National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274556

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

Case Details

VAERS ID: 274556 (history)  
Form: Version .0  
Age: 0.4  
Gender: Male  
Location: Missouri  
Vaccinated:2006-11-06
Onset:2006-12-09
   Days after vaccination:33
Submitted: 2007-03-22
   Days after onset:102
Entered: 2007-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS ? / 1 UN / IM
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES - / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. ? / 1 - / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Barium double contrast, Bowel movement irregularity, Cold sweat, Crying, Decreased appetite
SMQs:, Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zantac
Current Illness:
Preexisting Conditions: Reflux
Allergies:
Diagnostic Lab Data: LABS: air contrast enema revealed & successfully treated IS. No x-ray reports included w/records.
CDC Split Type:

Write-up: Our son has been having severe bowel cramping ever since the first dose of the rotavirus vaccine RotaTeq. He has suffered from abdominal cramping, severe crying spells, problems passing bowel movements, decreased appetite, fussiness, and loss of sleep."After having the second dose of the vaccine, his symptoms worsened until he finally developed intussuception. The day he developed this adverse reaction he began the morning with his usual fussiness. He hadn''''t slept well the night before and was having


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=274556


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166