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

Found 82,559 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Manufacturer is MODERNA and Standard-MedDRA-Query broadly-matches 'Anaphylactic reaction'

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Case Details

This is page 11 out of 8,256

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VAERS ID: 908899 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dyspnoea, Palpitations, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Difficulty breathing, palpitations, feeling like she is developing hives


VAERS ID: 908919 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J202A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Dysgeusia, Hot flush, Laboratory test, Pruritus, Rash, Troponin
SMQs:, Anaphylactic reaction (narrow), Taste and smell 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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, verapamil, magnesium, Tylenol,motrin
Current Illness: migraine, neck and shoulder pain
Preexisting Conditions: migraine,
Allergies: imitrex
Diagnostic Lab Data: CHEMISTRY,TROPONIN, GIVEN BENADRYL, PEPCID, SOLUMEDROL, PREDNISONE
CDC Split Type:

Write-up: METTALIC TASTE IN MOUTH; ITCHING, RASHES, CHEST PRESSURE,HOT FLUSHES


VAERS ID: 908925 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure systolic decreased, Dizziness, Hyperventilation, Hypoacusis, Hypoaesthesia, Illusion, Muscular weakness, Nausea, Pallor, Paraesthesia, Presyncope, Thirst, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Dehydration (broad), Sexual dysfunction (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:
Current Illness:
Preexisting Conditions: Depression
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Five minutes after receiving the vaccine I started feeling slight nausea, which got progressively worse, started feeling lightheaded and had to sit down at about minute 6, at 7 minutes a clinical assessment team was called because I was feeling like I was about to pass out. Everything seemed far away and removed and sound distorted/muffled , I was extremely nauseated, lightheaded and extremely thirsty and was seeing ?spots? in my vision. When the team arrived only a minute or so later, they checked my vital signs and found that my blood pressure was low, at 89 for systolic, with my normal systolic being 120-130.. I got very pale all over and my arms and especially fingers became weak, numb and tingly, the left arm more than the right. I was told I had a vasovagal response and also that I was expelling too much CO 2 because I had been hyperventilating. I was monitored and given po fluids for about half hour at which point I felt recovered enough to leave. I was offered/recommended being checked out at the emergency room but declined


VAERS ID: 908928 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 AR / IM

Administered by: Military       Purchased by: ?
Symptoms: Chills, Cough, Productive cough, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Approximately 9 hours post injection, patient developed chills, fever, cough with phelgm production which then progressed into uncontrollable cough. Patient went to ER, treated with albuterol inhaler and released without restrictions. Pt using inhaler but symptoms decreased at this time.


VAERS ID: 908934 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Arthralgia, Dyspnoea, Headache, Hyperhidrosis, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (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: Aspirin, liraglutide, alpha lipoic acid, amlodipine, glipizide, megace, lisinopril
Current Illness: None known
Preexisting Conditions: Diabetes, hypertension, CKD stage 3, multiple myeloma, Grave''s disease, menorrhagia
Allergies: Aspirin, morphine, lactose, codeine
Diagnostic Lab Data: Vital signs normal
CDC Split Type:

Write-up: Within 5 minutes of receiving the vaccine, patient experienced anxiety, shortness of breath, and body aches in her elbows, knees, and ankles. Vital signs were normal. No lip/tongue/throat swelling on exam. She was pale and diaphoretic. Symptoms resolved in 35 minutes with laying supine and applying cold cloth/compress to neck and upper chest. She developed a headache at 40 minutes, however it was mild and it did not cause her to stay for monitoring any further.


VAERS ID: 908962 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-01
Onset:2020-12-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA MOD 025J20A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Dyspnoea, Paraesthesia, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aricept, Coumadin, Wellbutrin, Klonopin, trazodone Vitamin C vitamin E, vitamin collagen.
Current Illness:
Preexisting Conditions: Antiphoslipid syndrome
Allergies: Cipro, monistat, bacterium
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tingling of face difficulty breathing with a swollen tongue


VAERS ID: 908970 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Injection site pain, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall 10 mg bid, Flonase 50mcg prn
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives on chest transient noticed at 4:30 pm, diffuse red raised patches and erythema, gone by 8 pm, no pruitis. Site injection deltoid soreness, beginning about 1hour after injection, soreness increasing through today.


VAERS ID: 908998 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Dyspnoea, Hypoaesthesia oral, Pallor, Palpitations, Paraesthesia oral
SMQs:, Anaphylactic reaction (narrow), 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), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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:
Other Medications:
Current Illness: Vit D deficiency, Fibromyalgia, GERD
Preexisting Conditions: Vit D deficiency, Fibromyalgia, GERD, Sleep apnea
Allergies: Shellfish
Diagnostic Lab Data:
CDC Split Type:

Write-up: I started feeling palpitation after 2 minutes then was placed in the observation room. Vital sign showed heart rate of 145 with normal blood pressure and oxygen. Then after few more minutes I started feeling numbness and tingling in the mouth and started feeling dizzy and had cold sweats. Heart rate was 130s and BP was undetectable and my skin was severely pale. I administered my Epipen and rapid response team arrived after few minutes. I felt better 5-6 min after infection of the epipen but was still feeling dizzy and mildly short if breath. I was transferred to emergency room when I was treated with IV steroid, benadryl , pepcid and IVF. I was observed for 4 hours and was discharged with improvement in symptoms .


VAERS ID: 909027 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Oregon  
Vaccinated:2020-12-22
Onset:2020-12-24
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal distension, Angina unstable, Bone pain, Dyspepsia, Dyspnoea, Fatigue, Gastrooesophageal reflux disease, Headache, Oropharyngeal pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Myocardial infarction (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Other ischaemic heart disease (narrow), Osteonecrosis (broad), Tendinopathies and ligament disorders (broad)

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

Write-up: Severe fatigue Sore throat Abdominal distention Dyspepsia/GERD Shortness of breath intermittently Moderate to severe headache Left arm pain (mild) Angina at rest Right claviclular/subclavian pain


VAERS ID: 909029 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Hawaii  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Erythema, Peripheral swelling, Pruritus, Skin disorder
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: reported anaphylaxis after a flu shot, no other info obtained before EMS intervention.
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: None indicated on screening form but after she started to have a reaction she verbally reported a history of anaphylactic reaction after a flu shot.
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 20 minutes after vaccination, patient reported generalized itching and hand swelling (left). Patient had red spots on her face and complained they were itchy. EMS personnel were on-site and and MD administered 50mg oral diphenhydramine and 100mg oral prednisone. BP: 130/90, P: 92, R: 16 with no obvious signs of distress. Lungs were clear to auscultation and patient was sitting on her own and able to hold a conversation. Ambulance was called and arrived about 10 minutes after reaction started. IV with Normal Saline was started and patient was given 25mg IV diphenhydramine. Patient was taken via ambulance to a nearby hospital.


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