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This is VAERS ID 333667

Case Details

VAERS ID: 333667 (history)  
Form: Version 1.0  
Age: 0.4  
Gender: Male  
Location: Foreign  
Vaccinated:2008-06-24
Onset:2008-11-21
   Days after vaccination:150
Submitted: 2008-12-02
   Days after onset:11
Entered: 2008-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal pain, Barium enema abnormal, Intussusception, Irritability, Laparotomy, Ultrasound abdomen abnormal, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal obstruction (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 21Nov2008, IS; Ultrasound abdomen, 21Nov2008, IS
CDC Split Type: B0547992A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocolic intussusception in a 9-month-old male subject who was vaccinated with ROTARIX, (GlaxoSmithKline). Previous and/or concurrent vaccination included ROTARIX; GlaxoSmithKline; oral given on 15 April 2008. On 24 June 2008 the subject received 2nd dose of ROTARIX (oral). On 21 November 2008, 150 days after vaccination with ROTARIX, the subject experienced irritability, abdominal pain and biliary vomiting. Abdominal x-ray showed a probable intussusception. Abdominal ultrasound and barium enema confirmed the diagnosis without reducing it. The same day the subject was admitted to the emergency room without clinical signs of intussusception. At physical examination only bowel was study. Laparotomy was done. ileocolic intussusception was confirmed and it was resolved by taxis without complications. On 23 November 2008 the subject was discharged fully recovered and in good clinical conditions. The subject was hospitalized for 3 days and the physician considered the events were clinically significant (or requiring intervention). The subject was treated with cefotaxime, Metamizole, midazolam, Ranitidine. The physician considered the events were possibly related to vaccination with ROTARIX.


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