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This is VAERS ID 299538

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 299538
VAERS Form:
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 LL / IM
FLU: INFLUENZA (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Appendicectomy

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediat"ly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received


Changed on 12/8/2009

VAERS ID: 299538 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 LL / IM
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Appendicectomy, Barium enema abnormal, Body temperature increased, Intussusception, Laparoscopy, Lethargy, Somnolence, Vomiting, Decreased appetite

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediat"ly immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


Changed on 5/13/2013

VAERS ID: 299538 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 LL / IM
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Appendicectomy, Barium enema abnormal, Body temperature increased, Intussusception, Laparoscopy, Lethargy, Somnolence, Vomiting, Decreased appetite

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


Changed on 7/7/2013

VAERS ID: 299538 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 LL / IM
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Appendicectomy, Barium enema abnormal, Body temperature increased, Intussusception, Laparoscopy, Lethargy, Somnolence, Vomiting, Decreased appetite

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


Changed on 2/14/2017

VAERS ID: 299538 Before After
VAERS Form:
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Appendicectomy, Barium enema abnormal, Body temperature increased, Intussusception, Laparoscopy, Lethargy, Somnolence, Vomiting, Decreased appetite

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


Changed on 9/14/2017

VAERS ID: 299538 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 2 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 0 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 2 3 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Intussusception, Lethargy, Somnolence, Vomiting

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


Changed on 2/14/2018

VAERS ID: 299538 Before After
VAERS Form:1
Age:0.5
Gender:Male
Location:California
Vaccinated:2007-10-01
Onset:2007-11-23
Submitted:2007-12-14
Entered:2007-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2657AA / 3 LL / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2459LA / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1052U / 3 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Intussusception, Lethargy, Somnolence, Vomiting

Life Threatening? No
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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Amoxacilian, finished last dose sat prior to 11-23-07
Current Illness: 12/26/07-records received-HX of upper respiratory infection.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: intussusception 12/26/07-records received- Barium contrast enema showed intussusception up to mid transverse colon, paritally reduced into the cecum. WBC 13,900.
CDC 'Split Type':

Write-up: Lethargy,extreme stomach cramps/pain,extreme sleepiness and vomiting. Came in cycle of 30-40 minutes. In awake state was happy and smiling. When cycle began he would begin with sleepiness and lethargy, then stomach pain then vomit then would fall immediatly to sleep. My son was diagnosed with intussusception on 11-23-07. Unknow if directly related to any vaccines, however, without sufficient research to rule out reaction for new Rototeq in particular I felt the need to report 12/26/2007-records received for DOS 11/23-11/24/07-DC DX: Intussusception. Air contras enema failed to reduce. Successful laproscopic surgery with incidental appendectomy.One day history of colicky abdominal pain and poor feeding. Three episodes of nausea and vomiting. Temperatue 38.2.


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