| VAERS ID: | 263200 | Vaccinated: | 2006-07-25 | | Age: | | Onset: | 2006-07-25, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-14, Days after onset: 51 | | Location: | Unknown | Entered: | 2006-09-19, Days after submission: 5 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0608USA00410 | |