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This is VAERS ID 284182

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284182
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / 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)? No
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 physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient /"came down with intussusception/". Upon internal review intussuscep"tion was determined to be an other important medical event. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284182 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / 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)? No
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) WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient /"came "came down with intussusception/". intussusception". Upon internal review intussuscep"tion intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 284182 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 284182 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 284182 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 284182 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 3 - 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 284182 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 284182 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-09
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 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)? No
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': WAES0707USA00566

Write-up: Information has been received from a physician concerning a patient who was vaccinated with the third dose of Rotateq. Subsequently after receiving the third dose of Rotateq, the patient "came down with intussusception". Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.

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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284182&WAYBACKHISTORY=ON


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