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This is VAERS ID 312299

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 312299
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 da"ys. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 12/8/2009

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 da"ys. days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 3/2/2010

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 4/7/2010

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 8/31/2010

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 5/13/2013

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 2 UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 4/14/2017

VAERS ID: 312299 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 2 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Barium double contrast, Barium enema, Constipation, Intussusception, Laparoscopy, Otitis media, Restlessness, Surgery, Vomiting, Enema administration, Ultrasound abdomen abnormal, Abdominal X-ray

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 9/14/2017

VAERS ID: 312299 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 2 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 2 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 2 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 2 3 - MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 2/14/2018

VAERS ID: 312299 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 3 MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 6/14/2018

VAERS ID: 312299 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 3 MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 8/14/2018

VAERS ID: 312299 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 3 MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 9/14/2018

VAERS ID: 312299 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 3 MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.


Changed on 10/14/2018

VAERS ID: 312299 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Wisconsin
Vaccinated:2008-03-19
Onset:2008-04-27
Submitted:2008-05-07
Entered:2008-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2800AA / 3 UN / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF231AA / 3 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH C49917 / 3 UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1734U / 3 MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Intussusception

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None PMH: recurrent OM x 4
Allergies:
Diagnostic Lab Data: Abdominal US/X-ray LABS: Abdominal x-ray & US c/w ileocolic IS.
CDC 'Split Type':

Write-up: Intussusception 4/29/08 6/20/08 Reviewed hospital medical records of 4/29-5/1/2008. FINAL DX: Intussusception, surgically reduced Records reveal patient experienced restlessness, cramping intermittent abdominal pain, bilious emesis, constipation x 3-4 days. Air contrast enema was initially successful then IS recurred overnight. BE then was unsuccessful & taken to OR for laparoscopy. Improved & d/c to home on oral antibiotics for recent OM.

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