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This is VAERS ID 337734

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 337734
VAERS Form:
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Pla
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 337734 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Pla
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 4/14/2017

VAERS ID: 337734 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
Submitted:2009-01-20
Entered:2009-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Pla Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 337734 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 337734 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 337734 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 337734 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 337734 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 337734 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Foreign
Vaccinated:2008-08-01
Onset:2008-12-25
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 pain, Activated partial thromboplastin time shortened, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal, Haematochezia, Haemoglobin normal, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Platelet count normal, Prothrombin time normal, Vomiting, White blood cell count normal, X-ray abnormal, Neutrophil percentage increased, 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:
Allergies:
Diagnostic Lab Data: Activated partial thromboplast, 26Dec2008, 23.3Seconds; Blood glucose, 26Dec2008, 128mg/dL; Blood urea nitrogen, 26Dec2008, 13mg/dL; Creatinine, 26Dec2008, 0.3mg/dL; Hemoglobin, 26Dec2008, 12mg/dL; Neutrophil percentage, 26Dec2008, 77%; Platelet count, 26Dec2008, 400000IU; Potassium, 26Dec2008, 4.6meq/dL; Prothrombin time, 26Dec2008, 12.5Seconds; Sodium, 26Dec2008, 141mEq/dL; White blood cell count, 26Dec2008, 15800IU
CDC 'Split Type': B0553181A

Write-up: This case was reported by a physician in the frame of a study and described the occurrence of intussusception in an 8-month-old male subject who was vaccinated with ROTARIX (oral) given on 9 June 2008. The subject was previously healthy; he had no relevant medical history or allergy. Previous vaccination included ROTARIX (GlaxoSmithKline). On 1 August 2008, the subject received the 2nd dose of ROTARIX (oral, lot number not provided). On 25 December 2008, 5 months after vaccination with the 2nd dose of ROTARIX, the subject experienced abdominal pain, nausea, vomiting and irritability. On 26 December 2008, the subject was admitted at ER. Physical exam reported vomiting, current jelly stool and decreased bowel sounds. The subject was hospitalised and the physician considered the events were clinically significant (or requiring intervention). Lab tests were performed and showed the following: Leucocytes: 15800 IU; Neutrophils: 77%; Platelets: 400000 IU; Hemoglobin: 12 mg/dL; Prothrombin time: 12.5 Seconds: Partial thromboplastin time: 23.3 Seconds; Sodium: 141 mEq/dL; Potassium: 4.6 mEq/dL; BUN: 13 mg/dL; Creatinine: 0.3 mg/dL; Glucose: 128 mg/dL. X-ray was performed and showed intestinal loops distention and bad gas distribution. Intussusception was suspected and confirmed by laparatomy on 27 December 2008. Ileocecocolic intussusception was found and reduced by taxis without complications. The subject was treated with Ranitidine. After recovery, the subject was discharged on 30 December 2008 in good clinical conditions. On 30 December 2008, the events were resolved. The physician considered the events were unrelated to vaccination with ROTARIX.

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