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This is VAERS ID 336465

Case Details

VAERS ID: 336465 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Male  
Location: Foreign  
   Days after vaccination:194
Submitted: 2009-01-05
   Days after onset:29
Entered: 2009-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal X-ray, Abdominal distension, Abdominal pain, Anorexia, Blood glucose increased, Blood group O, Dehydration, Gastrointestinal sounds abnormal, Haematochezia, Hyperaemia, Intussusception, Mucous stools, Neutrophil percentage, Pallor, Platelet count increased, Pyrexia, Rectal haemorrhage, Vomiting, White blood cell count normal, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (narrow)

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, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Abdominal X-ray, 11Dec2008, see text; Blood glucose, 11Dec2008, 123mg/dl; Blood group O, 11Dec2008, Rh+; Leukocyte count NOS, 11Dec2008, 9700/mm3; Neutrophils, 11Dec2008, 68%; Platelet count, 11Dec2008, 537000/mm3
CDC Split Type: B0551679A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of ileocecolic intussusception in a 1-year-old male subject who was vaccinated with ROTARIX. The subject was on no other medication and had no relevant medical history or allergy. Previous vaccination included ROTARIX (oral) given on 27 March 2008. On 27 May the subject received 2nd dose of ROTARIX (oral). Lot number not provided. On 7 December 2008, 6 months after vaccination with ROTARIX, the subject experienced stated with vomiting, abdominal pain, hyporexia, fever and abdominal distention. The patient was admitted at ER on 11 December 2008 and showed at physical exam pallor, dehydration, vomiting, hyperemic pharynx, abdominal distention bowel sounds decreased, blood at rectal tact, and current jelly stool. Abdominal X- ray suggested intestinal obstruction and intussusception was suspected. Ileocecolic intussusception was found, reduced by taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Laboratory tests were performed on 11 December 2008 and showed the following results: Blood group: o+; Leukocytes: 9700/mm3; Neutrophils: 68%; Platelets: 537 000/mm3; Blood glucose: 123 mg/dl. The subject was treated with CEFTRIXANOE, METRONIDAZOLE; AMIKACINE; CEFOTAXIME; RANITIDINE; BUPRENORPHINE; FUROSEMIDE; BUTILHOSCINE; PIPERACILLIN+ TAZOBACTAM; MEDIZYME and PYRIDOXINE. On 15 December 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.

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