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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 271978 |
VAERS Form: | |
Age: | 0.3 |
Gender: | Male |
Location: | New Jersey |
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Unknown
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#/"08475 or possibility 08475"/") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came i
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Unknown Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#/"08475 (lot#"08475 or possibility 08475"/") 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came i into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / - | UN / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / - | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Irritability, Lethargy, Mucous stools, Enema administration, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / - UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / - UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / - UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 1 2 | - MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
Vaccinated: | 2007-01-16 |
Onset: | 2007-01-29 |
Submitted: | 2007-02-08 |
Entered: | 2007-02-08 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | - / UNK | UN / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | - / UNK | UN / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | - / UNK | UN / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Irritability, Feeding disorder
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Information has been received from a health professional concerning a 19 week old male, with no medical history and no allergies, who was vaccinated with a first and second 2 ml oral dose of Rotateq vaccine (human-bovine) (lot#"08475 or possibility 08475") on 14-NOV-2006 and 16-JAN-2007, respectively. Concomitant vaccinations administered on 16-JAN-2007 included a dose Pediarix vaccine, a dose of Hib conj vaccine, a dose of Prevnar. Concomitant medication included Axid. On 29-JAN-2007 the patient came into the office cranky and would not take a bottle. The patient was transferred to the hospital on the same day and was admitted for intussusception. At the time of the report the reporter did not have any details about the patient''s hospital course or any treatments. No product quality complaint was involved. No other information was provided. Additional information has been requested. 2/9/07 Received info from CDC that patient had symptoms of intermittent pain and lethargy on 1/29/07 with subsequent currant jelly stool. Barium enema was diagnostic and therapeutic. Child was observed overnight and discharged. No specimens available.
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