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This is VAERS ID 322728

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 322728
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-16
Onset:2008-07-08
Submitted:2008-08-20
Entered:2008-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Activated partial thromboplastin time, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Neutrophil count, pH urine normal, Platelet count normal, Prothrombin time shortened, Rectal haemorrhage, Vomiting, White blood cell count, X-ray abnormal, Enema administration, Intestinal functional disorder, Urine analysis normal, Abdominal X-ray, Oral intake reduced, Intestinal congestion, Gastrointestinal sounds abnormal

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: 22     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09Jul2008, abnormal; Blood glucose, 09Jul2008, 93mg/dl; Hematocrit, 09Jul2008, 37.7%; Hemoglobin, 09Jul2008, 9600/mm3; Neutrophils, 09Jul2008, 63%; Partial prothrombin time, 09Jul2008, 27.5sec; Platelet count, 09Jul2008, 38
CDC 'Split Type': B0533485A

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 8-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 and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 15 February 2008. On 16 April 2008; the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 8 July 2008, 83 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and poor oral intake. On 9 July 2008, he was taken to ER. At physical exam, he experienced abdominal pain to palpation, abdominal mass in transverse colon, bowel sounds decreased, bloody stools and rectal tract with blood and empty rectal ampulla. On 9 July 2008, abdominal x-ray was performed and showed lack of air in intestine, right side, lack of air in distal zone and dilated bowel loop. On 9 July 2008, pneumo-enema was done and showed invagination to transverse colon which was reduced in the first intent with success without complication. The subject was hospitalised and discharged in good clinical conditions on 31 July 2008. Laboratory tests were performed on 9 July 2008 and showed the following results: Hemoglobin: 13 g/dl; Hematocrit: 37.7%; Platelets: 384 000/mm3; Leukocytes: 9600/mm3; Neutrophils: 63%; PT: 10.8 sec; PTT: 27.5 sec; Glucose: 93 mg/dl; Sodium: 131 mEq/l; Potassium: 4 mEq/l; Urinary pH: 6; Urinary exam: leukocytes negative, bacteria negative, nitrites negative. The subject was treated with amikacin, metronadizole, ranitidine hydrochloride and METAMIZOLE. On 13 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 322728 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-16
Onset:2008-07-08
Submitted:2008-08-20
Entered:2008-08-20
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 mass, Abdominal pain, Activated partial thromboplastin time, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Neutrophil count, pH urine normal, Platelet count normal, Prothrombin time shortened, Rectal haemorrhage, Vomiting, White blood cell count, X-ray abnormal, Enema administration, Intestinal functional disorder, Urine analysis normal, Abdominal X-ray, Oral intake reduced, Intestinal congestion, Gastrointestinal sounds abnormal

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: 22     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09Jul2008, abnormal; Blood glucose, 09Jul2008, 93mg/dl; Hematocrit, 09Jul2008, 37.7%; Hemoglobin, 09Jul2008, 9600/mm3; Neutrophils, 09Jul2008, 63%; Partial prothrombin time, 09Jul2008, 27.5sec; Platelet count, 09Jul2008, 38
CDC 'Split Type': B0533485A

