| VAERS ID: | 263370 | Vaccinated: | 2006-08-24 | | Age: | 22.0 | Onset: | 2006-08-25, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2006-09-21, Days after onset: 27 | | Location: | Kansas | Entered: | 2006-09-21, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Ortho Tri cyclen LO x 6 years. | | Preexisting Conditions: | | CDC 'Split Type': | |
