National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 336186

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 336186
VAERS Form:
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 5/13/2013

VAERS ID: 336186 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
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 distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 9/14/2017

VAERS ID: 336186 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 2/14/2018

VAERS ID: 336186 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 6/14/2018

VAERS ID: 336186 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 8/14/2018

VAERS ID: 336186 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 9/14/2018

VAERS ID: 336186 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.


Changed on 10/14/2018

VAERS ID: 336186 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Foreign
Vaccinated:2008-03-18
Onset:2008-05-11
Submitted:2008-12-29
Entered:2008-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Appendicectomy, Dehydration, Haematochezia, Hyperaemia, Intestinal obstruction, Intussusception, Pyrexia, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Abdominal X-ray, Hypophagia

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: 8     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, May 2008, see text
CDC 'Split Type': B0551530A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecal intussusception in a 6-month-old female subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject was on no other medication and had no relevant medical history or allergy. On 18 March 2008, the subject received 1st dose of ROTARIX (oral). Lot number not provided. On 11 May 2008, 54 days after vaccination with ROTARIX, the subject started with vomiting. The patient was admitted at ER on 11 May 2008 and showed at physical exam dehydration, hyperemic pharynx, abdominal distension, oral intake reduced. On 12 May 2008, the subject experienced bloody stools, fever, biliary vomiting and decreased gastrointestinal peristalsis. Abdominal x-ray showed distended small bowel, air-fluid levels and intestinal obstruction. Surgery was done on 13 May July 2008. Ileocecal intussusception in ileocecal valve was found, reduced by taxis with appendectomy without complications. The subject was treated with DIPHENIDOL, PARACETAMOL and TRIMETHOPRIM. On 19 May 2008, the events were resolved. The subject was discharged in good clinical conditions. The physician considered the events were unrelated to vaccination with ROTARIX. No additional information requested therefore the case has been closed.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=336186&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166