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This is VAERS ID 332888

Case Details

VAERS ID: 332888 (history)  
Form: Version 1.0  
Age: 0.5  
Gender: Female  
Location: Foreign  
Vaccinated:2008-10-13
Onset:2008-10-16
   Days after vaccination:3
Submitted: 2008-11-20
   Days after onset:35
Entered: 2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Haematochezia, Haemorrhage, Intussusception, Pyrexia, Surgery
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Ischaemic colitis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: B0546499A

Write-up: This case was reported by a physician and described the occurrence of invagination of intestine in a 7-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX (GlaxoSmithKline, oral) given on an unspecified date. On 13 October 2008, the subject received 2nd dose of ROTARIX (oral). Lot number not provided. At an unspecified time after vaccination with ROTARIX, the subject experienced invagination of intestine. The subject was hospitalised and had a surgery. At the time of reporting the outcome of the event was unspecified. Follow up information received on 17 November 2008 from the physician: On 16 October 2008, 3 days after vaccination with ROTARIX, the subject experienced fever, bleeding and bloody stools. The subject was hospitalised. Invagination of intestine was diagnosed and resolved by surgery on 20 October 2008. The physician considered the events were life threatening and clinically significant (or requiring intervention). On 20 October 2008, the events were resolved.


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