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This is VAERS ID 292245

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 292245
VAERS Form:
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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


Changed on 12/8/2009

VAERS ID: 292245 Before After
VAERS Form:
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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) WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 5/13/2013

VAERS ID: 292245 Before After
VAERS Form:
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 9/14/2017

VAERS ID: 292245 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 2/14/2018

VAERS ID: 292245 Before After
VAERS Form:1
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 6/14/2018

VAERS ID: 292245 Before After
VAERS Form:1
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 8/14/2018

VAERS ID: 292245 Before After
VAERS Form:1
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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.


Changed on 9/14/2018

VAERS ID: 292245 Before After
VAERS Form:1
Age:0.5
Gender:Unknown
Location:Maryland
Vaccinated:0000-00-00
Onset:2006-09-01
Submitted:2007-10-04
Entered:2007-10-05
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? 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': WAES0710USA00147

Write-up: Information has been received from a physician concerning a 6 month old patient who was vaccinated with a dose of Rotateq. In approximately September 2006 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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