National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 382080

History of Changes from the VAERS Wayback Machine

First Appeared on 4/7/2010

VAERS ID: 382080
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 7/31/2010

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 8/31/2010

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 4/13/2011

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 5/13/2011

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 6/11/2011

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 5/13/2013

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 3/14/2015

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood glucose increased, Chest X-ray, Crying, Haematochezia, Intussusception, Irritability, Neutrophil count increased, Pallor, Rectal haemorrhage, Screaming, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal, Blood bilirubin decreased, Platelet count increased, Ultrasound abdomen abnormal, Neutrophil percentage increased, Lymphocyte percentage decreased, Blood alkaline phosphatase increased, Blood test, Occult blood positive, Hypophagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 2/14/2017

VAERS ID: 382080 Before After
VAERS Form:
Age:0.4 0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 9/14/2017

VAERS ID: 382080 Before After
VAERS Form:(blank) 1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 1 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 2 - MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 2/14/2018

VAERS ID: 382080 Before After
VAERS Form:1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 2 MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 6/14/2018

VAERS ID: 382080 Before After
VAERS Form:1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 2 MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 8/14/2018

VAERS ID: 382080 Before After
VAERS Form:1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 2 MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 9/14/2018

VAERS ID: 382080 Before After
VAERS Form:1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 2 MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


Changed on 10/14/2018

VAERS ID: 382080 Before After
VAERS Form:1
Age:0.35
Sex:Female
Location:Pennsylvania
Vaccinated:2010-03-02
Onset:2010-03-07
Submitted:2010-03-08
Entered:2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 2 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH G25197 / 2 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 2 MO / PO

Administered by: Unknown      Purchased by: Private
Symptoms: Haematochezia, Intussusception, Rectal haemorrhage, Ultrasound scan, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC 'Split Type':

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=382080&WAYBACKHISTORY=ON


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