This is VAERS ID 261485

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID:	261485 (history)
Form:	Version .0
Age:	0.2
Gender:	Female
Location:	Texas

Vaccinated:	2006-08-01
Onset:	2006-08-07
Days after vaccination:	6
Submitted:	2006-08-14
Days after onset:	7
Entered:	2006-08-14

Vaccination / Manufacturer	Lot / Dose	Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) / MERCK & CO. INC.	0139F / 0	- / PO

Administered by: Unknown Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal obstruction (narrow), Depression (excl suicide and self injury) (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: KUB and Barium enema
CDC Split Type:

Write-up: Patient developed intermittent severe crying WITH failure to pass stool for one day. She got RotaTeq a week prior to onset of illness. KUB and Barium enema were suggestive of Intussusception. Reduction of intusussception made by barium enema hydrostatic p"ressure. Patients symptoms resolved.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=261485