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This is VAERS ID 273461

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 273461 (history)  
Form: Version .0  
Age: 0.6  
Gender: Female  
Location: California  
   Days after vaccination:35
Submitted: 2007-03-05
   Days after onset:13
Entered: 2007-03-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Barium double contrast, Intussusception
SMQs:, Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC Split Type:

Write-up: Information has been received from a physician concerning a 7 month old female, with no medical history, who was vaccinated with an oral first, second, and third dose of Rotateq, on 19-SEP-2006, 20-NOV-2006, and 16-JAN-2007, respectively. There was no con"comitant medication. On 20-FEB-2007, the patient developed intussusception and was admitted to the hospital the morning of 21-FEB-2007. The patient was given an air enema three times before the condition responded. It was reported that the patient would b

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