Age: 2.0
Sex: M
Vaccine: FLUN3
Symptoms: Asthma, Contraindication to vaccination, Cough, Decreased appetite, Immunisation reaction
Clinical narrative: A report has been received by VAERS via a physician concerning a 3 year-old, male patient. No concomitant medication. The patient's medical history included wheezing. The patient received nasal FLUMIST on 12-Sep-2012. The Flu Vaccine was administered to the patient by his ex-pediatrician on 12-Sep-2012. The patient had a wheezing history and the pediatrician was aware of the patient's history since he was treating the patient for almost two years. The patient was only two years eight months old when the vaccine (FLUMIST) was administered. According to the reporter, after looking at FLUMIST website, it was very obvious that it was not recommended for the patient under five years old with wheezing history, so medication error was considered. On the morning of Thursday, 13-Sep- 2012, it was noticed that the patient was coughing. On Thursday night the coughing was bad and the patient also had temperature about 100 degree F. On Friday, 14-Sep-2012, the cough was worse. He also experienced lack of appetite and he lost 10 per cent of his body weight. Examination was made, his lungs, ears and throat were clear. The patients did not even think about the FLUMIST and did not remember to mention the same to the nurse. Nurse prescribed the patient with MUCINEX for cough and TYLENOL for temperature. The patient did not show any improvements all Saturday. The condition was getting worse and the patient was rushed to Urgent Care around 10:00 am on Sunday morning, the parents did mention about the FLUMIST to the pediatrician and the doctor diagnosed it as an Asthma attack and asked to start the breathing treatment immediately. They started treating him with albuterol sulfate and budesonide through nebulizer (inhaler). On Monday, 17-Sep- 2012, the pediatrician confirmed the asthma attack and the immune reaction due to FLUMIST since he had a wheezing history. Wednesday 19-Sep- 2012 morning at about 8:45 am the doctor administered Steroids orally and levalbuterol. The patient's father reported that coughing was improved. The patient used albuterol and budesonide once a day and was tapering the dose off. The outcome of the event of immune reaction due to FLUMIST, asthma attack, fever 100 degrees F, lack of appetite, lost 10 per cent of his body weight and medication error was unknown. The company physician considered the events of immune reaction due to FLUMIST, asthma attack, cough, cough was worse, fever 100 degrees f and medication error to be serious, due to the serious criteria Important medical event. According to the physician there was a causal relationship between the suspect drug of FLUMIST and the event of immune reaction due to FLUMIST. Summary of follow-up information received by MedImmune 05-Oct-2012 from the consumer. New events of lack of appetite and lost 10 per cent of his body weight. The outcome of the events of cough and cough was worse updated to recovering. The patient's date of birth added. Corrected report 15-Oct-2012: causality as yes added to the event of immune reaction due to FLUMIST and asthma attack. The seriousness of the events of cough, fever 100 degrees F, asthma attack, cough was worse and medication error were corrected to serious events with the criteria of important medical event. The reporter type of patient was deleted. Vaccinated at was corrected to other/unknown. New reporter as reference added.