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This is VAERS ID 322867

Case Details

VAERS ID: 322867 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Female  
Location: Foreign  
Vaccinated:2008-04-28
Onset:2008-04-30
   Days after vaccination:2
Submitted: 2008-08-21
   Days after onset:113
Entered: 2008-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR A2130 / 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA573A / 1 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Enema administration, Gastrointestinal necrosis, Haematochezia, Intestinal resection, Intussusception, Laparotomy, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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 (narrow)

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: B0533694A

Write-up: This case was reported by a regulatory authority (# FI-NAM-20080737) and described the occurrence of invagination of intestine in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline), PENTAVAC. On 28 April 2008, the subject received the 1st dose of ROTARIX (oral), the 1st dose of PENTAVAC (intramuscular, unknown injection site). On 30 April 2008, 2 days after vaccination with PENTAVAC and ROTARIX, the subject experienced vomiting and bloody faeces. On the third day after the vaccination the subject was admitted to the central hospital, where she was diagnosed with invagination. One day later the baby was operated. Reposition not successful with the colongraphy and only partly in the laparotomy. Terminal ileum had become necrotic. Resection of the intestine, 40 cm of the intestine was removed. Diagnosis: Invagination and necrosis of intestinal region ileocecalia. At the time of reporting the events were unresolved.


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