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This is VAERS ID 333345

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 333345
VAERS Form:
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
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 a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was"brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 12/8/2009

VAERS ID: 333345 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was"brought was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 5/13/2013

VAERS ID: 333345 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
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: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 9/14/2017

VAERS ID: 333345 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 1 2 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 2/14/2018

VAERS ID: 333345 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 6/14/2018

VAERS ID: 333345 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 8/14/2018

VAERS ID: 333345 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 9/14/2018

VAERS ID: 333345 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.


Changed on 10/14/2018

VAERS ID: 333345 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Michigan
Vaccinated:2008-06-01
Onset:2008-06-01
Submitted:2008-11-25
Entered:2008-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. - / 2 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Haematochezia, Intussusception, Irritability

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? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0811USA03530

Write-up: Information has been received from a physician concerning a 16 week old female patient, who this summer of 2008 was vaccinated orally with the second dose of ROTATEQ, and within a week experienced irritability and had a blood on the stool. The patient was brought in the emergency room and was hospitalized. Patient was diagnosed of intussusception. The patient possibly underwent an ultrasound. Subsequently, the patient recovered. No further information is available.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=333345&WAYBACKHISTORY=ON


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