This is VAERS ID 324636

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID:	324636 (history)
Form:	Version .0
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
FLUN: 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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GARDASIL
Current Illness:
Preexisting Conditions:
Allergies:
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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=324636