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This is VAERS ID 332472

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 332472
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-09
Onset:2008-08-28
Submitted:2008-11-14
Entered:2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Chest X-ray, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Irritability, Lymphadenitis, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Lymphocyte percentage, Abdominal X-ray, Hypophagia, 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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
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,
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.


Changed on 5/13/2013

VAERS ID: 332472 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-09
Onset:2008-08-28
Submitted:2008-11-14
Entered:2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Chest X-ray, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Irritability, Lymphadenitis, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Lymphocyte percentage, Abdominal X-ray, Hypophagia, 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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
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,
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.


Changed on 4/14/2017

VAERS ID: 332472 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-09
Onset:2008-08-28
Submitted:2008-11-14
Entered:2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Chest X-ray, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Irritability, Lymphadenitis, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Lymphocyte percentage, Abdominal X-ray, Hypophagia, 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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
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.


Changed on 9/14/2017

VAERS ID: 332472 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-09
Onset:2008-08-28
Submitted:2008-11-14
Entered:2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Chest X-ray, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Irritability, Lymphadenitis, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Lymphocyte percentage, Abdominal X-ray, Hypophagia, 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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
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.


Changed on 2/14/2018

VAERS ID: 332472 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-05-09
Onset:2008-08-28
Submitted:2008-11-14
Entered:2008-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Chest X-ray, Haematochezia, Haematocrit decreased, Haemoglobin decreased, Intussusception, Irritability, Lymphadenitis, Mucous stools, Oedema, Pain, Pallor, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Lymphocyte percentage, Abdominal X-ray, Hypophagia, 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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
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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