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This is VAERS ID 261485

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261485
VAERS Form:
Age:0.2
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 12/8/2009

VAERS ID: 261485 Before After
VAERS Form:
Age:0.2
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
Entered:2006-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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. pressure. Patients symptoms resolved.


Changed on 5/13/2013

VAERS ID: 261485 Before After
VAERS Form:
Age:0.2
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
Entered:2006-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2017

VAERS ID: 261485 Before After
VAERS Form:
Age:0.2 0.24
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
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

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 261485 Before After
VAERS Form:(blank) 1
Age:0.24
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
Entered:2006-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 0 1 - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 261485 Before After
VAERS Form:1
Age:0.24
Gender:Female
Location:Texas
Vaccinated:2006-08-01
Onset:2006-08-07
Submitted:2006-08-14
Entered:2006-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0139F / 1 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crying, Intestinal obstruction, Intussusception

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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