| VAERS ID: | 263185 | Vaccinated: | 2006-08-29 | | Age: | 15.0 | Onset: | 2006-08-29, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-08-31, Days after onset: 2 | | Location: | New York | Entered: | 2006-09-19, Days after submission: 19 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Singulair, Allegra, Flovent, Rhinocort | | Preexisting Conditions: Asthma, Penicillin allergy. | | CDC 'Split Type': | |