National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 316001

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 316001
VAERS Form:
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Ascites, Barium double contrast, Blood albumin decreased, Diet refusal, 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. La
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air"barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more


Changed on 12/8/2009

VAERS ID: 316001 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Ascites, Barium double contrast, Blood albumin decreased, Diet refusal, Haematochezia, Intussusception, Irritability, Laparoscopy, Small intestinal obstruction, Vomiting, Neutrophil percentage increased, Lymphocyte percentage decreased, Urine output decreased, Ultrasound scan 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. La
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air"barium air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 5/13/2013

VAERS ID: 316001 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Ascites, Barium double contrast, Blood albumin decreased, Diet refusal, Haematochezia, Intussusception, Irritability, Laparoscopy, Small intestinal obstruction, Vomiting, Neutrophil percentage increased, Lymphocyte percentage decreased, Urine output decreased, Ultrasound scan 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. La
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 4/14/2017

VAERS ID: 316001 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Ascites, Barium double contrast, Blood albumin decreased, Diet refusal, Haematochezia, Intussusception, Irritability, Laparoscopy, Small intestinal obstruction, Vomiting, Neutrophil percentage increased, Lymphocyte percentage decreased, Urine output decreased, Ultrasound scan 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. La Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 9/14/2017

VAERS ID: 316001 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 2/14/2018

VAERS ID: 316001 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 6/14/2018

VAERS ID: 316001 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 8/14/2018

VAERS ID: 316001 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 9/14/2018

VAERS ID: 316001 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.


Changed on 10/14/2018

VAERS ID: 316001 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Alabama
Vaccinated:2008-06-04
Onset:2008-06-09
Submitted:2008-09-11
Entered:2008-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0017X / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Intussusception, Ultrasound scan abnormal

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Intussusception
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: U/S - Failed BE - required surgery. 8/7/08 records received-Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon. Labs 6/10/08-segs elevated 58%, lymph % decreased at 27%, albumin decreased 2.9. US of abdomen demonstrated intussusception in right lower quadrant. Moderate amount of ascites. Abdominal x-ray distended loops of small bowel with numerous air-fluid levels,findings compatible with small bowel obstruction. multiple attempts to reduce using air barium contrast enema.
CDC 'Split Type':

Write-up: Intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception 8/7/08-records received-6/10/08-emesis and bloody stool. Laparscopic reduction of intussusception after multiple attempts to reduce using air barium contrast enema. Reduction incomplete and intussuception remained in ascending colon.8/28/08-DC Summary received for DOS 6/10-6/11/08-DC DX: Intussusception. Presented to ED with C/O bilious emesis and bloody stools, yesterday began spitting up more, fussy and taking less formula, bloody stool this morning, refuses to take formula.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=316001&WAYBACKHISTORY=ON


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