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This is VAERS ID 275542

Case Details

VAERS ID: 275542 (history)  
Age: 23.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-27
Onset:2007-03-29
   Days after vaccination:2
Submitted: 2007-04-03
   Days after onset:5
Entered: 2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus, Skin burning sensation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient went tanning at tanning booth, has tanned previous to vaccine. Did not use sun tanning lotion. 2 hrs post tanning after showering noticed hives on chest, breasts and armpits. C/O burning and itching, pt instructed no tanning until further notice per doctor. No other c/o symptoms. Hives lasted 8 hr then disappeared.


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