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This is VAERS ID 449701

(NOTE: This result is from the 2/14/2017 version of the VAERS database)

Case Details

VAERS ID: 449701 (history)  
Form: Version .0  
Age: 0.35  
Gender: Female  
Location: Nevada  
Vaccinated:2012-02-10
Onset:2012-02-11
   Days after vaccination:1
Submitted: 2012-02-15
   Days after onset:4
Entered: 2012-02-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C4155AA / 0 LL / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH F30922 / 1 LL / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41FB200A / 1 - / PO

Administered by: Private       Purchased by: Other
Symptoms: Barium enema, Intussusception
SMQs:, Gastrointestinal obstruction (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Barium enema done to treat intussusception
CDC Split Type:

Write-up: Intussusception - s/p ROTARIX vaccine reduced in hospital.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170214&IDNUMBER=449701


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