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This is VAERS ID 358329

(NOTE: This result is from the 7/7/2013 version of the VAERS database)

Case Details

VAERS ID: 358329 (history)  
Form: Version .0  
Age: 22.0  
Gender: Male  
Location: Illinois  
Vaccinated:2009-09-22
Onset:2009-09-23
   Days after vaccination:1
Submitted: 2009-09-25
   Days after onset:2
Entered: 2009-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. - / - - / IN

Administered by: Military       Purchased by: Military
Symptoms: Abdominal pain upper, Adjustment disorder, Gastritis, Haematemesis, Haematocrit normal, Haemoglobin normal, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to sulfa drugs
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: He received the H1N1 shot on Monday 9-21-09. He called me last night to tell me that he had a severe stomach ache all day today - tried to eat and about 11:00 pm ended up throwing up and was very concerned because there was a significant amount of blood in the matter he threw up. He went to the watch and they took him to the emergency room where they gave him one day of sick in quarters. I don''t know what the diagnosis was, but usually you are pretty ill to get SIQ. My son never has stomach aches. Rarely throws up. Never has thrown up blood. He was not running a fever, but the whole event scared him enough that he asked me what he thought he should do because they don''t like people to "cry" sick. I told him to make them take him to the emergency room.


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