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History of Changes from the VAERS Wayback Machine |
First Appeared on 9/12/2012 |
VAERS ID: | 462749 |
VAERS Form: | |
Age: | 0.2 |
Gender: | Female |
Location: | Connecticut |
Vaccinated: | 2012-08-07 |
Onset: | 2012-08-12 |
Submitted: | 2012-08-14 |
Entered: | 2012-08-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR | C419AA / 0 | RL / UN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS | AHBVC093AA / 1 | LL / UN |
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH | 918242 / 0 | LL / UN |
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 0 | - / PO |
Administered by: Private Purchased by: Public
Symptoms: Barium enema abnormal, Haematochezia, Intussusception, Vomiting, Enema administration
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? Yes, days: 1
Write-up: Intussusception diagnosed at hospital 8/12/12. Reduced by barium enema at hospital. S/p vomiting & bloody stools.
Vaccinated: | 2012-08-07 |
Onset: | 2012-08-12 |
Submitted: | 2012-08-14 |
Entered: | 2012-08-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR | C419AA / 0 | RL / UN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS | AHBVC093AA / 1 | LL / UN |
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH | 918242 / 0 | LL / UN |
ROTH1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 0 | - / PO |
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 0 | - / PO |
Administered by: Private Purchased by: Public
Symptoms: Barium enema abnormal, Haematochezia, Intussusception, Vomiting, Enema administration
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? Yes, days: 1
Write-up: Intussusception diagnosed at hospital 8/12/12. Reduced by barium enema at hospital. S/p vomiting & bloody stools.
Vaccinated: | 2012-08-07 |
Onset: | 2012-08-12 |
Submitted: | 2012-08-14 |
Entered: | 2012-08-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR | C419AA / 0 | RL / UN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS | AHBVC093AA / 1 | LL / UN |
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH | 918242 / 0 | LL / UN |
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 0 | - / PO |
Administered by: Private Purchased by: Public
Symptoms: Barium enema abnormal, Haematochezia, Intussusception, Vomiting, Enema administration
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? Yes, days: 1
Write-up: Intussusception diagnosed at hospital 8/12/12. Reduced by barium enema at hospital. S/p vomiting & bloody stools.
Vaccinated: | 2012-08-07 |
Onset: | 2012-08-12 |
Submitted: | 2012-08-14 |
Entered: | 2012-08-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR | C419AA / 0 1 | RL / UN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS | AHBVC093AA / 1 2 | LL / UN |
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH | 918242 / 0 1 | LL / UN |
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 0 1 | - MO / PO |
Administered by: Private Purchased by: Public
Symptoms: Barium enema abnormal, Haematochezia, Intussusception, Vomiting, Enema administration
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? Yes, days: 1
Write-up: Intussusception diagnosed at hospital 8/12/12. Reduced by barium enema at hospital. S/p vomiting & bloody stools.
Vaccinated: | 2012-08-07 |
Onset: | 2012-08-12 |
Submitted: | 2012-08-14 |
Entered: | 2012-08-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR | C419AA / 1 | RL / UN |
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS | AHBVC093AA / 2 | LL / UN |
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH | 918242 / 1 | LL / UN |
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS | A41FB268A / 1 | MO / PO |
Administered by: Private Purchased by: Public
Symptoms: Barium enema abnormal, Haematochezia, Intussusception, Vomiting, Enema administration
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? Yes, days: 1
Write-up: Intussusception diagnosed at hospital 8/12/12. Reduced by barium enema at hospital. S/p vomiting & bloody stools.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=462749&WAYBACKHISTORY=ON
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