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This is VAERS ID 332021

Case Details

VAERS ID: 332021 (history)  
Form: Version 1.0  
Age: 0.4  
Sex: Unknown  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-11
Entered: 2008-11-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other       Purchased by: Other
Symptoms: Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0811USA00694

Write-up: Information has been received from a physician concerning an about 5 months old patient who was vaccinated with the second dose of ROTATEQ. A couple of months ago, in 2008, the patient experienced intussusception and was hospitalized. Subsequently, the patient recovered from intussusception. Intussusception was considered to be an other important medical event by the physician, as the patient underwent an enema. Additional information has been requested.


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