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This is VAERS ID 283636

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283636
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

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 co"mplaint 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.


Changed on 12/8/2009

VAERS ID: 283636 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) 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 co"mplaint complaint was involved. No other information was provided. Upon internal review, the patient''''s patient''s intussusception was considered to be an other important medical event. Additional information is not expected.


Changed on 5/13/2013

VAERS ID: 283636 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 6/14/2014

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

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 5/14/2017

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

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 9/14/2017

VAERS ID: 283636 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UNK - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 2/14/2018

VAERS ID: 283636 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 6/14/2018

VAERS ID: 283636 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 8/14/2018

VAERS ID: 283636 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 9/14/2018

VAERS ID: 283636 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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.


Changed on 10/14/2018

VAERS ID: 283636 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK MO / PO

Administered by: Other      Purchased by: Other
Symptoms: 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? 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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283636&WAYBACKHISTORY=ON


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