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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 292242 |
VAERS Form: | |
Age: | 1.0 |
Sex: | Unknown |
Location: | Maryland |
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | UN / UN |
Administered by: Other Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''''s office. The"outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further informatio
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | UN / UN |
Administered by: Other Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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) WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''''s physician''s office. The"outcome The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further informatio information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | UN / UN |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 2 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Vaccinated: | 0000-00-00 |
Onset: | 2007-03-01 |
Submitted: | 2007-10-04 |
Entered: | 2007-10-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. | - / 3 | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, 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)? Yes
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': WAES0709USA04715
Write-up: Information has been received from a physician concerning a 1 year old patient who was vaccinated with three doses of Rotateq. In approximately March 2007, the patient developed intussusception. Medical attention was sought in the physician''s office. The outcome was unknown at the time of this report. There was no product quality complaint. Upon internal review, intussusception was determined to be an other important medical event. This is one of several reports from the same source. No further information is available.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=292242&WAYBACKHISTORY=ON
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