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History of Changes from the VAERS Wayback Machine |
First Appeared on 12/31/2007 |
VAERS ID: | 273520 |
VAERS Form: | |
Age: | 0.4 |
Gender: | Male |
Location: | Alabama |
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Unknown
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, 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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Unknown Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08675K / 1 | RL / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | RL / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08675K / 1 | RL / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 | - / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Appendicectomy, Barium enema, Haematochezia, Intussusception, Laparotomy, Lethargy, Surgery, Vomiting
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 1 2 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 1 2 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 2 | RL / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08675K / 1 2 | RL / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 2 3 | - MO / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Barium enema, Haematochezia, Intussusception, Lethargy, Surgery
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
Vaccinated: | 2006-12-13 |
Onset: | 2007-02-26 |
Submitted: | 2007-02-27 |
Entered: | 2007-03-07 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR | U1891BA / 2 | LL / IM |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 6086F / 2 | LL / IM |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | RL / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08675K / 2 | RL / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0319F / 3 | MO / PO |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Barium enema, Haematochezia, Intussusception, Lethargy, Surgery
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? Yes, days: 4
Write-up: Pt had signs of alternating lethargy, fussiness and a bloody stool. Diagnosed with intussusception by BE which failed to reduce it. Went to surgery and his appendix was lead point. Doubt due to Rotateq 2 mos after dose and appendix lead point. 05/15/07-records received for DOS 2/26-3/2/07. DC DX: Intussusception.Several hour history of sleeping a lot waking up crying not eating well. Vomited once. No diarrhea. Rectal exam revealed hempositive secretions. Barium enema revealed intussusception. Unsuccessful in reduction. Surgical reduction revealed appendix in the middle of the intussusception.
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