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This is VAERS ID 322867

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 322867
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-04-28
Onset:2008-04-30
Submitted:2008-08-21
Entered:2008-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR A2130 / 0 UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA573A / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Gastrointestinal necrosis, Haematochezia, Intussusception, Laparotomy, Vomiting, Enema administration, Intestinal resection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     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.


Changed on 5/13/2013

VAERS ID: 322867 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-04-28
Onset:2008-04-30
Submitted:2008-08-21
Entered:2008-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR A2130 / 0 UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA573A / 0 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA573A / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Gastrointestinal necrosis, Haematochezia, Intussusception, Laparotomy, Vomiting, Enema administration, Intestinal resection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     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.


Changed on 9/14/2017

VAERS ID: 322867 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-04-28
Onset:2008-04-30
Submitted:2008-08-21
Entered:2008-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR A2130 / 0 1 UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CA573A / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Gastrointestinal necrosis, Haematochezia, Intussusception, Laparotomy, Vomiting, Enema administration, Intestinal resection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     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.


Changed on 2/14/2018

VAERS ID: 322867 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-04-28
Onset:2008-04-30
Submitted:2008-08-21
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: Gastrointestinal necrosis, Haematochezia, Intussusception, Laparotomy, Vomiting, Enema administration, Intestinal resection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     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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