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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 291861 |
VAERS Form: | |
Age: | 0.4 |
Sex: | Male |
Location: | Tennessee |
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Unknown Purchased by: Unknown
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, 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: 3
Write-up: Intussusception
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Unknown Purchased by: Unknown
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal.
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Unknown Public Purchased by: Unknown Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Appendicectomy, Computerised tomogram, Haematochezia, Intussusception, Laparotomy, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 1 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Vaccinated: | 2007-09-17 |
Onset: | 2007-09-30 |
Submitted: | 2007-10-02 |
Entered: | 2007-10-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | 0876U / 2 | UN / UN |
Administered by: Public Purchased by: Public
Symptoms: Computerised tomogram, Intussusception, Urinary system X-ray, 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: 3
Write-up: Intussusception 10/15/07-records received for DOS 10/1/07-DX Intussusception. Presented to ED with vomiting and bloody stools last 2 days. Onset abrupt. Exploratory laparotomy with reduction of intussusception and incidental appendectomy. Therapeutic enema with air contrast unsuccessful in reduction of intussusception beyond the level of ileocecal. Follow-up Information 02-OCT-2007: Intussusception treated with surgery
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=291861&WAYBACKHISTORY=ON
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