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This is VAERS ID 382080

(NOTE: This result is from the 4/7/2010 version of the VAERS database)

Case Details

VAERS ID: 382080 (history)  
Form: Version .0  
Age: 0.4  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2010-03-02
Onset:2010-03-07
   Days after vaccination:5
Submitted: 2010-03-08
   Days after onset:1
Entered: 2010-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPIPVHIB: DTAP + IPV + HIB (PENTACEL) / SANOFI PASTEUR C3570AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / WYETH PHARMACEUTICALS, INC G25197 / 1 LL / IM
ROTHB5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1442Y / 1 - / PO

Administered by: Unknown       Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Barium enema, Blood alkaline phosphatase increased, Blood bilirubin decreased, Blood glucose increased, Blood test, Chest X-ray, Crying, Haematochezia, Hypophagia, Intussusception, Irritability, Lymphocyte percentage decreased, Neutrophil count increased, Neutrophil percentage increased, Occult blood positive, Pallor, Platelet count increased, Rectal haemorrhage, Screaming, Ultrasound abdomen abnormal, Ultrasound scan, Urinary system X-ray, Vomiting, X-ray abnormal
SMQs:, Liver related investigations, signs and symptoms (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Biliary system related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Ischaemic colitis (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad)

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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BLOOD WORK, ULTRASOUNDS PERFORMED.
CDC Split Type:

Write-up: RECTAL BLEEDING/BLOOD IN STOOL. CHILD HOSPITALIZED WITH INTUSSUSCEPTION ON 3/7/2010.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100407&IDNUMBER=382080


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