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This is VAERS ID 305287

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

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

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 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 n"oted. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 305287 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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) 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 n"oted. noted. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 305287 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


Changed on 5/13/2013

VAERS ID: 305287 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


Changed on 6/14/2014

VAERS ID: 305287 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


Changed on 4/14/2017

VAERS ID: 305287 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


Changed on 9/14/2017

VAERS ID: 305287 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 1 - MO / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


Changed on 2/14/2018

VAERS ID: 305287 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Tennessee
Vaccinated:2008-01-03
Onset:2008-01-03
Submitted:2008-02-14
Entered:2008-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': 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. 02/11/2010 Information has been received from a registered nurse concerning a 16-week-old patient with no known drug alliergies who on 03-JAN-2008 was vaccinatied PO with the first does of GARDASIL (Lot #656379/0505U). Concomitant therapy administered on that same day included the first IM dose in the right leg of (OMPC) (Lot #657174/0497U), the first IM dose in the left leg of PEDIARIX (Lot #AC21B130AA) and the first dose in the right leg of PREVENAR (Lot #6540150). Medical attention was not sought. No adverse symptoms/events were reported. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=305287&WAYBACKHISTORY=ON


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