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This is VAERS ID 322488

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 322488
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 322488 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
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: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 322488 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30 30Jul2008, 637000/mm3; Prothrombin time, 30Jul2008, 12.8sec
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 322488 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30Jul2008, 637000/mm3; Prothrombin time, 30Jul2008, 12.8sec
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 322488 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30Jul2008, 637000/mm3; Prothrombin time, 30Jul2008, 12.8sec
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 322488 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-06-30
Onset:2008-07-30
Submitted:2008-08-18
Entered:2008-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood group O, Gastrointestinal pain, Haematochezia, Haematocrit decreased, Haemoglobin normal, Intussusception, Irritability, Prothrombin time prolonged, Rhesus antibodies positive, Vomiting, White blood cell count increased, X-ray abnormal, Platelet count increased, Gastrointestinal hypomotility, Intestinal resection, Pharyngeal erythema, Intestinal anastomosis, 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? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 30Jul2008, see text; Blood group O, 30Jul2008, Orh+; Hematocrit, 30Jul2008, 32.1%; Hemoglobin, 30Jul2008, 10.4g/dl; Leukocyte count NOS, 30Jul2008, 32000/mm3; Partial prothrombin time, 30Jul2008, 25.1sec; Platelet count, 30Jul2008, 637000/mm3; Prothrombin time, 30Jul2008, 12.8sec
CDC 'Split Type': B0533056A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileo-colic intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on 29 April 2008. On 30 June 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 30 July 2008, 30 days after vaccination with ROTARIX, the subject was taken to emergency room with irritability. The physical exam showed hyperemic pharynx, pain in colonic zone and decreased gastrointestinal peristalsis. During hospitalization, the subject experienced gastric vomiting, abdominal pain right side and hematochezia. Abdominal X-ray was performed on 30 July and showed fix loop in right side, air-fluid-levels in iliac right side and lack of air in rectal ampulla. Surgery was done on 30 July 2008 and showed ileo-colic intussusception from appendix, ileo-caecal valve to colonic spleeny angle with vascular compromise of ileon. Resection with term-to-term anastomosis was done without complications. The subject had good clinical evolution. Laboratory tests were performed on 30 July and showed the following results: Hemoglobin: 10.4 g/dl; Hematocrit: 32.1%; Platelet count: 637 000/mm3; Leukocyte count: 32 000/mm3; Blood Group: O Rh+; PT: 12.8 sec; PTT: 25.1 sec. The subject was treated with paracetamol. On 6 August 2008, the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.

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