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This is VAERS ID 389308

History of Changes from the VAERS Wayback Machine

First Appeared on 6/2/2010

VAERS ID: 389308
VAERS Form:
Age:0.5
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 5/13/2013

VAERS ID: 389308 Before After
VAERS Form:
Age:0.5
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 1 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 2/14/2017

VAERS ID: 389308 Before After
VAERS Form:
Age:0.5 0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 9/14/2017

VAERS ID: 389308 Before After
VAERS Form:(blank) 1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 2/14/2018

VAERS ID: 389308 Before After
VAERS Form:1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 6/14/2018

VAERS ID: 389308 Before After
VAERS Form:1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 8/14/2018

VAERS ID: 389308 Before After
VAERS Form:1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 9/14/2018

VAERS ID: 389308 Before After
VAERS Form:1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.


Changed on 10/14/2018

VAERS ID: 389308 Before After
VAERS Form:1
Age:0.48
Sex:Male
Location:Foreign
Vaccinated:2010-05-15
Onset:2010-05-15
Submitted:2010-05-25
Entered:2010-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS AF41FV042A / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Abdominal rigidity, Crying, Diet refusal, Intussusception, Ultrasound abdomen abnormal, Gastrointestinal oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: ultrasound abdomen, 15May2010, see text
CDC 'Split Type': B0653433A

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). No significant contributory history. Previous and/or concurrent vaccination included ROTARIX vaccine; GlaxoSmithKline; unknown given on 10 April 2010. On 15 May 2010, the subject received 2nd dose of ROTARIX (route unknown). On 15 May 2010, 3 hours after vaccination with ROTARIX, the subject experienced intussusception (auto-reduction of), straining on defecation, tensed abdomen sensitive to palpation, refused to feed, crying uncontrollably and bowel wall edema revealed by an USG abdomen. The subject was hospitalised and discharged after 1 day. No surgical treatment required. The subject was treated with intravenous fluids. At the time of reporting, the events were improved. The physician considered the events were almost certainly related to vaccination with ROTARIX.

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