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This is VAERS ID 324279

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 324279
VAERS Form:
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      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: 0     Extended hospital stay? 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 nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unk"nown). No product quality complaint involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 324279 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unk"nown). unknown). No product quality complaint involved. Additional information has been requested.


Changed on 5/13/2013

VAERS ID: 324279 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 324279 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 324279 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 324279 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 324279 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 324279 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 324279 Before After
VAERS Form:1
Age:
Gender:Unknown
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-09-04
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
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: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA05390

Write-up: Information has been received from a nurse concerning a patient who was vaccinated with ROTATEQ. The patient developed intussusception 9 days after the second dose of ROTATEQ and was hospitalized. It was reported that the patient has recovered (date unknown). No product quality complaint involved. Additional information has been requested.

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