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This is VAERS ID 324636

Case Details

VAERS ID:324636 (history)  Vaccinated:2008-02-21
Age:15.0  Onset:2008-02-22, Days after vaccination: 1
Gender:Female  Submitted:2008-02-25, Days after onset: 3
Location:Iowa  Entered:2008-08-15, Days after submission: 171
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GARDASIL
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': MEDI0006588
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLUN3: INFLUENZA (SEASONAL) (FLUMIST)MEDIMMUNE VACCINES, INC.500500P IN 
Administered by: Other     Purchased by: Other
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: A non-serious report of nosebleed has been received from a nurse concerning a 15-year-old female patient. The patient had no prior medical history and no concomitant medications. The patient received FluMist and Gardasil on 21-Feb-2008. The patient developed a bloody nose for two-minutes on 22-Feb-2008 and 23-Feb-2008. The above event was considered resolved on 23-Feb-2008. Rechallenge is not applicable to this adverse event. The reporter did not provide a statement of causality to FluMist. The reporting source of this case is spontaneous, thus the sponsor''s comment is not applicable.

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