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From the 11/12/2021 release of VAERS data:

Found 172,837 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Standard-MedDRA-Query broadly-matches 'Anaphylactic reaction'

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Case Details

This is page 11 out of 17,284

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VAERS ID: 903334 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Feeling abnormal, Full blood count normal, Immediate post-injection reaction, Injection site pain, Insomnia, Metabolic function test normal, Nasal discomfort, Oral discomfort, Pruritus, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Clopidogtel, atorvastatin, metoprolol, flecainide and vitamin C supplement
Current Illness: Cervical pain due to herniated discs on physical therapy and using cyclobenzaprine intermittently Last dose 12/16/2020
Preexisting Conditions: Paroxysmal atrial fibrillation Sleep apnea using CPAP
Allergies: Aspirin
Diagnostic Lab Data: I had blood drawn for a CBC and comprehensive metabolic panel. All were normal.
CDC Split Type:

Write-up: Immediately after administration felt a strange sensation on nostrils and mouth that dissipated after the initial 15 minutes. Then I started with mild itching in the next arm and neck. About 30 minutes after administration my eyelids became swollen. No shortness of breath or tachycardia. I received Benadryl and solumedrol at ER. Stay at the ED for about 2 hours and left home. After that I felt strange for a while and could not sleep at all. The next morning everything was fine except for mild left arm side of injection pain.


VAERS ID: 903336 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Injection site pruritus, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: Asthma, allergies, osteoporosis
Allergies: NSAIDs, Shellfish
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives at the injection site 2-2.5 hours later extremely itchy and bumpy, self limited to the upper arm, resolved 3 hours later only intervention was ice as uncertain if Benadryl or steroids would have blunted an immune response


VAERS ID: 903342 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Guam  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Chest pain, Dizziness, Dysphonia, Dyspnoea, Electrocardiogram QT prolonged, Headache, Hypokalaemia, Laboratory test abnormal, Oropharyngeal pain, Respiratory acidosis, Throat tightness
SMQs:, Torsade de pointes/QT prolongation (narrow), Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Conduction defects (narrow), Torsade de pointes, shock-associated conditions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (broad), Respiratory failure (broad), Hypokalaemia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Claritin, albuterol, amlodipine
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: seafood, unknown analgesic, unknown oral antibiotic, unknown vaccine
Diagnostic Lab Data: EKG with prolonged QT. Labs showing mild hypokalemia and respiratory acidosis.
CDC Split Type:

Write-up: Event happened outside of the ER at a clinic and not witnessed by any hospital staff. Patient reported dizziness, shortness of breath, headache, chest pain, sore throat, hoarse voice and tightening in the throat and chest minutes after vaccine administration. Treated with IM epi on scene by EMS. In the ED abtou 30-45 minutes after event, given IV normal saline, solumedrol, benadryl, and famotidine. Given PO potassium after labs for mild hypokalemia. She was monitored for about 4-5 hours total in the ED with complete resolve of symptoms.


VAERS ID: 903348 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / -

Administered by: Work       Purchased by: ?
Symptoms: Chills, Dyspnoea, Headache, Rash
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid 137 mcg daily
Current Illness: NONE
Preexisting Conditions: HYPOTHYROIDISM
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: AFTER VACCINE ADMINISTRATION, THE PERSON EXPERIENCED CHILLS, RASH ON BOTH ARMS AND FEET, FATIGUE, SHORTNESS OF BREATH AND HEADACHE. THE PATIENT DID NOT EXPERIENCED AN ANAPHYLACTIC REACTION. THE ONSET OF THE REACTION WAS SEVERAL HOUR LATER AT NIGHT UNTIL THE NEXT DAY. PATIENT VISIT THE ER AND WAS TREATED WITH BENADRYL AND POSTERIORLY DISCHARGED.


VAERS ID: 903352 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Missouri  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Cough, Dyspepsia, Fatigue, Headache, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific dysfunction (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Effient, lantus, humalog, lisinopril, metoprolol, jardiance, metformin, lipitor, aspirin, aldactone
Current Illness: None
Preexisting Conditions: History of myocardial infarction with stent, diabetes type 2
Allergies: Amoxicilin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever with max of 101.9, headache, chills, heartburn, cough, fatigue.


VAERS ID: 903357 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Electrocardiogram normal
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvaring Trimethoprim
Current Illness: none
Preexisting Conditions: chronic UTI''s
Allergies: Sulfa Nitrofurantoin
Diagnostic Lab Data: EKG-12/17/2020-normal Pulse Ox-12/17/2020-normal O2 Sat-12/17/2020-normal Blood pressure-12/17/2020-high
CDC Split Type:

Write-up: Chest pain and tighness, generalized with stabbing pain intermittently elevated blood pressure 180/95


VAERS ID: 903358 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dry throat, Dyspnoea, Hyperhidrosis, Tachycardia, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Age unknown; her mother reported that she has passed out previously due to tetanus shot and other vaccines.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: She became diaphoretic, her throat felt dry and as if it was beginning to close. Rapid response was called and she was transported to the ER. She was tachycardic, experienced chest tightness, and shortness of breath.


VAERS ID: 903373 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: lexapro 20mg, tramadol 50mg
Current Illness:
Preexisting Conditions: scoliosis
Allergies: Doxycycline
Diagnostic Lab Data: Took Claritin and stayed at work and finished her shift
CDC Split Type:

Write-up: Dizzy,Hives on neck and chest, body aches


VAERS ID: 903374 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Kansas  
Vaccinated:0000-00-00
Onset:2020-11-17
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin am, Rubustatin, vitamin D 3, B12, Hair skin vitamin calcioum zinc D, Jenuvia 100mg took all 0530am, ozempic did not take a night
Current Illness: No illness, no hospitalizations
Preexisting Conditions: asthma, Diabetes ii
Allergies: sulfa, pcn, morpine
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Monitored 30 minutes in clinic, woke up at 930pm itchy hands/arms, then spread. No respiratory issues, but called to ED. Spread to thighs, and back of legs rash. 10:30 ED medicated with IV Solumedrol, Pepcid and Benadryl. Sent home with Prednisone, Pepcid and taper. Dr. spoke with this am and plan to pre-medicate prior to 2nd dose, but does approve. Monitor another 30 minutes . Rash resolved minimal on forearms.


VAERS ID: 903375 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Male  
Location: Arizona  
Vaccinated:2020-12-17
Onset:2020-12-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Palmar erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: pruritis of upper extremities. Erythema of bilateral palms and dorsal wrists


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