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This is VAERS ID 269099

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269099
VAERS Form:
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER),"but it was not known if the patient was hospitalized. The ER physician stated he /"believed this to be a case of intussusception, but made no concrete diagnosis./" The patient''''s symptoms improved and the patient was removed from receiving further doses o


Changed on 12/8/2009

VAERS ID: 269099 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS VACCINE, LIVE, ORAL, PENTAVALENT (ROTATEQ) ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA05790

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER),"but (ER), but it was not known if the patient was hospitalized. The ER physician stated he /"believed "believed this to be a case of intussusception, but made no concrete diagnosis./" diagnosis." The patient''''s patient''s symptoms improved and the patient was removed from receiving further doses o of ROTATEQ. The reporting physician noted that he only saw the patient after the adverse reaction occurred but the patient was not seeing him prior to the adverse reaction. No further information was provided. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 269099 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA05790

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER), but it was not known if the patient was hospitalized. The ER physician stated he "believed this to be a case of intussusception, but made no concrete diagnosis." The patient''s symptoms improved and the patient was removed from receiving further doses of ROTATEQ. The reporting physician noted that he only saw the patient after the adverse reaction occurred but the patient was not seeing him prior to the adverse reaction. No further information was provided. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 269099 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA05790

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER), but it was not known if the patient was hospitalized. The ER physician stated he "believed this to be a case of intussusception, but made no concrete diagnosis." The patient''s symptoms improved and the patient was removed from receiving further doses of ROTATEQ. The reporting physician noted that he only saw the patient after the adverse reaction occurred but the patient was not seeing him prior to the adverse reaction. No further information was provided. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 269099 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA05790

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER), but it was not known if the patient was hospitalized. The ER physician stated he "believed this to be a case of intussusception, but made no concrete diagnosis." The patient''s symptoms improved and the patient was removed from receiving further doses of ROTATEQ. The reporting physician noted that he only saw the patient after the adverse reaction occurred but the patient was not seeing him prior to the adverse reaction. No further information was provided. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 269099 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Intussusception

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA05790

Write-up: Information has been received from a physician concerning a patient who was vaccinated PO with the first dose of ROTATEQ. The physician reported that the patient subsequently developed abdominal cramping. The patient was taken to the Emergency Room (ER), but it was not known if the patient was hospitalized. The ER physician stated he "believed this to be a case of intussusception, but made no concrete diagnosis." The patient''s symptoms improved and the patient was removed from receiving further doses of ROTATEQ. The reporting physician noted that he only saw the patient after the adverse reaction occurred but the patient was not seeing him prior to the adverse reaction. No further information was provided. Additional information has been requested.

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269099&WAYBACKHISTORY=ON


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