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 8-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 and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 15 February 2008. On 16 April 2008; the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 8 July 2008, 83 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and poor oral intake. On 9 July 2008, he was taken to ER. At physical exam, he experienced abdominal pain to palpation, abdominal mass in transverse colon, bowel sounds decreased, bloody stools and rectal tract with blood and empty rectal ampulla. On 9 July 2008, abdominal x-ray was performed and showed lack of air in intestine, right side, lack of air in distal zone and dilated bowel loop. On 9 July 2008, pneumo-enema was done and showed invagination to transverse colon which was reduced in the first intent with success without complication. The subject was hospitalised and discharged in good clinical conditions on 31 July 2008. Laboratory tests were performed on 9 July 2008 and showed the following results: Hemoglobin: 13 g/dl; Hematocrit: 37.7%; Platelets: 384 000/mm3; Leukocytes: 9600/mm3; Neutrophils: 63%; PT: 10.8 sec; PTT: 27.5 sec; Glucose: 93 mg/dl; Sodium: 131 mEq/l; Potassium: 4 mEq/l; Urinary pH: 6; Urinary exam: leukocytes negative, bacteria negative, nitrites negative. The subject was treated with amikacin, metronadizole, ranitidine hydrochloride and METAMIZOLE. On 13 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 322728 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-16
Onset:2008-07-08
Submitted:2008-08-20
Entered:2008-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Activated partial thromboplastin time, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Neutrophil count, pH urine normal, Platelet count normal, Prothrombin time shortened, Rectal haemorrhage, Vomiting, White blood cell count, X-ray abnormal, Enema administration, Intestinal functional disorder, Urine analysis normal, Abdominal X-ray, Oral intake reduced, Intestinal congestion, Gastrointestinal sounds abnormal

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: 22     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09Jul2008, abnormal; Blood glucose, 09Jul2008, 93mg/dl; Hematocrit, 09Jul2008, 37.7%; Hemoglobin, 09Jul2008, 9600/mm3; Neutrophils, 09Jul2008, 63%; Partial prothrombin time, 09Jul2008, 27.5sec; Platelet count, 09Jul2008, 38 384000/mm3; Potassium, 09Jul2008, 4mEq/l; Prothrombin time, 09Jul2008, 10.8sec; Urinary analysis, 09Jul2008, negative; pH urine, 09Jul2008, 6
CDC 'Split Type': B0533485A

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 8-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 and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 15 February 2008. On 16 April 2008; the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 8 July 2008, 83 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and poor oral intake. On 9 July 2008, he was taken to ER. At physical exam, he experienced abdominal pain to palpation, abdominal mass in transverse colon, bowel sounds decreased, bloody stools and rectal tract with blood and empty rectal ampulla. On 9 July 2008, abdominal x-ray was performed and showed lack of air in intestine, right side, lack of air in distal zone and dilated bowel loop. On 9 July 2008, pneumo-enema was done and showed invagination to transverse colon which was reduced in the first intent with success without complication. The subject was hospitalised and discharged in good clinical conditions on 31 July 2008. Laboratory tests were performed on 9 July 2008 and showed the following results: Hemoglobin: 13 g/dl; Hematocrit: 37.7%; Platelets: 384 000/mm3; Leukocytes: 9600/mm3; Neutrophils: 63%; PT: 10.8 sec; PTT: 27.5 sec; Glucose: 93 mg/dl; Sodium: 131 mEq/l; Potassium: 4 mEq/l; Urinary pH: 6; Urinary exam: leukocytes negative, bacteria negative, nitrites negative. The subject was treated with amikacin, metronadizole, ranitidine hydrochloride and METAMIZOLE. On 13 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 322728 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-16
Onset:2008-07-08
Submitted:2008-08-20
Entered:2008-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Activated partial thromboplastin time, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Neutrophil count, pH urine normal, Platelet count normal, Prothrombin time shortened, Rectal haemorrhage, Vomiting, White blood cell count, X-ray abnormal, Enema administration, Intestinal functional disorder, Urine analysis normal, Abdominal X-ray, Oral intake reduced, Intestinal congestion, Gastrointestinal sounds abnormal

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: 22     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09Jul2008, abnormal; Blood glucose, 09Jul2008, 93mg/dl; Hematocrit, 09Jul2008, 37.7%; Hemoglobin, 09Jul2008, 9600/mm3; Neutrophils, 09Jul2008, 63%; Partial prothrombin time, 09Jul2008, 27.5sec; Platelet count, 09Jul2008, 384000/mm3; Potassium, 09Jul2008, 4mEq/l; Prothrombin time, 09Jul2008, 10.8sec; Urinary analysis, 09Jul2008, negative; pH urine, 09Jul2008, 6
CDC 'Split Type': B0533485A

