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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
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.
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.
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.
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.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=324636&WAYBACKHISTORY=ON
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