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This is VAERS ID 334096

Case Details

VAERS ID: 334096 (history)  
Form: Version 1.0  
Age: 0.2  
Gender: Male  
Location: Foreign  
   Days after vaccination:46
Submitted: 2008-12-05
   Days after onset:61
Entered: 2008-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Decreased activity, Gastrointestinal sounds abnormal, Haematochezia, Intussusception, Irritability, Mucous stools, Pallor, Surgery, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (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, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: B0548917A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 3-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 20 August subject received 1st dose of ROTARIX (oral). On 5 October 2008, 46 days after vaccination with ROTARIX, the subject experienced irritability, gastro alimentary vomiting. He received ambulatory treatment with erythromycin and acetaminophen without improvement. He had bloody stools (3 episodes), hypoactive and pallor. The same day the subject was hospitalized. Physical examination showed hypo activity, pallor, and abdominal pain on palpation, decreased bowel sounds and current jelly stools. The diagnosis of intussusception was made by clinical feature. The subject underwent a surgery the same day. Ileocecocolic intussusception was found and reduced by taxis without complications. On 09 October 2008 the subject was discharged in good clinical conditions. The subject was treated with acetaminophen, Ranitidine and metronidazole. The physician considered the events were unrelated to vaccination with ROTARIX.

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