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This is VAERS ID 319741

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

319741
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2008-06-16
Onset:2008-06-16
Submitted:2008-07-15
Entered:2008-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1832U / 2 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a patient who on on 09-JUN-2008 was given the second oral 2 mL dose of ROTATEQ (Lot# 660292/1832U) and the third 2 mL dose of ROTATEQ (Lot# 660292/1832U) on 16-JUN-2008. The nurse stated tha"t the third dose of GARDASIL early. The patient sought treatment at the physician''''s office. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

319741 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2008-06-16
Onset:2008-06-16
Submitted:2008-07-15
Entered:2008-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1832U / 2 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Inappropriate schedule of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0806USA03075

Write-up:Information has been received from a registered nurse concerning a patient who on on 09-JUN-2008 was given the second oral 2 mL dose of ROTATEQ (Lot# 660292/1832U) and the third 2 mL dose of ROTATEQ (Lot# 660292/1832U) on 16-JUN-2008. The nurse stated tha"t that the third dose of GARDASIL early. The patient sought treatment at the physician''''s physician''s office. No product quality complaint was involved. Additional information has been requested.


Changed on 5/13/2013

319741 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2008-06-16
Onset:2008-06-16
Submitted:2008-07-15
Entered:2008-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1832U / 2 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1832U / 2 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0806USA03075

Write-up:Information has been received from a registered nurse concerning a patient who on on 09-JUN-2008 was given the second oral 2 mL dose of ROTATEQ (Lot# 660292/1832U) and the third 2 mL dose of ROTATEQ (Lot# 660292/1832U) on 16-JUN-2008. The nurse stated that the third dose of GARDASIL early. The patient sought treatment at the physician''s office. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

319741 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2008-06-16
Onset:2008-06-16
Submitted:2008-07-15
Entered:2008-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1832U / 2 3 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Inappropriate schedule of drug administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0806USA03075

Write-up:Information has been received from a registered nurse concerning a patient who on on 09-JUN-2008 was given the second oral 2 mL dose of ROTATEQ (Lot# 660292/1832U) and the third 2 mL dose of ROTATEQ (Lot# 660292/1832U) on 16-JUN-2008. The nurse stated that the third dose of GARDASIL early. The patient sought treatment at the physician''s office. No product quality complaint was involved. Additional information has been requested.


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