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This is VAERS ID 309574

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 309574
VAERS Form:
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication."Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed /"similar symptoms/" but has not requi


Changed on 12/8/2009

VAERS ID: 309574 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication."Subsequently, medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed /"similar symptoms/" "similar symptoms" but has not requi required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 309574 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 309574 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 309574 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 309574 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 309574 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 309574 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 309574 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2008-04-04
Submitted:2008-04-15
Entered:2008-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Intussusception, Vomiting projectile

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0804USA01492

Write-up: Information has been received from a nurse practitioner concerning her 6-month-old granddaughter with no pertinent medical history and no drug reactions/allergies who was vaccinated PO with the second dose of Rotateq. There was no concomitant medication. Subsequently, three weeks post vaccination, the patient experienced projectile vomiting and intussusception and was hospitalized. She was hospitalized for 2 days. On approximately 04-APR-2008, the patient developed "similar symptoms" but has not required hospitalization and has not been diagnosed with intussusception. No additional information is available. There was no product quality complaint. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=309574&WAYBACKHISTORY=ON


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