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This is VAERS ID 525493

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

525493
VAERS Form:
Age:0.1
Gender:Female
Location:Florida
Vaccinated:2014-02-26
Onset:2014-02-26
Submitted:2014-03-11
Entered:2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 0 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 0 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


Changed on 6/14/2014

525493 Before After
VAERS Form:
Age:0.1
Gender:Female
Location:Florida
Vaccinated:2014-02-26
Onset:2014-02-26
Submitted:2014-03-11
Entered:2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 0 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 0 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


Changed on 3/14/2015

525493 Before After
VAERS Form:
Age:0.1
Gender:Female
Location:Florida
Vaccinated:2014-02-26
Onset:2014-02-26
Submitted:2014-03-11
Entered:2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 0 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 0 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


Changed on 2/14/2017

525493 Before After
VAERS Form:
Age:0.1 0.13
Gender:Female
Location:Florida
Vaccinated:2014-02-26
Onset:2014-02-26
Submitted:2014-03-11
Entered:2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 0 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 0 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 0 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


Changed on 9/14/2017

525493 Before After
VAERS Form:(blank) 1
Age:0.13
Gender:Female
Location:Florida
Vaccinated:2014-02-26
Onset:2014-02-26
Submitted:2014-03-11
Entered:2014-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 7449K / 0 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. J011112 / 0 1 LL / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH G95397 / 0 1 RL / IM
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB389A / 0 1 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Haematochezia, Intussusception, Milk allergy

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Mother Hep B positive
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Significant amount of bloody stool. Went to hospital and was dx with Milk Protein Allergy. PCP feels it was intussusception.


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