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This is VAERS ID 322082

Case Details

VAERS ID: 322082 (history)  
Form: Version 1.0  
Age: 0.33  
Gender: Female  
Location: Foreign  
Vaccinated:2008-03-13
Onset:2008-03-13
   Days after vaccination:0
Submitted: 2008-08-13
   Days after onset:153
Entered: 2008-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Appendicectomy, Food intolerance, Haematochezia, Ileus, Intussusception, Pyrexia, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: B0532576A

Write-up: This case was reported by a physician and described the occurrence of intussusception of intestine in a 4-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. On 13 March 2008 the subject received 1st dose of ROTARIX (oral). On 20 March 2008, 7 days after vaccination with ROTARIX, the subject was into the emergency room due to 4 days of evolution with abundant vomiting, intolerance to oral intake, non assess fever and 2 days of evolution with bloody stools (like black currant jelly stools). The subject was treated with metronidazole and gentamicin. Intussusception was clinically diagnosed, no x-ray nor ultrasound was done. The same day the subject underwent a surgery where ileocolic intussusception was found. The event was resolved by taxis. Prophylactic appendectomy was done without complications. The subject had a regular evolution, she had no intestinal activity, ventilation worsened and the subject required transfusion due to anemia. She presented hemorrhage from the upper digestive tube and resisting fever. It was decided to transfer her to a bigger hospital due to ileus and the worsening of medical conditions. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). At the time of reporting the events were worse. The reporter did not have more data to give a follow up report and he did not know if the subject improved. The physician considered the events were possibly related to vaccination with ROTARIX.


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