CRAMPING WITH BLOATING AND GAS; CRAMPING WITH BLOATING AND GAS; CRAMPING WITH BLOATING AND GAS; DIARRHOEA; TOOK LAST DOSE OF VIVOTIF ONE DAY LATE; NAUSEA; This spontaneous case report (PVX2019-2756) was received from a consumer on 07-Nov-2019. It described a male consumer who developed nausea (PT: Nausea), cramping with bloating and gas (PT: Abdominal pain, Abdominal distension, and Flatulence), diarrhea (PT: Diarrhoea), while being on Vivotif for an unknown indication. Also, he "took last dose of Vivotif one day late" (PT: Inappropriate schedule of product administration).  Case report: The consumer took first and third dose of Vivotif on 29-Oct-2019 and 02-Nov-2019, respectively. On 03-Nov-2019, he started feeling nauseous and his body temperature was noted as 96.7-degree Fahrenheit on the same day. He took the last dose on 05-Nov-2019. On 06-Nov-2019, he started experiencing cramping with bloating and gas and diarrhea. He took Gaviscon (sodium alginate, sodium bicarbonate and calcium carbonate) and activated charcoal for his bloating and gas. The consumer also stated that he took some ibuprofen (two tablets of 200 mg) on Monday and the morning of 06-Nov-2019. At the time of reporting, he was currently still feeling nauseous and had some cramping, his last bout of diarrhea was approximately midnight. He took his temperature a few minutes before reporting and it was still 96.9-degree Fahrenheit.  The consumer's medical history included anaphylactic reaction such as esophagus swells up, hives, and rash due to allium group allergy. Also, he had food allergies to everything in the allium group, such as garlic, onions, and chives.   Action taken with Vivotif with respect to event nausea was dosage maintained, while with respect to events diarrhea, cramping with bloating and gas (PT: Abdominal pain, Abdominal distension, and Flatulence) and "took last dose of Vivotif one day late" was not applicable.  The consumer had not recovered from the events nausea, diarrhea, cramping with bloating and gas (PT: Abdominal pain, Abdominal distension, and Flatulence), while the clinical outcome of event "took last dose of Vivotif one day late" was unknown.  Company's Comment: In this case, it was reported that a consumer developed nausea, cramping with bloating and gas, diarrhea following administration of Vivotif. Also, he "took last dose of Vivotif one day late". There seems to be a temporal association between the intake of the vaccine and the events. Also, the causal role the vaccine could not be ruled out. Hence, the causality of the events with Vivotif is assessed as possible. The causality of the event "took last dose of Vivotif one day late" was considered as not applicable. ; Sender's Comments: Company's Comment: In this case, it was reported that a consumer developed nausea, cramping with bloating and gas, diarrhea following  administration of  Vivotif. Also, he "took last dose of Vivotif one day late". There seems to be a temporal association between the intake of the vaccine and the events. Also, the causal role the vaccine could not be ruled out. Hence, the causality of the events with Vivotif is assessed as possible. The causality of the event "took last dose of Vivotif one day late" was considered as not applicable.