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 8-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 and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 15 February 2008. On 16 April 2008; the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 8 July 2008, 83 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and poor oral intake. On 9 July 2008, he was taken to ER. At physical exam, he experienced abdominal pain to palpation, abdominal mass in transverse colon, bowel sounds decreased, bloody stools and rectal tract with blood and empty rectal ampulla. On 9 July 2008, abdominal x-ray was performed and showed lack of air in intestine, right side, lack of air in distal zone and dilated bowel loop. On 9 July 2008, pneumo-enema was done and showed invagination to transverse colon which was reduced in the first intent with success without complication. The subject was hospitalised and discharged in good clinical conditions on 31 July 2008. Laboratory tests were performed on 9 July 2008 and showed the following results: Hemoglobin: 13 g/dl; Hematocrit: 37.7%; Platelets: 384 000/mm3; Leukocytes: 9600/mm3; Neutrophils: 63%; PT: 10.8 sec; PTT: 27.5 sec; Glucose: 93 mg/dl; Sodium: 131 mEq/l; Potassium: 4 mEq/l; Urinary pH: 6; Urinary exam: leukocytes negative, bacteria negative, nitrites negative. The subject was treated with amikacin, metronadizole, ranitidine hydrochloride and METAMIZOLE. On 13 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 322728 Before After
VAERS Form:1
Age:0.5
Gender:Male
Location:Foreign
Vaccinated:2008-04-16
Onset:2008-07-08
Submitted:2008-08-20
Entered:2008-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Activated partial thromboplastin time, Blood glucose increased, Blood potassium decreased, Blood sodium decreased, Haematochezia, Haematocrit normal, Haemoglobin normal, Intussusception, Neutrophil count, pH urine normal, Platelet count normal, Prothrombin time shortened, Rectal haemorrhage, Vomiting, White blood cell count, X-ray abnormal, Enema administration, Intestinal functional disorder, Urine analysis normal, Abdominal X-ray, Oral intake reduced, Intestinal congestion, Gastrointestinal sounds abnormal

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: 22     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 09Jul2008, abnormal; Blood glucose, 09Jul2008, 93mg/dl; Hematocrit, 09Jul2008, 37.7%; Hemoglobin, 09Jul2008, 9600/mm3; Neutrophils, 09Jul2008, 63%; Partial prothrombin time, 09Jul2008, 27.5sec; Platelet count, 09Jul2008, 384000/mm3; Potassium, 09Jul2008, 4mEq/l; Prothrombin time, 09Jul2008, 10.8sec; Urinary analysis, 09Jul2008, negative; pH urine, 09Jul2008, 6
CDC 'Split Type': B0533485A

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 8-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 and/or concurrent vaccination included ROTARIX (GlaxoSmithKline, oral) given on 15 February 2008. On 16 April 2008; the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 8 July 2008, 83 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and poor oral intake. On 9 July 2008, he was taken to ER. At physical exam, he experienced abdominal pain to palpation, abdominal mass in transverse colon, bowel sounds decreased, bloody stools and rectal tract with blood and empty rectal ampulla. On 9 July 2008, abdominal x-ray was performed and showed lack of air in intestine, right side, lack of air in distal zone and dilated bowel loop. On 9 July 2008, pneumo-enema was done and showed invagination to transverse colon which was reduced in the first intent with success without complication. The subject was hospitalised and discharged in good clinical conditions on 31 July 2008. Laboratory tests were performed on 9 July 2008 and showed the following results: Hemoglobin: 13 g/dl; Hematocrit: 37.7%; Platelets: 384 000/mm3; Leukocytes: 9600/mm3; Neutrophils: 63%; PT: 10.8 sec; PTT: 27.5 sec; Glucose: 93 mg/dl; Sodium: 131 mEq/l; Potassium: 4 mEq/l; Urinary pH: 6; Urinary exam: leukocytes negative, bacteria negative, nitrites negative. The subject was treated with amikacin, metronadizole, ranitidine hydrochloride and METAMIZOLE. On 13 July 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


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