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This is VAERS ID 324636

Case Details

VAERS ID: 324636 (history)  
Age: 15.0  
Gender: Female  
Location: Iowa  
Vaccinated:2008-02-21
Onset:2008-02-22
   Days after vaccination:1
Submitted: 2008-02-25
   Days after onset:3
Entered: 2008-08-15
   Days after submission:171
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - - / IN

Administered by: Other       Purchased by: Other
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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

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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