National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 322078

Case Details

VAERS ID: 322078 (history)  
Form: Version 1.0  
Age: 0.7  
Gender: Female  
Location: Foreign  
Vaccinated:2007-12-14
Onset:2008-04-01
   Days after vaccination:109
Submitted: 2008-08-13
   Days after onset:134
Entered: 2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 UN / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 2 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Anaemia, Dehydration, Haematochezia, Ileostomy, Inappropriate schedule of drug administration, Intestinal resection, Intussusception, Necrosis, Oral intake reduced, Pyrexia, Surgery, Transfusion, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

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:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 04Apr2008, abnormal
CDC Split Type: B0532361A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 11-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included DTaP-IPV-HIB; manufacturer unspecified; intramuscular given on 22 October 2007, 14 December 2007 and 18 February 2008; Hep B; manufacturer unspecified; intramuscular given on 15 August 2007, 22 October 2007 and 18 February 2008; Flu; manufacturer unspecified; intramuscular given on 18 February 2008; ROTARIX; GlaxoSmithKline; oral given on 22 October 2007; pneumococcal vaccine, unspecified; manufacturer unspecified; intramuscular given on 22 October 2007 and 14 December 2007; tuberculosis vaccine; non-GSK manufacturer; intradermal given on 15 August 2007. On 14 December 2007 the subject received 2nd dose of ROTARIX (oral). On April 2008, 3 months after vaccination with ROTARIX, the subject was brought to the emergency room due to 4 days of evolution with abundant vomiting, intolerance to oral intake, non assess fever and 2 days of evolution of bloody stools (like black currant jelly). The subject was treated with albendazole, BUTILHIOSCINE. After being admitted to the emergency room with moderate dehydration the subject was diagnosed with intestinal intussusception. Relevant test results included abdominal x-ray which showed fluid levels and dilated bowel loops. On 05 April 2008 the subject underwent a surgery in which intussusception ileocecal and ileoleal was found, in the last portion of the ileo it was found 5 cm of necrosis and later other 10 cm. Therefore a resection was performed for the last portion of ileus, cecal and xyphoid. Ileostomy was done with out complications. The subject presented favorable evolution but required jugular venodissection and packed red blood cell due to anemia. On 06 May 2008 the subject was discharged. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). At the time of reporting the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=322078


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