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This is VAERS ID 273461

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273461
VAERS Form:
Age:0.6
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
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


Changed on 12/8/2009

VAERS ID: 273461 Before After
VAERS Form:
Age:0.6
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 273461 Before After
VAERS Form:
Age:0.6
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 273461 Before After
VAERS Form:
Age:0.6 0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 273461 Before After
VAERS Form:(blank) 1
Age:0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 3 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 273461 Before After
VAERS Form:1
Age:0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 273461 Before After
VAERS Form:1
Age:0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 273461 Before After
VAERS Form:1
Age:0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 273461 Before After
VAERS Form:1
Age:0.58
Gender:Female
Location:California
Vaccinated:2007-01-16
Onset:2007-02-20
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Barium double contrast, Intussusception

Life Threatening? Yes
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04062

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 concomitant 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 be released from the hospital on 22-FEB-2007. At the time of the report the patient was recovering. No product quality complaint was involved. No other information was provided. The patient''s experience was considered to be an other important medical event, immediately life-threatening, and disabling by the reporter. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273461&WAYBACKHISTORY=ON


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