| VAERS ID: | 263256 | Vaccinated: | 2006-08-29 | | Age: | 22.0 | Onset: | 2006-08-31, Days after vaccination: 2 | | Gender: | Female | Submitted: | 2006-09-19, Days after onset: 19 | | Location: | Maine | Entered: | 2006-09-19, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: none known | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Celexa 40mg 1 1/2 tabs po q day | | Preexisting Conditions: none known | | CDC 'Split Type': | |
