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This is VAERS ID 324798

Case Details

VAERS ID: 324798 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Female  
Location: Foreign  
   Days after vaccination:8
Submitted: 2008-09-10
   Days after onset:49
Entered: 2008-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood test normal, Culture stool negative, Incorrect route of drug administration, Intussusception, Surgery, Vitello-intestinal duct remnant
SMQs:, Congenital, familial and genetic disorders (narrow), Gastrointestinal obstruction (narrow), Noninfectious diarrhoea (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Blood test, Jul2008, Normalunit; Stool culture, Jul2008, Negativeunit
CDC Split Type: B0535298A

Write-up: This case was reported by a regulatory authority (foreign Regulatory Authority # DHH2301N2008-42013) and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKilne). Concurrent medications included Vitamin D. On 15 July 2008, the subject received 1st dose of ROTARIX intramuscular at an unknown injection site instead of orally. The lot number was not provided. On 23 July 2008, 8 days after vaccination with ROTARIX, the subject experienced ileo-ileal intussusception twice, followed by 2 episodes of ileo-colic intussusception within 6 days. The subject was hospitalised. The biology tests performed were normal. Stool culture was negative. No virology test was performed. The subject was treated with surgery. During the surgery, a Meckel''s diverticulum was found. On 30 July 2008, the events were resolved. The vaccination course with ROTARIX was discontinued.

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