| VAERS ID: | 264172 | Vaccinated: | 2006-10-02 | | Age: | 17.0 | Onset: | 2006-10-06, Days after vaccination: 4 | | Gender: | Female | Submitted: | 2006-10-09, Days after onset: 3 | | Location: | California | Entered: | 2006-10-09, Days after submission: 0 | |
| 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: | | Preexisting Conditions: | | CDC 'Split Type': | |
