Received Oct 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUN3 | INFLUENZA (SEASONAL) (FLUMIST) | MEDIMMUNE VACCINES, INC. | UNK | Unknown | — |
Allergy to any AZ medication; A spontaneous report has been received from a consumer. The report concerns a patient of unknown gender (age not provided). No medical history was reported. No concomitant products were reported. The patient received Flumist, via unknown on an unknown date. The patient received 1 dose(s). No malfunction has been reported for the Accuspray Single Dose device. On an unknown date, the patient experienced allergy to any az medication (preferred term: Hypersensitivity). It was unknown if any action was taken with Flumist (flumist, influenza virus vaccine polyvalent, q/laiv). The outcome of the event(s) of allergy to any az medication was unknown. The event was considered non-serious. Device Information: Combination Product Report: Yes Product As Reported: Flumist Brand Name: FLUMIST Product Role:Suspect Device Problem code:Adverse Event Without Identified Device or Use Problem Manufacturer Name:ASTRAZENECA Labeled for single use:No Non-Significant correction 15-Oct-2025: County Patient info and Vaccine Facility Information set as NF. Non-significant correction on 18-Oct-2025: null flavor added. narrative updated. Non-Significant correction on 21-Oct-2025: Null flavor removed for telephone and fax, Narrative amended.
Medical History/Concurrent Conditions: Allergy to vaccine (allergy to Flumist); Comments: Medical history includes: allergy to Flumist