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From the 10/15/2021 release of VAERS data:

Found 85,643 cases where Vaccine is COVID19 and Manufacturer is MODERNA and Standard-MedDRA-Query broadly-matches 'Anaphylactic reaction'



Case Details

This is page 14 out of 8,565

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VAERS ID: 909207 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037KZOA / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Dysstasia, Electrocardiogram, Feeling abnormal, Feeling of body temperature change, Headache, Palpitations, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (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: Zyrtec, Flonase, lexapro, vitamin d, spironolactane,
Current Illness: None
Preexisting Conditions: Seasonal allergies, previous/treated hyperparathyroidism,
Allergies: Seasonal allergies, oxycodone causes vomiting
Diagnostic Lab Data: EKG 12/24/2020
CDC Split Type:

Write-up: Feeling that something was wrong, headache, racing heart beat, short of breath, dizziness, weakness, inability to stand, hot then cold, shaking, chills,


VAERS ID: 909214 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-25
Onset:2020-12-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Flushing, Paraesthesia, Throat irritation
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: FELT FLUSHED, "TINGLY" AND HER THROAT ITCHED


VAERS ID: 909216 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Injected limb mobility decreased, Injection site pain, Pain, Pain in extremity, Rash
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: asthma
Preexisting Conditions: asthma
Allergies: Seasonal
Diagnostic Lab Data:
CDC Split Type:

Write-up: Right arm is painful with a rash and redness in the area. There is also pain from the elbow to the shoulder. Pain especially with lifting my right arm or lifting something with right arm.


VAERS ID: 909252 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Clindamycin Bee Stings Fire Ants
Diagnostic Lab Data: None
CDC Split Type:

Write-up: I began feeling short of breath, heart palpitations, and dizziness. It felt the same as my reactions to bee stings and fire ant bites. This lasted about 10 minutes and started to subside on it''s own. Then, I was also given 25 mg of benadryl by mouth. Within about 30 minutes I was feeling back to normal.


VAERS ID: 909264 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Gastrointestinal disorder, Headache, Pain in extremity, Pruritus, Pyrexia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal Topamax Potassium Prozac Irbesartan Torsemide Valtrex Biotin Vitamin D3 Multivitamin Aspirin
Current Illness: None
Preexisting Conditions: Hypertension Mental Health Hypokalemia Poly cystic Ovarian Syndrome
Allergies: PCN Keflex Morphine Altace
Diagnostic Lab Data: None at the time
CDC Split Type:

Write-up: 12/26/2020 Generalized body urticaria/rash, itchy, Fever 100.9?, headache, GI s/s, Sore arm 12/25/2020 2pm-nighttime Fever 101.1? (continued throughout evening), GI s/s, fatigue , Sore arm/shoulder 12/24/2020 7pm Scalp Itch, Sore Arm


VAERS ID: 909272 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies: CAT DANDER, POLLEN EXTRACTS
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: LIGHTHEADEDNESS, HEART PALPITATIONS, SHORTNESS OF BREATH, FELT FAINT


VAERS ID: 909308 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Dyspnoea, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: No thyroid 60 mg, BRETZRI 160-9-4.8 mcg/act inh, metformin 500 mg, progesterone 200 mg SR cap Ventolin HFA 90mcg act inhaler, vitamin D 5000 units, probiotics, estrogen/testosterone pellet Q 3 months
Current Illness: Upper respiratory infection 2 weeks prior
Preexisting Conditions: Asthma, hypothyroidism
Allergies: Sulfa, benzocaine, HCTZ,
Diagnostic Lab Data:
CDC Split Type:

Write-up: Anxiety and slight shortness of breath that didn?t interrupt my sleep. I used my regular inhaler as scheduled. I felt better the next morning. Just arm soreness.


VAERS ID: 909309 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2020-12-23
Onset:2020-12-24
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angioedema, Loss of personal independence in daily activities, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dementia (broad), Oropharyngeal allergic conditions (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Junel Fe, ferrous gluconate
Current Illness: none
Preexisting Conditions: iron deficiency anemia
Allergies: Sulfa, environmental
Diagnostic Lab Data:
CDC Split Type:

Write-up: Full body hives beginning about 36 hours after vaccination. Angioedema in the hands, feet, and lips beginning about 48 hours after vaccination. Hives did not improve with Benadryl so doctor prescribed prednisone. No severe reaction such as anaphylaxis, but reaction was moderate enough to make daily life difficult.


VAERS ID: 909310 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-24
Onset:2020-12-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: Estarylla, Famotidine, Montelukast, Hydroxyzine
Current Illness: COVID-19 with symptom onset on 11/27 positive test on 11/30
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Urticaria rash on bilateral arms and abdomen


VAERS ID: 909314 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Oropharyngeal pain, Paraesthesia, Paraesthesia oral, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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: Montelukast nightly Allegra every other night, Zyrtec every other night (opposite of Allegra), prenatal vitamin, nightly Zolpidem nightly, OTC-collagen powder-every other morning, Miralax as need
Current Illness: None
Preexisting Conditions: ADHD
Allergies: Cannot touch raw shrimp-rash Codeine Latex Adhesives
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Initially very mild tingling to nose and lips. Then in ED, BP 170s/110s. Then about 1 hour and 10-15 minutes later had rash start to pop up on random areas of my face. Then next morning with sore throat and rash around the next about 21-22 hours after the vaccine


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