National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 335903

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 335903
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; I
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treat


Changed on 8/31/2010

VAERS ID: 335903 Before After
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Bowel sounds abnormal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; I
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treat


Changed on 1/4/2011

VAERS ID: 335903 Before After
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal mass, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Bowel sounds abnormal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; I International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treat treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 335903 Before After
VAERS Form:
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 335903 Before After
VAERS Form:(blank) 1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 335903 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 335903 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 335903 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 335903 Before After
VAERS Form:1
Age:0.2
Gender:Male
Location:Foreign
Vaccinated:2008-05-29
Onset:2008-12-03
Submitted:2008-12-22
Entered:2008-12-22
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, Appendicectomy, Blood creatinine normal, Blood fibrinogen increased, Blood glucose normal, Diarrhoea, Haematochezia, Haematocrit normal, Haemoglobin normal, Ileus, International normalised ratio decreased, Intestinal dilatation, Intussusception, Lymphadenitis, Pain, Pallor, Platelet count normal, Prothrombin level normal, Pyrexia, Specific gravity urine, Thrombosis, Vomiting, X-ray abnormal, Appendix disorder, Abdominal X-ray, Abdominal wall haematoma, 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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text; Abdominal X-ray, 07Dec2008, see text; Blood glucose, 05Dec2008, 82mg/dL; Creatinine, 05Dec2008, 0.4 mg/dL; Fibrinogen, 05Dec2008, 405g/L; Hematocrit, 05Dec2008, 34.8%; Hemoglobin, 05Dec2008, 11.9g/dL; International normalized ratio, 05Dec2008, 0.95; Platelet count, 05Dec2008, 359000/mm3; Prothrombin time, 05Dec2008, 11.2 Sec; Urine specific gravity, 05Dec2008, 1.010
CDC 'Split Type': B0551171A

Write-up: This case was reported by a physician in the frame of pass study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX. The subject had no relevant medical history or allergy. Previous vaccination included ROTAVIRUS vaccine (oral) given on 29 march 2008. On 29 March 2008, the subject received a 2nd dose of ROTARIX (oral, lot number not provided). On 3 December 2008, 6 months after vaccination with 2nd dose of ROTARIX, the subject experienced gastroalimentary vomiting, liquid and bloody stools. The subject received ambulatory treatment with AMPICILLIN trihydrate (AMPICILLIN) and PARACETAMOL (acetaminophen) secondary to rhinopharyngeal infection without improvement. On 5 December 2008, the subject was hospitalised. Physical exam reported pallor, abdominal distention with mass in descendent colon and rectal tact with abundant blood and open sphincter. Lab test were performed and showed the following Glucose: 92mg/dL; Creatinine: 0.4mg/dL; Urine specific gravity: 1.010; Hemoglobin:11.9 g/dL; Hematocrit: 34.8%; Platelets count: 35900/mm3; Prothrombin time:11.2 seconds; International normalized ratio: 0.95; Fibrinogen: 405 g/dL. Abdominal X- ray was performed and showed only loops dilatation. Diagnosis of intussusception was made. Surgery was performed on 5 December 2008. Intussusception Ileocolic and congested appendix was found and resolved by taxis, appendectomy was done with adentis mesenteric findings. The subject had bad evolution, he presented intestinal occlusion with abdominal distention, pain to palpitation, decreased bowel sounds, gasrobilary vomiting and fever. On 7 December 2008, abdominal X-ray was performed and showed ileon loops dilatation and paralytic ileus. On 9 December 2008, surgery was performed again, wall hematoma, thrombosis in 6 cm length mesentery, congestion and dilatation in sigmoid and descendent colon were found. it was resolved by anterograde decompressor colonic and aspiration of coagula with good evolution. The subject was treated with AMIKACIN, RANITIDINE, METRONIDAZOLE; METOCLOPRAMIDE(METOCLOPRAMID); FRUSEMIDE (FUROSEMIDE) , CEFOTAXIME and KETOROLAC TROMETAROL ( KETOROLAC). On 16 December 2008, the subject was discharged. On 16 December 2008, the events were resolved. 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=335903&WAYBACKHISTORY=ON


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