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This is VAERS ID 277757

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

Case Details

VAERS ID: 277757 (history)  
Form: Version .0  
Age: 0.2  
Gender: Male  
Location: Connecticut  
Vaccinated:2007-02-06
Onset:2007-03-12
   Days after vaccination:34
Submitted: 2007-03-22
   Days after onset:10
Entered: 2007-05-02
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 0 - / PO

Administered by: Other       Purchased by: Unknown
Symptoms: Abdominal distension, Abdominal wound dehiscence, Appendicectomy, Bacterial infection, Barium double contrast
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: Progressive abd distention/pain
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: KUB - dilated bowel, BA swallow - obstructive mass, surgery for intussusception with removal necrosed bowel
CDC Split Type:

Write-up: Intussusception


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=277757


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