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History of Changes from the VAERS Wayback Machine |
First Appeared on 12/31/2007 |
VAERS ID: | 274629 |
VAERS Form: | |
Age: | 0.2 |
Gender: | Male |
Location: | D.C. |
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Explorative laparotomy, Abdominal X-ray
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: INTUSSUSCEPTION, BOWEL PERFPRATION
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHE: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08655E / 0 | RA / IM |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 | - / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08655E / 0 | RA / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 | - / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Barium enema, Colostomy, Gastrooesophageal reflux disease, Haematochezia, Intestinal perforation, Intussusception, White blood cell count increased, X-ray abnormal, Ultrasound abdomen abnormal, Explorative laparotomy, Abdominal X-ray, Mechanical ventilation
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 0 1 | - / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08655E / 0 1 | RA / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 0 1 | - MO / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Intestinal perforation, Intussusception, Abdominal X-ray
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
Vaccinated: | 2007-03-20 |
Onset: | 2007-03-22 |
Submitted: | 2007-03-23 |
Entered: | 2007-03-23 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS | AC21B070BA / 1 | - / IM |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08655E / 1 | RA / IM |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | MO / PO |
Administered by: Unknown Purchased by: Unknown
Symptoms: Intestinal perforation, Intussusception, Abdominal X-ray
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: INTUSSUSCEPTION, BOWEL PERFPRATION 5/25/07 Received hospital medical records which reveal patient experienced bloody stools x 4 days prior to admit 3/22/07-4/6/07. Patient to OR after bowel perforation for exp lap & colostomy was done. ID consult done & started on multiple IV antibiotics. Initially vented but able to extubate quickly. To cath lab on 3/29 for dilation of coarctation. Transfused for low H/H. Tolerated oral feedings as well as NGT feedings. GI consult revealed GERD & delayed gastric emptying. Progressed well & was d/c to home w/close f/u by multiple specialties. FINAL DX: Intussception; bowel perforation secondary to BE; exp lap & colostomy.
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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274629&WAYBACKHISTORY=ON
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