| VAERS ID: | 331662 | Vaccinated: | 2008-10-28 | | Age: | 6.0 | Onset: | 2008-10-28, Days after vaccination: 0 | | Gender: | Male | Submitted: | 2008-10-31, Days after onset: 3 | | Location: | North Carolina | 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: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: grass allergies | | CDC 'Split Type': | |