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This is VAERS ID 337733

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 337733 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Female  
Location: Foreign  
Vaccinated:2008-11-10
Onset:2008-12-11
   Days after vaccination:31
Submitted: 2009-01-20
   Days after onset:40
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 X-ray, Abdominal mass, Abdominal pain, Appendicectomy, Constipation, Dehydration, Gastrointestinal sounds abnormal, Haematochezia, Intussusception, Irritability, Laparotomy, Mucous stools, Nausea, Pallor, Vomiting, X-ray abnormal
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Gastrointestinal haemorrhage (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   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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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180214&IDNUMBER=337733


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