| VAERS ID: | 58373 (history) | Vaccinated: | 1993-01-23 | | Age: | 29.3 | Onset: | 1993-01-25, Days after vaccination: 2 | | Gender: | Female | Submitted: | 1993-12-01, Days after onset: 310 | | Location: | Unknown | Entered: | 1993-12-22, Days after submission: 21 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: | | Current Illness: | | Preexisting Conditions: | | Diagnostic Lab Data: mp significant growth w/blood & urine cultures; | | CDC 'Split Type': | |