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This is VAERS ID 547899

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2014

VAERS ID: 547899
VAERS Form:
Age:0.4
Gender:Female
Location:New York
Vaccinated:2014-03-26
Onset:2014-09-14
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K11632 / 1 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 0 UN / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal discomfort, Abdominal pain upper, Gastroenteritis viral, Intussusception, Ultrasound scan, Vomiting, X-ray, Blood test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: intussusception~Rotavirus (Rotarix)~1~0.83~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, xrays, and bloodwork
CDC 'Split Type':

Write-up: Extreme cramping and belly discomfort in addition 4 bilious vomits and emergency treatment and admittance for intussusception on 9/15/2014. Second emergency room visit 10/02/2014 for viral gastroenteritis.


Changed on 2/14/2017

VAERS ID: 547899 Before After
VAERS Form:
Age:0.4 0.39
Gender:Female
Location:New York
Vaccinated:2014-03-26
Onset:2014-09-14
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K11632 / 1 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 0 UN / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal discomfort, Abdominal pain upper, Gastroenteritis viral, Intussusception, Ultrasound scan, Vomiting, X-ray, Blood test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: intussusception~Rotavirus (Rotarix)~1~0.83~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, xrays, and bloodwork
CDC 'Split Type':

Write-up: Extreme cramping and belly discomfort in addition 4 bilious vomits and emergency treatment and admittance for intussusception on 9/15/2014. Second emergency room visit 10/02/2014 for viral gastroenteritis.


Changed on 9/14/2017

VAERS ID: 547899 Before After
VAERS Form:(blank) 1
Age:0.39
Gender:Female
Location:New York
Vaccinated:2014-03-26
Onset:2014-09-14
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K11632 / 1 2 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 2 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 0 1 UN / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal discomfort, Abdominal pain upper, Gastroenteritis viral, Intussusception, Ultrasound scan, Vomiting, X-ray, Blood test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: intussusception~Rotavirus (Rotarix)~1~0.83~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, xrays, and bloodwork
CDC 'Split Type':

Write-up: Extreme cramping and belly discomfort in addition 4 bilious vomits and emergency treatment and admittance for intussusception on 9/15/2014. Second emergency room visit 10/02/2014 for viral gastroenteritis.


Changed on 2/14/2018

VAERS ID: 547899 Before After
VAERS Form:1
Age:0.39
Gender:Female
Location:New York
Vaccinated:2014-03-26
Onset:2014-09-14
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K11632 / 2 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 1 UN / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal discomfort, Abdominal pain upper, Gastroenteritis viral, Intussusception, Ultrasound scan, Vomiting, X-ray, Blood test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: intussusception~Rotavirus (Rotarix)~1~0.83~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, xrays, and bloodwork
CDC 'Split Type':

Write-up: Extreme cramping and belly discomfort in addition 4 bilious vomits and emergency treatment and admittance for intussusception on 9/15/2014. Second emergency room visit 10/02/2014 for viral gastroenteritis.


Changed on 6/14/2018

VAERS ID: 547899 Before After
VAERS Form:1
Age:0.39
Gender:Female
Location:New York
Vaccinated:2014-03-26
Onset:2014-09-14
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR K11632 / 2 UN / UN
PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 UN / UN
RV1: ROTAVIRUS (ROTARIX) / GLAXOSMITHKLINE BIOLOGICALS A41CB396A / 1 UN / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal discomfort, Abdominal pain upper, Gastroenteritis viral, Intussusception, Ultrasound scan, Vomiting, X-ray, Blood test

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: intussusception~Rotavirus (Rotarix)~1~0.83~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound, xrays, and bloodwork
CDC 'Split Type':

Write-up: Extreme cramping and belly discomfort in addition 4 bilious vomits and emergency treatment and admittance for intussusception on 9/15/2014. Second emergency room visit 10/02/2014 for viral gastroenteritis.

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=547899&WAYBACKHISTORY=ON


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