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This is VAERS ID 332472

Case Details

VAERS ID: 332472 (history)  
Form: Version 1.0  
Age: 0.3  
Gender: Male  
Location: Foreign  
   Days after vaccination:111
Submitted: 2008-11-14
   Days after onset:78
Entered: 2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal distension, Abdominal mass, Chest X-ray, Gastrointestinal sounds abnormal, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Hypophagia, Intussusception, Irritability, Lymphadenitis, Lymphocyte percentage, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Abdominal X-ray, 29Aug2008, see text; Hematocrit, 29Aug2008, 26.8%; Hemoglobin, 29Aug2008, 8.8g/dl; Leukocyte count NOS, 29Aug2008, 13.9x10^3/mm3; Lymphocytes, 29Aug2008, 24.7%; Platelet count, 29Aug2008, 254000mm3; Thorax X-ray, 29Aug2008, see text
CDC Split Type: B0545930A

Write-up: This case was reported by a physician in the frame of a PASS study and described the occurrence of intussusception in a 7-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included DTaP, Hep B and IPV, manufacturer unspecified; intramuscular given on 10 August 2008; Hep B vaccine; manufacturer unspecified; intramuscular given on 10 August 2008; pneumococcal vaccine, unspecified; manufacturer unspecified; intramuscular given on 10 August 2008. On 9 May 2008 the subject received 1st dose of ROTARIX (oral). On 28 August 2008, 111 days after vaccination with ROTARIX, the subject presented gastrobiliar vomiting, abdominal distention, pain, irritability, oral intolerance, current jelly stools and fever. The same day the subject was admitted to hospital. Subject''s physical examination included irritability, pallor, abdominal distention, generalized pain, decreased bowel sounds and abdominal mass in the right flank. Dance signs were positive and rectal tact was with current jelly stools. Relevant test includes thoracic and abdominal x-ray with distended loops and edema between loops. Intussusception was suspected. Therefore pneumoenema was performed without success. On 29 August 2008 the subject underwent a surgery in which ileocecal intussusception with mesenteric adenitis was confirmed and it reduced by taxis without complications. On 02 September 2008 the subject was discharged in good clinical conditions. The subject was treated with AMIKACIN, METRONIDAZOLE, OMEPRAZOLE, METAMIZOL, enema and surgery. On 2 September 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.

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