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This is VAERS ID 261485

(NOTE: This result is from the 2/14/2017 version of the VAERS database)

Case Details

VAERS ID: 261485 (history)  
Form: Version .0  
Age: 0.24  
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
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception
SMQs:, 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 pressure. Patients symptoms resolved.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170214&IDNUMBER=261485


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