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This is VAERS ID 324636

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 324636
VAERS Form:
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - - / IN

Administered by: Other      Purchased by: Unknown
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GARDASIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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 dev"eloped 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 rep


Changed on 12/8/2009

VAERS ID: 324636 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (FLUMIST) INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - - / IN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GARDASIL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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 dev"eloped 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 rep reporting source of this case is spontaneous, thus the sponsor''s comment is not applicable.


Changed on 7/7/2013

VAERS ID: 324636 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - - / IN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - - / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 324636 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / - UNK - NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 324636 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / UNK NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 324636 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / UNK NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 324636 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / UNK NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 324636 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:Iowa
Vaccinated:2008-02-21
Onset:2008-02-22
Submitted:2008-02-25
Entered:2008-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500500P / UNK NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Epistaxis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=324636&WAYBACKHISTORY=ON


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