| VAERS ID: | 275604 (history) | Vaccinated: | 2007-03-14 | | Age: | 19.0 | Onset: | 2007-03-23, Days after vaccination: 9 | | Gender: | Female | Submitted: | 2007-04-04, Days after onset: 12 | | Location: | Minnesota | Entered: | 2007-04-04 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: cold sore sore~Vaccine not specified~3~~In Patient | | Other Medications: | | Current Illness: URI | | Preexisting Conditions: non | | Diagnostic Lab Data: | | CDC 'Split Type': | |