelated to vaccination with ROTARIX. Additional information has been requested.

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