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This is VAERS ID 332619

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 332619
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-05-05
Onset:2008-06-18
Submitted:2008-11-17
Entered:2008-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Haematochezia, Intestinal obstruction, Intussusception, Mucous stools, Vomiting, Enema administration, Ultrasound abdomen abnormal, Virus serology test positive, Rotavirus test negative

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Breast Feeding
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Adenovirus test, 18Jun2008, Positive; Rotavirus test, 18Jun2008, Negative; Ultrasound abdomen, 18Jun2008, Abnormal
CDC 'Split Type': B0546213A

Write-up: This case was reported by a healthcare professional and described the occurrence of ileocolic intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was born at term, with birth weight 3.3 Kg. She had no personal or family history of intussusception. This case was collected through Foreign Paediatric Surveillance Unit Acute intussusception study occurring post rotavirus vaccination. Concurrent medical conditions included breast feeding. There were no change in the subject''s diet in the last the week. The subject had no feeding intolerance or food sensitivities. Previous vaccination included ROTARIX (GlaxoSmithKline) given on 6 February 2008. Within the last 2 weeks, the subject received Haemophilius influenzae type b vaccine, manufacturer unspecified; combined measles, mumps and rubella vaccine, live, attenuated (new strain) ; manufacturer unspecified; diphtheria and tetanus toxoids and acellular pertussis vaccine; manufacturer unspecified; hepatitis B vaccine recombinant, manufacturer unspecified, live attenuated poliomyelitis vaccine; manufacturer unspecified; pneumococcal vaccine, unspecified; manufacturer unspecified. The subject had no current treatment. On 5 May 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 18 June 2008, the subject received 2nd dose of ROTARIX, lot number not provided. ON 18 June 2008, 44 days after vaccination with ROTARIX, the subject was hospitalised due to ileocolic intussusception with intestinal obstruction, bile stained vomiting and vomiting, red current jelly stool, abdominal pain and diarrhea. the symptoms started 24 to 48 hours before the diagnosis. The diagnosis of intussusception was made based on abdomen ultrasound. the subject was hospitalised for 1 day. The stool test was negative for rotavirus and positive for adenovirus. The subject was successfully treated with enema fluoroscopy guided. On 18 June 2008, the events were resolved and the subject was discharged from hospital alive.


Changed on 5/13/2013

VAERS ID: 332619 Before After
VAERS Form:
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-05-05
Onset:2008-06-18
Submitted:2008-11-17
Entered:2008-11-17
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 pain, Diarrhoea, Haematochezia, Intestinal obstruction, Intussusception, Mucous stools, Vomiting, Enema administration, Ultrasound abdomen abnormal, Virus serology test positive, Rotavirus test negative

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Breast Feeding
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Adenovirus test, 18Jun2008, Positive; Rotavirus test, 18Jun2008, Negative; Ultrasound abdomen, 18Jun2008, Abnormal
CDC 'Split Type': B0546213A

Write-up: This case was reported by a healthcare professional and described the occurrence of ileocolic intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was born at term, with birth weight 3.3 Kg. She had no personal or family history of intussusception. This case was collected through Foreign Paediatric Surveillance Unit Acute intussusception study occurring post rotavirus vaccination. Concurrent medical conditions included breast feeding. There were no change in the subject''s diet in the last the week. The subject had no feeding intolerance or food sensitivities. Previous vaccination included ROTARIX (GlaxoSmithKline) given on 6 February 2008. Within the last 2 weeks, the subject received Haemophilius influenzae type b vaccine, manufacturer unspecified; combined measles, mumps and rubella vaccine, live, attenuated (new strain) ; manufacturer unspecified; diphtheria and tetanus toxoids and acellular pertussis vaccine; manufacturer unspecified; hepatitis B vaccine recombinant, manufacturer unspecified, live attenuated poliomyelitis vaccine; manufacturer unspecified; pneumococcal vaccine, unspecified; manufacturer unspecified. The subject had no current treatment. On 5 May 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 18 June 2008, the subject received 2nd dose of ROTARIX, lot number not provided. ON 18 June 2008, 44 days after vaccination with ROTARIX, the subject was hospitalised due to ileocolic intussusception with intestinal obstruction, bile stained vomiting and vomiting, red current jelly stool, abdominal pain and diarrhea. the symptoms started 24 to 48 hours before the diagnosis. The diagnosis of intussusception was made based on abdomen ultrasound. the subject was hospitalised for 1 day. The stool test was negative for rotavirus and positive for adenovirus. The subject was successfully treated with enema fluoroscopy guided. On 18 June 2008, the events were resolved and the subject was discharged from hospital alive.


