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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 284854 |
VAERS Form: | |
Age: | 0.6 |
Sex: | Male |
Location: | Unknown |
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 | - / PO |
Administered by: Other Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Computerised tomogram abnormal, Haematochezia, Inappropriate schedule of drug administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO /"the last dose/". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from int"ussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested.
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 | - / PO |
Administered by: Other Purchased by: Unknown Other
Symptoms: Abdominal pain, Barium double contrast, Computerised tomogram abnormal, Haematochezia, Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO /"the "the last dose/". dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from int"ussusception. intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 | - / PO |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Computerised tomogram abnormal, Haematochezia, Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Barium double contrast, Computerised tomogram abnormal, Haematochezia, Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 2 3 | - MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
Vaccinated: | 2007-02-27 |
Onset: | 2007-05-23 |
Submitted: | 2007-07-16 |
Entered: | 2007-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 1235F / 3 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Intussusception
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2
Write-up: Information has been received from a physician concerning an 11 month old male who on 27-FEB-2007 was vaccinated with Rotateq PO "the last dose". The patient developed an intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be disabling, life threatening and caused hospitalization. Additional information has been requested. 10/5/07-records received from facility for DOS 5/23-5/25/07-Seen in ER. DX:Intussusception-reducted by fluoroscopically guided air enema. HX of abdominal pain and bloody stools this morning,
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