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This is VAERS ID 329844

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 329844
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-11
Onset:2008-10-02
Submitted:2008-10-23
Entered:2008-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Dehydration, Gastrointestinal necrosis, Haematochezia, Intussusception, Irritability, Laparotomy, Platelet count normal, Pyrexia, Vomiting, White blood cell count, Intestinal anastomosis, 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)? 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: Leukocyte count NOS, Oct2008, 10.1UI/mm3; Platelet count, Oct2008, 230.000UI/mm3
CDC 'Split Type': B0542497A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 6-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 11 June 2008. On 11 August 2008 the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 2 October 2008, 52 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and bloody stools. The patient was admitted to ER on 3 October 2008 and showed at physical exam irritability, fever, dehydration, palpable abdominal sausage shaped mass, bloody stools and bowel sounds decreased. The subject was hospitalised. Intussusception was diagnosed by clinical features. Laparotomy was done on 4 October 2008. Ileo-ceco-colic intussusception was found, with necrosis which required resection of 3 cm ileon and ascendant colon; term-to-term anastomosis was made without complications. The physician considered the events were clinically significant (or requiring intervention). Laboratory tests performed showed the following results: Leukocytes count: 10.1 UI/mm3; Platelets count: 230 000 /mm3. The subject was treated with Ampicillin, Amikacine, Metamizole and metoclopramide. On 15 October 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information was requested therefore the case has been closed.


Changed on 5/13/2013

VAERS ID: 329844 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-11
Onset:2008-10-02
Submitted:2008-10-23
Entered:2008-10-23
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, Dehydration, Gastrointestinal necrosis, Haematochezia, Intussusception, Irritability, Laparotomy, Platelet count normal, Pyrexia, Vomiting, White blood cell count, Intestinal anastomosis, 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)? 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: Leukocyte count NOS, Oct2008, 10.1UI/mm3; Platelet count, Oct2008, 230.000UI/mm3
CDC 'Split Type': B0542497A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 6-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 11 June 2008. On 11 August 2008 the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 2 October 2008, 52 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and bloody stools. The patient was admitted to ER on 3 October 2008 and showed at physical exam irritability, fever, dehydration, palpable abdominal sausage shaped mass, bloody stools and bowel sounds decreased. The subject was hospitalised. Intussusception was diagnosed by clinical features. Laparotomy was done on 4 October 2008. Ileo-ceco-colic intussusception was found, with necrosis which required resection of 3 cm ileon and ascendant colon; term-to-term anastomosis was made without complications. The physician considered the events were clinically significant (or requiring intervention). Laboratory tests performed showed the following results: Leukocytes count: 10.1 UI/mm3; Platelets count: 230 000 /mm3. The subject was treated with Ampicillin, Amikacine, Metamizole and metoclopramide. On 15 October 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information was requested therefore the case has been closed.


Changed on 9/14/2017

VAERS ID: 329844 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-11
Onset:2008-10-02
Submitted:2008-10-23
Entered:2008-10-23
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, Dehydration, Gastrointestinal necrosis, Haematochezia, Intussusception, Irritability, Laparotomy, Platelet count normal, Pyrexia, Vomiting, White blood cell count, Intestinal anastomosis, 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)? 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: Leukocyte count NOS, Oct2008, 10.1UI/mm3; Platelet count, Oct2008, 230.000UI/mm3
CDC 'Split Type': B0542497A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 6-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 11 June 2008. On 11 August 2008 the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 2 October 2008, 52 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and bloody stools. The patient was admitted to ER on 3 October 2008 and showed at physical exam irritability, fever, dehydration, palpable abdominal sausage shaped mass, bloody stools and bowel sounds decreased. The subject was hospitalised. Intussusception was diagnosed by clinical features. Laparotomy was done on 4 October 2008. Ileo-ceco-colic intussusception was found, with necrosis which required resection of 3 cm ileon and ascendant colon; term-to-term anastomosis was made without complications. The physician considered the events were clinically significant (or requiring intervention). Laboratory tests performed showed the following results: Leukocytes count: 10.1 UI/mm3; Platelets count: 230 000 /mm3. The subject was treated with Ampicillin, Amikacine, Metamizole and metoclopramide. On 15 October 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information was requested therefore the case has been closed.


Changed on 2/14/2018

VAERS ID: 329844 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-11
Onset:2008-10-02
Submitted:2008-10-23
Entered:2008-10-23
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, Dehydration, Gastrointestinal necrosis, Haematochezia, Intussusception, Irritability, Laparotomy, Platelet count normal, Pyrexia, Vomiting, White blood cell count, Intestinal anastomosis, 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)? 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: Leukocyte count NOS, Oct2008, 10.1UI/mm3; Platelet count, Oct2008, 230.000UI/mm3
CDC 'Split Type': B0542497A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 6-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 11 June 2008. On 11 August 2008 the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 2 October 2008, 52 days after vaccination with ROTARIX, the subject started with abdominal pain, vomiting and bloody stools. The patient was admitted to ER on 3 October 2008 and showed at physical exam irritability, fever, dehydration, palpable abdominal sausage shaped mass, bloody stools and bowel sounds decreased. The subject was hospitalised. Intussusception was diagnosed by clinical features. Laparotomy was done on 4 October 2008. Ileo-ceco-colic intussusception was found, with necrosis which required resection of 3 cm ileon and ascendant colon; term-to-term anastomosis was made without complications. The physician considered the events were clinically significant (or requiring intervention). Laboratory tests performed showed the following results: Leukocytes count: 10.1 UI/mm3; Platelets count: 230 000 /mm3. The subject was treated with Ampicillin, Amikacine, Metamizole and metoclopramide. On 15 October 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information was requested therefore the case has been closed.


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