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This is VAERS ID 320829

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 320829
VAERS Form:
Age:0.4
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

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

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to t"he emergency room with possible intussusception in JUL-2008. The patient''''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected int


Changed on 12/8/2009

VAERS ID: 320829 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': (blank) WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to t"he the emergency room with possible intussusception in JUL-2008. The patient''''s patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected int intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 320829 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 320829 Before After
VAERS Form:
Age:0.4 0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 320829 Before After
VAERS Form:(blank) 1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 320829 Before After
VAERS Form:1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 320829 Before After
VAERS Form:1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 320829 Before After
VAERS Form:1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 320829 Before After
VAERS Form:1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 320829 Before After
VAERS Form:1
Age:0.42
Sex:Male
Location:Michigan
Vaccinated:0000-00-00
Onset:2008-07-01
Submitted:2008-07-29
Entered:2008-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal distension, Haematochezia, Intussusception, Vomiting, X-ray abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: x-ray, Reduced airflow and suspected intussusception
CDC 'Split Type': WAES0807USA04599

Write-up: Information has been received from a physician concerning a 5 month old male patient who was vaccinated with a dose of ROTATEQ on an unknown date. The physician, who works in the emergency room, reported that she was aware of a patient who presented to the emergency room with possible intussusception in JUL-2008. The patient''s symptoms were vomiting, abdominal distention, and blood in the stool. The emergency room performed an x-ray and determined that the patient had reduced airflow and suspected intussusception. This adverse event occurred one week after a dose of ROTATEQ. It is unknown if the adverse event occurred after the first, second, or third vaccination. The patient was sent to another hospital that specializes in pediatrics but it is unknown if the child was admitted. No product quality complaint was involved. Upon internal review, intussusception was considered to be another important medical event. Additional information has been requested.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=320829&WAYBACKHISTORY=ON


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