| VAERS ID: | 262070 | Vaccinated: | 2006-08-14 | | Age: | 25.0 | Onset: | 2006-08-22, Days after vaccination: 8 | | Gender: | Female | Submitted: | 2006-08-24, Days after onset: 2 | | Location: | Texas | Entered: | 2006-08-24, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: OrthoTricyclen-Lo | | Preexisting Conditions: none | | CDC 'Split Type': | |