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This is VAERS ID 305397

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

Case Details

VAERS ID: 305397 (history)  
Form: Version .0  
Age: 0.3  
Gender: Male  
Location: North Carolina  
Vaccinated:2008-01-15
Onset:2008-02-04
   Days after vaccination:20
Submitted: 2008-02-18
   Days after onset:14
Entered: 2008-02-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U2354BA / 1 RL / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z08732 / 1 LL / UN
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC B70145A / 1 LL / UN
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1244U / 1 - / PO

Administered by: Private       Purchased by: Public
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood bilirubin increased, Cholelithiasis, Faeces pale, Ultrasound abdomen abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (narrow), Gallbladder related disorders (narrow), Gallstone related disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 2/4/08, mild elevation of total 2.0 & direct 0.8 bilirubin and ALT 140/AST 79 enzymes; 2/11/08, abdominal ultrasound showed multiple gallstones
CDC Split Type:

Write-up: 2/4/08 - Seen by patient''s pediatrician at office for stools with no color (acholic stools). Liver function panel: mild elevation of total bilirubin, direct bilirubin, and ALT/AST enzymes. 2/11/08 - Abdominal ultrasound showed multiple gallstones.


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