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This is VAERS ID 333541

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 333541
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 333541 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 333541 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 333541 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 333541 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 333541 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Foreign
Vaccinated:2008-09-23
Onset:2008-11-12
Submitted:2008-12-01
Entered:2008-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Abdominal pain, Anorexia, Asthenia, Dehydration, Haematochezia, Intussusception, Irritability, Mucous stools, Vomiting, X-ray abnormal, Enema administration, Abdominal X-ray

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: Abdominal X-ray, 13Nov2008, see text
CDC 'Split Type': B0547954A

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 female subject who was vaccinated with ROTARIX (GlaxoSmithKline). Previous vaccination included ROTARIX; GlaxoSmithKline; oral given on 24 July 2008. On 23 September 2008 the subject received 2nd dose of ROTARIX (oral). On 12 November 2008, 50 days after vaccination with ROTARIX, the subject experienced hyporexia, asthenia, adynamia, irritability, dehydration, abdominal pain, gastrobiliar vomiting and a bloody stool. The subject received ambulatory treatment Butilhioscine, Dimeticone, racecadotril, Diphenidol and electrolytes without improvement. On 13 November 2008 the subject was hospitalized. Physical examination showed abdominal pain, abdominal distension, abdominal mass in transverse colon, positive dance sign and rectal tact with spontaneous current jelly stools. Abdominal x-ray showed bad air distribution, dilated loop in left flank and right ileac fossa and distal lack of air. Diagnosis of intussusception was made and it was resolved by pneumonenema. On 18 November 2008 the subject was discharged in good clinical conditions. The subject was treated with omeprazole, Metamizole, Amikacine, metronidazole and enema. The physician considered the events were unrelated to vaccination with ROTARIX.

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