National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 333514

Case Details

VAERS ID: 333514 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Foreign  
Vaccinated:2008-11-08
Onset:2008-11-16
   Days after vaccination:8
Submitted: 2008-12-01
   Days after onset:15
Entered: 2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FA614A / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema, Haematochezia, Intussusception, Surgery, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Abdominal X-ray, Nov2008, Abnormal
CDC Split Type: B0547195A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 3-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline given on 27 September 2008. On 8 November 2008, the subject received 2nd dose of ROTARIX (oral). On 16 November 2008, 8 days after vaccination with ROTARIX, the subject experienced bloody stools and abdominal pain, leading to hospitalisation, intussusception. The physician considered the events were clinically significant (or requiring intervention). The abdomen X-ray revealed an intussusception. On 17 November 2008, the subject was unsuccessfully treated with barium salt. The same day, surgery was performed. At the time of reporting the subject was still hospitalised and the events are improving. The physician considered the events were possibly related to vaccination with ROTARIX.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=333514


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166