National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 333536

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 333536
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 333536 Before After
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
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 pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 333536 Before After
VAERS Form:(blank) 1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 333536 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 333536 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 333536 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 333536 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 333536 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-06-11
Onset:2008-10-06
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Dehydration, Diarrhoea, Haematochezia, Intussusception, Irritability, Laparotomy, Pyrexia, Vomiting, 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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Healthy Baby
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': B0547633A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). Concurrent medical conditions included healthy baby. On 11 June 2008 the subject received 1st dose of ROTARIX (oral). On 6 October 2008, more than 3 months after vaccination with ROTARIX, the subject experienced abdominal pain, vomiting, diarrhea and fever. The subject was admitted to the emergency room. Physical examination showed irritability, bloody stools, dehydration and bowel sounds decreased. The subject was hospitalized. Clinical diagnostic of intussusception was suspected and corroborated by laparotomy. Intussusception was resolved by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The reporter considered the events were clinically significant or intervention required. The physician considered the events were unrelated to vaccination with ROTARIX.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=333536&WAYBACKHISTORY=ON


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