| VAERS ID: | 274662 | Vaccinated: | 2007-02-09 | | Age: | 27.0 | Onset: | 2007-02-10, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2007-03-03, Days after onset: 21 | | Location: | Florida | Entered: | 2007-03-23, Days after submission: 19 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Loestrin FE | | Preexisting Conditions: Allergies: Ceclor; no conditions | | CDC 'Split Type': | |