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This is VAERS ID 337733

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 337733
VAERS Form:
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 337733 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
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 mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 337733 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 337733 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 337733 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 337733 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 337733 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 337733 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Foreign
Vaccinated:2008-11-10
Onset:2008-12-11
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal, Abdominal X-ray, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions: Broncholitis
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 13Dec2008, suggested intestinal obstruction.
CDC 'Split Type': B0552904A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in a 5-month-old female subject who was vaccinated with ROTARIX. The subject''s medical history included bronchiolitis. The subject was admitted at ER; she received unknown treatment and was discharged. Bronchiolitis started and finished one week earlier. Previous vaccination included ROTARIX (oral) given on 8 September 2008. On 10 November 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 11 December 2008, 31 days after vaccination with ROTARIX, the subject experienced abdominal pain, nausea, vomiting, irritability, bloody stools and constipation. On 13 December 2008, the subject was admitted at ER, Physical exam reported irritablilty, abdominal pain, dehydration, sausage chapped abdominal mass, current jelly stool with pallor and decreased bowel sounds. The subject was hospitalised. Abdominal X-ray suggested intestinal obstruction. Laparatomy was made on 14 December 2008; Ileocecal intussusception was found and resolved by taxis, prophylactic appendectomy was done without complications. The subject was treated with Ampicillin and Paracetamol. After a full recovery the subject was discharged on 17 December 2008 in good clinical conditions. On 17 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.

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