| VAERS ID: | 331655 | Vaccinated: | 2008-10-23 | | Age: | 66.0 | Onset: | 2008-10-24, Days after vaccination: 1 | | Gender: | Male | Submitted: | 2008-10-31, Days after onset: 7 | | Location: | California | Entered: | 2008-11-07, Days after submission: 7 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: None | | Diagnostic Lab Data: None | | Previous Vaccinations: | | Other Medications: Lisinapril, Coreg, Ritalin, Lipitor, Trasadone, Tranadol, Warfarin, Colestid, Tylenol, Effexor-SR | | Preexisting Conditions: | | CDC 'Split Type': | |