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This is VAERS ID 332858

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 332858
VAERS Form:
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type':

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the pati"ent presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was dischar


Changed on 12/8/2009

VAERS ID: 332858 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': (blank) WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the pati"ent patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was dischar discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 5/13/2013

VAERS ID: 332858 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 9/14/2017

VAERS ID: 332858 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 2/14/2018

VAERS ID: 332858 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 6/14/2018

VAERS ID: 332858 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 8/14/2018

VAERS ID: 332858 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 9/14/2018

VAERS ID: 332858 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.


Changed on 10/14/2018

VAERS ID: 332858 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-11-19
Entered:2008-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Haematochezia, Intussusception, Enema administration

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: enema administration, 07?, air enema: revealed ileocolic intussusception, was reduced
CDC 'Split Type': WAES0811USA02517

Write-up: Information has been received from a health professional concerning an 8 week old male who was entered in a study. In approximately 2007, the patient was vaccinated PO with the first dose of ROTATEQ. It was reported that 21 days post-vaccination, the patient presented with dark bloody stools and crampy abdominal pain. The patient was hospitalized and referred for a surgical evaluation to rule out intussusception. An air enema revealed an ileocolic intussusception which was reduced. The patient was discharged "well" on "day 2". The reporting investigator considered intussusception to be an other important medical event. No further information is available.

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