| VAERS ID: | 319741 (history) | Vaccinated: | 2008-06-16 | | Age: | | Onset: | 2008-06-16, Days after vaccination: 0 | | Gender: | Unknown | Submitted: | 2008-07-15, Days after onset: 29 | | Location: | Unknown | Entered: | 2008-07-17, Days after submission: 2 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Unknown | | Current Illness: | | Preexisting Conditions: Unknown | | Diagnostic Lab Data: Unknown | | CDC 'Split Type': WAES0806USA03075 | |