National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 405620

Government Disclaimer on use of this data

Case Details

VAERS ID: 405620 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Ohio  
   Days after vaccination:48
Submitted: 2010-10-27
   Days after onset:164
Entered: 2010-10-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Private
Symptoms: Abdominal pain, Colitis ulcerative, Colonoscopy, Diarrhoea haemorrhagic, Menstrual disorder
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal ulceration (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: Colonoscopy
CDC Split Type:

Write-up: Abdominal Pain, Bloody Diarrhea, changes in menstrual periods. Ulcerative Colitis. Lialda, Prednisone

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166