National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 332021

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 332021
VAERS Form:
Age:0.4
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-11
Entered:2008-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

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)? No
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 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 pa"tient 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.


Changed on 12/8/2009

VAERS ID: 332021 Before After
VAERS Form:
Age:0.4
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-11
Entered:2008-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

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)? No
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) 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 pa"tient 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.


Changed on 5/13/2013

VAERS ID: 332021 Before After
VAERS Form:
Age:0.4
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-11
Entered:2008-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

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)? No
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': 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.


Changed on 9/14/2017

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

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)? No
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': 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.


Changed on 2/14/2018

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

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)? No
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': 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.


Changed on 6/14/2018

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

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)? No
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': 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.


Changed on 8/14/2018

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

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)? No
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': 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.


Changed on 9/14/2018

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

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)? No
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': 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.


Changed on 10/14/2018

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

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)? No
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': 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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=332021&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166