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This is VAERS ID 282748

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282748
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC BO8692A / 1 - / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose"of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quali


Changed on 12/8/2009

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC BO8692A / 1 - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': (blank) WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose"of dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quali quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 3/2/2010

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC BO8692A / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 4/7/2010

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC BO8692A / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 8/31/2010

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH BO8692A / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 5/13/2013

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 1 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 2/14/2017

VAERS ID: 282748 Before After
VAERS Form:
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 1 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Intussusception, Irritability, Rectal haemorrhage

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 9/14/2017

VAERS ID: 282748 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 2 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 1 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 1 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 1 2 - MO / PO

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

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 2/14/2018

VAERS ID: 282748 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 2 MO / PO

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

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 6/14/2018

VAERS ID: 282748 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 2 MO / PO

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

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.


Changed on 8/14/2018

VAERS ID: 282748 Before After
VAERS Form:1
Age:0.3
Gender:Male
Location:Tennessee
Vaccinated:2007-04-13
Onset:2007-06-01
Submitted:2007-06-22
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2628AA / 3 UN / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1158F / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8692A / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1365F / 2 MO / PO

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

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown KUB suspicion of intussception vx. volvulus.
CDC 'Split Type': WAES0706USA01919

Write-up: Information has been received from a physician concerning a male infant who was vaccinated with a first and second oral dose of Rotateq (Lot# 655483/1116F and 656191/1365F) on 13-FEB-2007 and 13-APR-2007, respectively. Concomitant vaccine included a dose of Comvax and a dose of Dtap. On 01-JUN-2007 the patient developed intussusception. The patient was hospitalized where an air contrast enema was performed which resolved the problem. The number of days of hospitalization was not provided. No product quality complaint was involved. No other information was provided. Additional information has been requested. 7/11/07-ER note received for DOS-06/01/2007-DC DX: Intussception. C/O abdominal pain with history of not acting like himself. NG tube placed KUB suspicion of intussception vx. volvulus. Abrupt onset. 2-3 weeks prior fussy after his nightime feeds only. One BM today, blood found in rectum. Air contrast enema was completed and intussception was diagnosed. 8/15/07-DC Summary received-DC DX: Intussusception, status post reduction barium enema.

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