This is VAERS ID 292242

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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

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Changed on 12/8/2009

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.

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Changed on 5/13/2013

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.

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Changed on 9/14/2017

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.

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Changed on 2/14/2018

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.

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Changed on 6/14/2018

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.

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Changed on 8/14/2018

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.

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Changed on 9/14/2018

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.

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Changed on 10/14/2018

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.

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