National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 308326

Case Details

VAERS ID: 308326 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2008-01-31
Submitted: 2008-03-26
   Days after onset:54
Entered: 2008-03-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / UNK UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0803USA03061

Write-up: Information has been received from a nurse practitioner concerning a "previously healthy" 4 month old male who was vaccinated with the first dose of ROTATEQ. Concomitant vaccinations included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid, PREVNAR, Hib conj vaccine (unspecified carrier (manufacturer unknown), and poliovirus vaccine. At the end of January or early February 2008, the patient was observed for 23 hours in the hospital for intussusception after receiving his first dose of ROTATEQ. No lot number was provided. Subsequently, the patient recovered from intussusception on an unspecified date. Therapy with ROTATEQ was not reintroduced. There was no product quality complaint. Additional information has been requested.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=308326


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166