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This is VAERS ID 286490

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 286490
VAERS Form:
Age:
Gender:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-01
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Intussusception

Life Threatening? No
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: 0     Extended hospital stay? 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 female patient who was vaccinated with a dose of Rotateq. Subsequently /"after the fourth month dose/" the patient experienced intussusception and was hospitalized. It was reported that the patie"nt was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 286490 Before After
VAERS Form:
Age:
Gender:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-01
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Intussusception

Life Threatening? No
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0707USA04032

Write-up: Information has been received from a physician concerning a female patient who was vaccinated with a dose of Rotateq. Subsequently /"after "after the fourth month dose/" dose" the patient experienced intussusception and was hospitalized. It was reported that the patie"nt patient was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 286490 Before After
VAERS Form:
Age:
Gender:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-01
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Intussusception

Life Threatening? No
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA04032

Write-up: Information has been received from a physician concerning a female patient who was vaccinated with a dose of Rotateq. Subsequently "after the fourth month dose" the patient experienced intussusception and was hospitalized. It was reported that the patient was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 286490 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-01
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Intussusception

Life Threatening? No
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA04032

Write-up: Information has been received from a physician concerning a female patient who was vaccinated with a dose of Rotateq. Subsequently "after the fourth month dose" the patient experienced intussusception and was hospitalized. It was reported that the patient was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 286490 Before After
VAERS Form:1
Age:
Gender:Female
Location:Kentucky
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-08-01
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Intussusception

Life Threatening? No
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA04032

Write-up: Information has been received from a physician concerning a female patient who was vaccinated with a dose of Rotateq. Subsequently "after the fourth month dose" the patient experienced intussusception and was hospitalized. It was reported that the patient was in the hospital but the length of stay was not provided. On an unspecified ate, the patient recovered. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=286490&WAYBACKHISTORY=ON


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