| VAERS ID: | 276172 | Vaccinated: | 2007-03-23 | | Age: | 16.0 | Onset: | 2007-03-28, Days after vaccination: 5 | | Gender: | Female | Submitted: | 2007-04-12, Days after onset: 15 | | Location: | Missouri | Entered: | 2007-04-12, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: none | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: none | | CDC 'Split Type': | |
