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This is VAERS ID 380885

History of Changes from the VAERS Wayback Machine

First Appeared on 3/2/2010

VAERS ID: 380885
VAERS Form:
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 380885 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
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, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 380885 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 380885 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 380885 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 380885 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 380885 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 380885 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2008-12-02
Submitted:2010-02-19
Entered:2010-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Abdominal pain, Dehydration, Haematochezia, Intussusception, Irritability, Laparotomy, Nausea, Vomiting, X-ray abnormal, Gastrointestinal hypomotility, Decreased appetite, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal X-ray, 05Dec2008, see text
CDC 'Split Type': B0634572A

Write-up: This case was reported by a physician and described the occurrence of intussusception in a 5-month-old male subject who was vaccinated with ROTARIX (GlaxoSmithKline). The subject had no relevant medical history. On an unspecified date the subject received 1st dose of ROTARIX (1 ml, oral). Lot number not provided. On 2 December 2008, at an unspecified time after vaccination with ROTARIX, the subject experienced bloody stools, vomiting, nausea, hyporexia, irritability, abdominal distention. On 5 December 2008, the subject was taken to emergency room with dehydration, abdominal pain, morcilla sign positive and bowel peristalsis decreased. An abdominal X-ray was performed on 5 December 2008. Ileocolic intussusception was suspected and confirmed by laparotomy, performing taxis without complications. The subject was hospitalized and the physician considered the events were clinically significant (or requiring intervention). Plain abdominal radiograph showing fluid levels AND dilated bowel loops. Plain abdominal radiograph showing non-specific abnormalities. No abdominal scan or ultrasound was performed. On 11 December 2008, the events were resolved. The subject was discharged in good medical condition. The physician considered the events were almost certainly related to vaccination with ROTARIX.

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