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This is VAERS ID 380355

History of Changes from the VAERS Wayback Machine

First Appeared on 3/2/2010

VAERS ID: 380355
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR7) / WYETH PHARMACEUTICALS, INC D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 4/7/2010

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 7/31/2010

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 8/31/2010

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 4/13/2011

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 5/13/2011

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 6/11/2011

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 5/13/2013

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 6/14/2014

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 3/14/2015

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Vomiting, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 2/14/2017

VAERS ID: 380355 Before After
VAERS Form:
Age:0.2 0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 4/14/2017

VAERS ID: 380355 Before After
VAERS Form:
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 9/14/2017

VAERS ID: 380355 Before After
VAERS Form:(blank) 1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / - UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / - UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / - UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / - UNK - MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 2/14/2018

VAERS ID: 380355 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 6/14/2018

VAERS ID: 380355 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 8/14/2018

VAERS ID: 380355 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 9/14/2018

VAERS ID: 380355 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010


Changed on 10/14/2018

VAERS ID: 380355 Before After
VAERS Form:1
Age:0.17
Sex:Female
Location:California
Vaccinated:2010-01-19
Onset:2010-01-24
Submitted:2010-02-04
Entered:2010-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3385AA / UNK UN / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 12504 / UNK UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH D78697 / UNK UN / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1182Y / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Intussusception, Ultrasound abdomen, Abdominal X-ray

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications: None
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: US to x-ray Exams ABD
CDC 'Split Type':

Write-up: ileocolic intussusception - reduced 1/24/2010

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