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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 285151 |
VAERS Form: | |
Age: | 0.4 |
Sex: | Female |
Location: | Unknown |
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Unknown
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No addit"ional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested.
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Unknown Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''''s physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No addit"ional additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 1 | LL / - |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 1 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 | - / PO |
Administered by: Other Purchased by: Other
Symptoms: Appendicectomy, Intussusception, Lethargy, Surgery, Vomiting, Enema administration
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 1 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 1 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 1 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 1 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 1 2 | - MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
Vaccinated: | 2007-03-20 |
Onset: | 2007-05-21 |
Submitted: | 2007-07-18 |
Entered: | 2007-07-19 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR | U1965CA / 2 | RL / - |
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. | 1124F / 2 | RL / - |
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR | Y1032 / 2 | LL / - |
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH | B08670D / 2 | LL / - |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0779F / 2 | MO / PO |
Administered by: Other Purchased by: Other
Symptoms: Intussusception, Surgery
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6
Write-up: Information has been received from a physician''s assistant concerning a patient who was vaccinated PO with a dose of Rotateq. Subsequently the patient experienced intussusception and was hospitalized. Surgery was required. The patient recovered. No additional information was available. Intussusception was considered to be immediately life-threatening by the reporter. Additional information has been requested. 10/12/07-records received for DOS 5/23-5/29/07- DC DX: Intussusception. Open reduction with decompressive enterotomy and appendectomy. Presented with 2 day history of vomiting and alternating lethargy and crying. Post operative ileus
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