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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 15 out of 8,565

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VAERS ID: 909324 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
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 039K20-2A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Dizziness, Flushing, Hypoaesthesia, Hypoaesthesia oral, Rash macular
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Flu vaccine caused short term entire body paralysis. 2014.
Other Medications: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Flush feeling through entire body within 10 min with dizziness associated. Numbness of bilateral hands and feet as well as lips. Rise in Bp up to 150/100. Red, blotchy neck. Within hour, dizziness subsided, but numbness of extremities and lips lasted approximately 10 hours.


VAERS ID: 909336 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Illinois  
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 026L20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Flushing, Headache, Hyperhidrosis, Injection site pain, Lymph node pain, Lymphadenopathy, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: ibuprofen
Current Illness: none
Preexisting Conditions: asthma
Allergies: n/a
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: I received the shot at 7pm on the 23rd, when i woke up on the 24th i had some soreness around the site but I felt fine otherwise, around 10am on the 24th, I started by first having chills then feeling flushed, I started to have severe muscle and joint aching, headache and body sweats. my fever got up to 103. I was taking tylenol and ibuprofen about every 4-6 hours. this all lasted until 6am on the 25th, on the 25th i had some fatigue and headache, the night of the 25th around 10 pm i noticed a little swelling and tenderness under my left axilla and left upper chest near my collar bone. i think it is lymph node swelling or tenderness. Today is the 26th and i still have the tenderness under my arm and upper chest, but i feel better otherwise. I was told that people usually have worse side effects from the second shot, is there any reason you wouldn''t get the 2nd shot??


VAERS ID: 909344 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Maine  
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 - / 1 RL / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Glossodynia, Oropharyngeal pain, Oxygen saturation normal
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: provent
Current Illness: no
Preexisting Conditions: asthma
Allergies: perfumes, smoke
Diagnostic Lab Data: none/pule ox
CDC Split Type:

Write-up: sudden onset of pain in throat, base of tongue and increase dry cough. Oxygen saturation 97% which patient reports is at her baseline, no increase work of breathing, slight dry cough x 3 but not other cough


VAERS ID: 909346 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Pennsylvania  
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 039K20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Tinnitus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hearing impairment (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:
Current Illness:
Preexisting Conditions:
Allergies: Motrin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Facial hives, ear ringing, happened around 1 hr and 30 min after vaccination


VAERS ID: 909355 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Iowa  
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 - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Dizziness, Dyspnoea, Feeling abnormal, Nervousness, Pallor, Palpitations
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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: none
Current Illness: none
Preexisting Conditions: asthma, seasonal allergies, pericardial cyst
Allergies: none
Diagnostic Lab Data: No labs reported in EHR at this time. Per provider notes, positive for palpitations, light headedness, and nervous/anxious. Discharged to home.
CDC Split Type:

Write-up: several minutes after vaccination, complained of shortness of breath. Nurse used standing order protocol to administer epi 0.3 mg into right deltoid. Patient reports feeling a little better BEFORE the epi, but reported feeling "strange". Charge nurse notified the emergency department, an ED nurse advised coming for workup in the ED (which is right down the hallway). Patient walked to ED. Appeared pale. Patient discharged from the ED with a prescription for zyrtec.


VAERS ID: 909373 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-24
Onset:2020-12-25
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025JO2A / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Back pain, Burning sensation, Fatigue, Headache, Neck pain, Pain in extremity, Rash erythematous, Tenderness
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vit D3 1000 U Vit B12 250 mcg zyrtec 10 mg
Current Illness: none
Preexisting Conditions: seasonal allergies
Allergies: presumed allergy to shellfish, not confirmed
Diagnostic Lab Data: none
CDC Split Type:

Write-up: dose 1 of vaccine at 11am 12/24/20, after vaccination I noticed some pain and burning that radiated down arm, lasted for seconds and resolved. This pain came and went throughout afternoon of 12/24. Upon waking around 730am on 12/25/20 I noticed slightly red erythematous ovoid rash that measured approx 3 in x 1 in in size, was exquisitely tender to touch, but smooth, without vesicles, pustules, non-fluctuant. Took tylenol and applied heat to area without relief of pain. Pain is burning in nature, with a soreness that radiates down the back of my upper arm. Pain worse with raising or using arm. Also have aching in neck and upper back. Also having increased fatigue and slight headache all of 12/25, worst at night and located on right side of head, throbbing. On 12.26.20 I woke and noticed rash has slightly increased from markings made on 12/25/20. I continue to feel tired, achy, with slight headache. Arm very sore and upper back very sore.


VAERS ID: 909378 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: New Hampshire  
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 039K20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Palpitations, Pharyngeal paraesthesia, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Heart rate of 159 with palpatations, tingling on the throat, (red, no hives), surface rash on throat, clear speech, clear lung sounds Local EMS was contacted at 1:17 p.m. and the patient was administered 50 mg of Diphenhydramine at 1:21 p.m. After admininstration visual signs of rash subsided, and patients status improved. Patient was handed off to Local EMS


VAERS ID: 909384 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: New York  
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 016120A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Arthralgia, Chills, Fatigue, Injection site pain, Pain, Pyrexia, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Arthritis (broad), 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: Omega 3 Vit d
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Felt fine day of shot. Next day low fever 100.6 chills, tired , generalized aches rap hand joints. Now arm soreness atvi jection site and a red small rash distal to site


VAERS ID: 909407 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: North Carolina  
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 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Myalgia, Rash, Rash macular, Rash pruritic, Toothache, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (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: Vitamin D, Vitamin C, zinc, magnesium and multi vitamin
Current Illness:
Preexisting Conditions:
Allergies: Allergic to Bermuda, Timothy and Johnson grass, pine and dust mites
Diagnostic Lab Data:
CDC Split Type:

Write-up: On 12/24 @3am I started vomiting and did so on and off for the next 4 hours. A felt very fatigued the rest of the day. On 12/25 I developed a macular pruritic rash to my chest that progressed throughout the day that covered my torso. By 9pm on 12/25 I was experiencing fatigue, headaches, muscle aches and chills. I took Tylenol and ibuprofen and went to bed. I current have a headache, worse pruritic rash and upper tooth pain .


VAERS ID: 909432 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: New York  
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 039K20-2A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dyspnoea, Malaise
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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 known
Current Illness: None noted
Preexisting Conditions: None noted
Allergies: NKDA
Diagnostic Lab Data: Transported to Emergency room.
CDC Split Type:

Write-up: Employee was waiting to be observed for the required 15 minutes post vaccination. She started to complain of not feeling well and feeling short of breath. She was immediately assessed by staff and transported to Emergency Department for further evaluation.


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