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This is VAERS ID 283636

(NOTE: This result is from the 5/14/2017 version of the VAERS database)

Case Details

VAERS ID: 283636 (history)  
Form: Version .0  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-07-02
Entered: 2007-07-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA04154

Write-up: Information has been received from a health professional concerning a patient who was vaccinated with a 2 ml oral dose of Rotateq. Subsequently the patient was diagnosed with intussusception. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Upon internal review, the patient''s intussusception was considered to be an other important medical event. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170514&IDNUMBER=283636


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