National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 405245

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 405245 (history)  
Form: Version 1.0  
Age: 0.56  
Gender: Male  
Location: California  
Vaccinated:2010-07-12
Onset:2010-10-03
   Days after vaccination:83
Submitted: 2010-10-25
   Days after onset:22
Entered: 2010-10-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3622AA / 3 RL / IM
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB789AA / 3 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH E49136 / 2 LL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41DB056A / 3 MO / PO

Administered by: Public       Purchased by: Public
Symptoms: Intussusception, Large intestinal obstruction reduction, Small intestinal intussusception reduction, Ultrasound abdomen
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: ABDOMINAL ULTRASOUND
CDC Split Type:

Write-up: RECEIVED REPORT STATING PT WAS DIAGNOSED WITH ILEOCOLIC INTUSSUSCEPTION REDUCED AT HOSPITAL


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=405245


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166