This is VAERS ID 305397
(NOTE: This result is from the 12/8/2009 version of the VAERS database)
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| VAERS ID: | 305397 (history) | Vaccinated: | 2008-01-15 | | Age: | 0.3 | Onset: | 2008-02-04, Days after vaccination: 20 | | Gender: | Male | Submitted: | 2008-02-18, Days after onset: 14 | | Location: | North Carolina | Entered: | 2008-02-21, Days after submission: 3 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: None | | Current Illness: None | | Preexisting Conditions: None | | 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': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | DTAP: DTAP (TRIPEDIA) | SANOFI PASTEUR | U2354BA | 1 | UN | RL | | IPV: POLIO VIRUS, INACT. (IPOL) | SANOFI PASTEUR | Z08732 | 1 | UN | LL | | PNC: PNEUMO (PREVNAR) | WYETH PHARMACEUTICALS, INC | B70145A | 1 | UN | LL | | 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)
| | 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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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=305397
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