National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 326266

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 326266
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 326266 Before After
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 326266 Before After
VAERS Form:(blank) 1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 326266 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 326266 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 326266 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 326266 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 326266 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-03-05
Onset:2008-08-03
Submitted:2008-09-26
Entered:2008-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intestinal obstruction, Intussusception, Surgery, Vomiting, X-ray abnormal, Enema administration, Intestinal resection, Abdominal X-ray

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Abdominal X-ray, see text
CDC 'Split Type': B0538578A

Write-up: This case was reported by a physician and described the occurrence of ileocolic intussusception in a 10-month-old female subject who was vaccinated with ROTARIX, GlaxoSmithKline. The subject had no relevant medical history. Previous and/or concurrent vaccination included DTAP-IPOL-HIB (manufacturer unspecified, intramuscular) given on 3 December 2007, 5 February 2008 and 4 April 2008; HEP B (manufacturer unspecified, intramuscular) given on 24 September 2007, 3 December 2007 and 4 April 2008; tuberculosis vaccine (manufacturer unspecified, intradermal) given on 24 September 2007. On 5 March 2008, the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 3 August 2008, 5 months after vaccination with ROTARIX, the subject started with abdominal pain, vomiting, and bloody stools. The subject was hospitalized on 4 August 2008 with data of intestinal obstruction. The diagnosis of intussusception was confirmed by abdominal x-ray. The surgery was done on 5 August 2008. Ileocolic intussusception was resolved by intestinal resection of 40 cm without complication. The patient had good response and favorable evolution. The physician considered the events were life threatening and clinically significant (or requiring intervention). Abdominal radiography was performed and showed non-specific abnormalities, fluid levels and dilated bowel loops. The X-ray did not showed visible intussusception or soft tissue mass. Air or liquid contrast Enema performed did not demonstrate invagination of the intestine. Abdominal ultrasound was not done in diagnostic procedures. On 18 August 2008, the events were resolved and the subject was discharged. The physician considered the events were possibly related to vaccination with ROTARIX.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=326266&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166