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This is VAERS ID 305287

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 305287 (history)  
Form: Version .0  
Age:   
Gender: Unknown  
Location: Tennessee  
Vaccinated:2008-01-03
Onset:2008-01-03
   Days after vaccination:0
Submitted: 2008-02-14
   Days after onset:42
Entered: 2008-02-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0801USA00377

Write-up: Information has been received from a registered nurse (RN) concerning a patient who on 03-JAN-2008 was vaccinated with the first dose of Rotateq 25 days later than 12 weeks of age. It was unknown if medical attention was sought. NO adverse symptoms were noted. Additional information has been requested.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=305287


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