| VAERS ID: | 291644 | Vaccinated: | 2007-09-20 | | Age: | 17.0 | Onset: | 2007-09-21, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2007-09-28, Days after onset: 7 | | Location: | New Jersey | Entered: | 2007-09-28, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: TAKES PAXIL 10 MG DAILY | | Preexisting Conditions: | | CDC 'Split Type': | |
