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This is VAERS ID 275542

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275542
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
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: Unknown
Symptoms: Pruritus, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Bethany went tanning at tanning bath, 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 pe"r doctor. No other c/o symptoms. Hives lasted 8 hr then disappeared.


Changed on 12/8/2009

275542 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
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: Unknown Private
Symptoms: Pruritus, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Bethany went tanning at tanning bath, 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 pe"r per doctor. No other c/o symptoms. Hives lasted 8 hr then disappeared.


Changed on 1/7/2013

275542 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
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, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Bethany Patient went tanning at tanning bath, 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.


Changed on 6/14/2014

275542 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
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, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
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.


Changed on 3/14/2015

275542 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
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, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
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.


Changed on 9/14/2017

275542 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-03-27
Onset:2007-03-29
Submitted:2007-04-03
Entered:2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pruritus, Urticaria, Skin burning sensation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Estrostep 28
Current Illness: None
Preexisting Conditions: NKA
Allergies:
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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