National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 339735

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 339735
VAERS Form:
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 5/13/2013

VAERS ID: 339735 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 9/14/2017

VAERS ID: 339735 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 2/14/2018

VAERS ID: 339735 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 6/14/2018

VAERS ID: 339735 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 8/14/2018

VAERS ID: 339735 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 9/14/2018

VAERS ID: 339735 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.


Changed on 10/14/2018

VAERS ID: 339735 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Foreign
Vaccinated:2008-11-06
Onset:2008-11-10
Submitted:2009-02-17
Entered:2009-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Diarrhoea haemorrhagic, Echography abnormal, Haemoglobin decreased, Intussusception, Surgery, Vomiting, X-ray abnormal, Ultrasound abdomen abnormal, Fluid intake reduced, Abdominal X-ray

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: Cleft lip
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 11Nov2008, IS; Echography, 11Nov2008, IS; Hemoglobin, 11Nov2008, 9.39%; Ultrasound abdomen, 11Nov2008, IS
CDC 'Split Type': B0546482A

Write-up: This case was reported by a physician via sales representative and described the occurrence of intussusception in a 9-week-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). On 6 November 2008 the subject received unspecified dose of ROTARIX (unknown), lot number unknown. The subject experienced intussusception. Therefore on 11 November 2008 the subject underwent a surgery. At the time of reporting the outcome of the event was unspecified. Follow up received on 07 January 2008: Subject''s family history did not include intussusception or bowel abnormalities. The subject did not have previous intra-abdominal surgery. On 11 November 2008 the subject onset ileocolic intussusception till spleen angle. Relevant test performed on 11 November included abdominal X-ray which confirmed intussusception and showed fluid levels and dilated bowel loops; the abdominal ultrasound showed visible intussusception. The same day the subject underwent a surgery. No resection was required. The subject survived. The vaccination with ROTARIX was discontinued. The outcome of the event remained unspecified. Follow up received on 10 February 2009: On 10 November 2008 the subject started vomiting and not drank anymore in the night. On 11 November 2008 the subject had bloody diarrhea and afterwards passive ++. Therefore he was brought to the emergency department. Relevant test included also echo abdomen and contrast enema. On 18 November 2008 the subject was discharged in good general conditions. On 25 November 2008 the subject underwent a control. The subject was fully recovered.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=339735&WAYBACKHISTORY=ON


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