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This is VAERS ID 332811

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 332811
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 332811 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
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, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 332811 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8 27.8%; Neutrophils, 07Oct2008, 59.20%; Platelet count, 07Oct2008, 302000mm3; urea, 07Oct2008, 46mg/dl
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 332811 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8%; Neutrophils, 07Oct2008, 59.20%; Platelet count, 07Oct2008, 302000mm3; urea, 07Oct2008, 46mg/dl
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 332811 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8%; Neutrophils, 07Oct2008, 59.20%; Platelet count, 07Oct2008, 302000mm3; urea, 07Oct2008, 46mg/dl
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 332811 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8%; Neutrophils, 07Oct2008, 59.20%; Platelet count, 07Oct2008, 302000mm3; urea, 07Oct2008, 46mg/dl
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 332811 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-10-02
Onset:2008-10-05
Submitted:2008-11-19
Entered:2008-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Blood creatinine normal, Blood glucose normal, Blood urea increased, Flatulence, Haematocrit decreased, Haemoglobin normal, Ileal perforation, Intestinal obstruction, Intussusception, Irritability, Lymphadenitis, Platelet count normal, Pyrexia, Surgery, Vomiting, White blood cell count, X-ray abnormal, Intestinal resection, Intestinal anastomosis, Neutrophil percentage, Lymphocyte percentage, Abdominal X-ray, 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: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 06Oct2008, see text; Blood glucose, 07Oct2008, 99mg/dl; Creatinine, 07Oct2008, 0.31mg/dl; Hematocrit, 07Oct2008, 34.9%; Hemoglobin, 07Oct2008, 11.9g/dl; Leukocyte count NOS, 07Oct2008, 13000mm3; Lymphocytes, 07Oct2008, 27.8%; Neutrophils, 07Oct2008, 59.20%; Platelet count, 07Oct2008, 302000mm3; urea, 07Oct2008, 46mg/dl
CDC 'Split Type': B0546365A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 2 October 2008, 3 days after vaccination with ROTARIX, the subject presented vomiting, irritability, abdominal distension and fever. The subject received ambulatory treatment with co-trimoxazole , acetaminophen and metaclopramide without improvement. On 06 October 2008 the subject was hospitalized. Subject''s physical examination showed abdominal distension, absence of bowel sounds and tympanites. The x-ray showed dilated loops, edema between loop and loop and bounden loop. The diagnosis made by clinical feature and abdominal x-ray was intestinal obstruction and intussusception. On 08 October 2008 the subject underwent a surgery in which ileocecocolic intussusception with 5cm length perforation in ileum and mesenteric adenitis was found. Reduction by taxis and intestinal resection of 8 cm length in terminal ileum with anastomosis was performed. The subject''s evolution was bad. Therefore on 15 October 2008 the subject underwent a 2nd surgery in which 50% anastomosis dehiscence and 8mm of new intestinal perforation was found. A new resection of 5 cm in ileum and new anastomosis was performed. The subject showed good evolution. On 27 October 2008 the subject was discharged in good conditions. The subject was treated with (Acetaminophen), Ranitidine, amikacin, metronidazole, midazolam, sodium bicarbonate and cefotaxime. The physician considered the events were possibly related to vaccination with ROTARIX.

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