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This is VAERS ID 304208

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 304208
VAERS Form:
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq"started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced /"severe abdo


Changed on 12/8/2009

VAERS ID: 304208 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq"started Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced /"severe abdo "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 304208 Before After
VAERS Form:
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 304208 Before After
VAERS Form:(blank) 1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 304208 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 304208 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 304208 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 304208 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 304208 Before After
VAERS Form:1
Age:0.3
Gender:Female
Location:Texas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-02-01
Entered:2008-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Barium enema, Diarrhoea, Intussusception, Surgery

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0801USA05730

Write-up: Information has been received from a physician concerning an 18 week old female (also reported as 5 months old and also reported as 2 weeks after the patient was 4 months old) who was vaccinated with Rotateq. It was reported the vaccinations with Rotateq started when the patient was 2 months of age and that the patient received other vaccinations at 4 months of age. The physician reported that the patient received her second dose of Rotateq and within two weeks of getting it, she experienced "severe abdominal cramps and diarrhea". Onset date was reported as 2 weeks after the patient was 4 weeks old. The patient''s mother took her straight to the emergency room where the patient was given a barium enema which did not work. The patient was diagnosed with intussusception which had to be surgically reduced. It was unknown if the patient was hospitalized. Subsequently (on an unspecified date), the patient recovered from intussusception. There was no product quality complaint. Intussusception was considered to be an other important medical event. Additional information has been requested.

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