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This is VAERS ID 333142

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 333142
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/m
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 333142 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/m
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 333142 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/m 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 333142 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 333142 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 333142 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 333142 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 333142 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Foreign
Vaccinated:2008-08-13
Onset:2008-09-01
Submitted:2008-11-24
Entered:2008-11-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Barium enema abnormal, Blood creatine decreased, Blood glucose increased, Blood urea increased, Diet refusal, Haematochezia, Haematocrit normal, Haemoglobin normal, Inappropriate schedule of drug administration, Intussusception, Irritability, Pain, Pallor, Palpitations, Pyrexia, Rectal haemorrhage, Surgery, Vomiting, White blood cell count increased, Platelet count increased, Neutrophil percentage increased, Intestinal mass, 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: Barium enema, 01Sep2008, See text; Blood glucose, 01Sep2008, 114mg/dL; Creatinine, 01Sep2008, 0.4mg/dL; Hematocrit, 01Sep2008, 35.9%; Hemoglobin, 01Sep2008, 12g/L; Neutrophil percentage, 01Sep2008, 71.3%; Platelet count, 01Sep2008, 582000/mm3; Urea, 01Sep2008, 21mg/dL; White blood cell count, 01Sep2008, 19000/mm3
CDC 'Split Type': B0547121A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 4-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history or allergy. Concurrent vaccination included pneumococcal vaccine (manufacturer unspecified; intramuscular; unknown injection site) given on 13 August 2008. On 13 August 2008, the subject received the 1st dose of ROTARIX (oral, lot number not provided). On 1 September 2008, 19 days after vaccination with ROTARIX, the subject experienced irritability, oral unacceptance, gastrobiliary vomiting (3), fever and bloody stools (5). The subject received ambulatory treatment with "Toprom", FLORATIL and PEPTOBISMOL without improvement. The subject was hospitalised. Physical exam with pallor, abdominal mass in left flank, pain to the palpation, incremented bowel sounds, Dance sign positive. Rectal mass and fresh blood in rectal tact. Laboratory tests were performed and showed the following: Glucose: 114 mg/dL; Urea: 21mg/dL; Creatinine: 0.4 mg/dL; Leucocytes: 19000/mm3; Hematocrit: 35.9%; Hemoglobin: 12 g/dL; Platelets: 582000/mm3; Neutrophils: 71.3%. Barium Enema was performed and showed inferior occlusion probably in the descending colon and sigmoid. Diagnosis of intestinal intussusception was made. 01 September 2008, surgery was performed: Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with BISMUTH and RANITIDINE. On 7 September 2008, the subject was discharged in good clinical conditions. On 7 September 2008, the events were resolved. The physician considered the events were possibly related to vaccination with ROTARIX.

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