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This is VAERS ID 295494

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 295494
VAERS Form:
Age:0.7
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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 an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A"product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 295494 Before After
VAERS Form:
Age:0.7
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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) WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A"product A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 295494 Before After
VAERS Form:
Age:0.7
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 295494 Before After
VAERS Form:
Age:0.7 0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 - / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 295494 Before After
VAERS Form:(blank) 1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 3 - MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 295494 Before After
VAERS Form:1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 295494 Before After
VAERS Form:1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 295494 Before After
VAERS Form:1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 295494 Before After
VAERS Form:1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 295494 Before After
VAERS Form:1
Age:0.67
Gender:Male
Location:Texas
Vaccinated:0000-00-00
Onset:2007-10-04
Submitted:2007-11-02
Entered:2007-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 MO / PO

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? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0710USA05309

Write-up: Information has been received from a physician concerning an 8 month old male who received his third 2.0 ml oral dose of Rotateq. On 04-OCT-2007, the patient developed intussusception. The patient sought unspecified medical attention and has recovered. A product quality complaint was not reported. No further information was available. Upon internal review intussusception was determined to be an other important medical event. Additional information has been requested.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=295494&WAYBACKHISTORY=ON


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