Changed on 9/14/2017

VAERS ID: 332619 Before After
VAERS Form:(blank) 1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-05-05
Onset:2008-06-18
Submitted:2008-11-17
Entered:2008-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Haematochezia, Intestinal obstruction, Intussusception, Mucous stools, Vomiting, Enema administration, Ultrasound abdomen abnormal, Virus serology test positive, Rotavirus test negative

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Breast Feeding
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Adenovirus test, 18Jun2008, Positive; Rotavirus test, 18Jun2008, Negative; Ultrasound abdomen, 18Jun2008, Abnormal
CDC 'Split Type': B0546213A

Write-up: This case was reported by a healthcare professional and described the occurrence of ileocolic intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was born at term, with birth weight 3.3 Kg. She had no personal or family history of intussusception. This case was collected through Foreign Paediatric Surveillance Unit Acute intussusception study occurring post rotavirus vaccination. Concurrent medical conditions included breast feeding. There were no change in the subject''s diet in the last the week. The subject had no feeding intolerance or food sensitivities. Previous vaccination included ROTARIX (GlaxoSmithKline) given on 6 February 2008. Within the last 2 weeks, the subject received Haemophilius influenzae type b vaccine, manufacturer unspecified; combined measles, mumps and rubella vaccine, live, attenuated (new strain) ; manufacturer unspecified; diphtheria and tetanus toxoids and acellular pertussis vaccine; manufacturer unspecified; hepatitis B vaccine recombinant, manufacturer unspecified, live attenuated poliomyelitis vaccine; manufacturer unspecified; pneumococcal vaccine, unspecified; manufacturer unspecified. The subject had no current treatment. On 5 May 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 18 June 2008, the subject received 2nd dose of ROTARIX, lot number not provided. ON 18 June 2008, 44 days after vaccination with ROTARIX, the subject was hospitalised due to ileocolic intussusception with intestinal obstruction, bile stained vomiting and vomiting, red current jelly stool, abdominal pain and diarrhea. the symptoms started 24 to 48 hours before the diagnosis. The diagnosis of intussusception was made based on abdomen ultrasound. the subject was hospitalised for 1 day. The stool test was negative for rotavirus and positive for adenovirus. The subject was successfully treated with enema fluoroscopy guided. On 18 June 2008, the events were resolved and the subject was discharged from hospital alive.


Changed on 2/14/2018

VAERS ID: 332619 Before After
VAERS Form:1
Age:0.4
Gender:Female
Location:Foreign
Vaccinated:2008-05-05
Onset:2008-06-18
Submitted:2008-11-17
Entered:2008-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Haematochezia, Intestinal obstruction, Intussusception, Mucous stools, Vomiting, Enema administration, Ultrasound abdomen abnormal, Virus serology test positive, Rotavirus test negative

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Breast Feeding
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Adenovirus test, 18Jun2008, Positive; Rotavirus test, 18Jun2008, Negative; Ultrasound abdomen, 18Jun2008, Abnormal
CDC 'Split Type': B0546213A

Write-up: This case was reported by a healthcare professional and described the occurrence of ileocolic intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was born at term, with birth weight 3.3 Kg. She had no personal or family history of intussusception. This case was collected through Foreign Paediatric Surveillance Unit Acute intussusception study occurring post rotavirus vaccination. Concurrent medical conditions included breast feeding. There were no change in the subject''s diet in the last the week. The subject had no feeding intolerance or food sensitivities. Previous vaccination included ROTARIX (GlaxoSmithKline) given on 6 February 2008. Within the last 2 weeks, the subject received Haemophilius influenzae type b vaccine, manufacturer unspecified; combined measles, mumps and rubella vaccine, live, attenuated (new strain) ; manufacturer unspecified; diphtheria and tetanus toxoids and acellular pertussis vaccine; manufacturer unspecified; hepatitis B vaccine recombinant, manufacturer unspecified, live attenuated poliomyelitis vaccine; manufacturer unspecified; pneumococcal vaccine, unspecified; manufacturer unspecified. The subject had no current treatment. On 5 May 2008, the subject received 2nd dose of ROTARIX (oral), lot number not provided. On 18 June 2008, the subject received 2nd dose of ROTARIX, lot number not provided. ON 18 June 2008, 44 days after vaccination with ROTARIX, the subject was hospitalised due to ileocolic intussusception with intestinal obstruction, bile stained vomiting and vomiting, red current jelly stool, abdominal pain and diarrhea. the symptoms started 24 to 48 hours before the diagnosis. The diagnosis of intussusception was made based on abdomen ultrasound. the subject was hospitalised for 1 day. The stool test was negative for rotavirus and positive for adenovirus. The subject was successfully treated with enema fluoroscopy guided. On 18 June 2008, the events were resolved and the subject was discharged from hospital alive.


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