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From the 11/26/2021 release of VAERS data:

Found 84,128 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 16 out of 8,413

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VAERS ID: 909433 (history)  
Form: Version 2.0  
Age: 27.0  
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 - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Flushing, Oropharyngeal discomfort, Presyncope, Rash, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Migraines, GERD
Allergies: Meloxicam
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt began feeling flushed, tremulous, c/o weird sensation in throat. developed rash. Had near syncope. 1-2hrs of symptoms.


VAERS ID: 909446 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Massachusetts  
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 - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Chest discomfort, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Feeling hot, Pain
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Hypertension (narrow), 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: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine within 2 minutes of receiving the Moderna covid 19 vaccine I became hot head to toe, chest particularly hot and tight yet no sob or wheeze. Palpitations were present, bp elevated 160/110, dizziness. after 15 -20 minutes improved however for next hour was not myself; felt a little light headed and a little difficulty getting a full breath. Over next day, did not feel ill but not quite myself. follow 24-48 achy, tired.


VAERS ID: 909447 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Texas  
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 037K20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cardiac discomfort, Chest discomfort
SMQs:, Anaphylactic reaction (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
Current Illness: recent dental surgery (cavity filling) -- 12/21/2020
Preexisting Conditions: grave''s disease
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine Vaccine administration was okay and without issue. Patient reports having sensation of "vice around heart" that spontaneously resolved less than 5 minutes after injection. No anaphylaxis or shortness of breath, but sensation of tightness in chest that subsequently resolved within the 10-15 minutes after injection.


VAERS ID: 909457 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Male  
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 039K2OA / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood test, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Feeling hot, Flushing, Headache, Injection site pain, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Hypoglycaemia (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: Metformin, Roustevstatin, Victoza, Jardiance, Celexa, Hydroxzine, Vit D, multivitamin
Current Illness: N/A
Preexisting Conditions: Morbid Obesity, Type 2 Diabetes, Depression (in remission)
Allergies: Mild allergy to shellfish
Diagnostic Lab Data: 12/26 - EKG, blood work
CDC Split Type:

Write-up: Day 1/2 - Headache, Pain at injection site/slight arm sweeping, tiredness Day 2 - nausea, tiredness, dizziness, shortness of breath, feeling hot/flushed, fainted (led to a 911 call / ED visit)


VAERS ID: 909464 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Colorado  
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 RA / -

Administered by: Military       Purchased by: ?
Symptoms: Dysphagia, Injection site pain, Injection site pruritus, Injection site rash, Rash, Swollen tongue
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Pneumovax 23; 2011; Cellulitis
Other Medications: Armour Thyroid 30mg 1QAM Armour Thyroid 120mcg 1QAM Aspirin EC 81mg 1QAM Latuda 40mg 1QPM Lamictal XR 200mg 1QPM Lithium 300mg Cap 2QPM Diazepam 5mg 1Q8H PRN Anxiety Nurtec ODT 75mg Botox Injections (Migraines) Ibuprofen 800mg 1Q8H PRN Hea
Current Illness: None known
Preexisting Conditions: Hashimoto?s Hypothyroidism; Intracranial Stents (Right ICA and Left ICA); Manic Depression; Bipolar I; Obsessive-Compulsive Personality Disorder; Migraines
Allergies: Latex, penicillins, zolmitriptan
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Within minutes of innoculation, site area became extremely itchy. I brought this to the attention of the medics in the 15-minute observation room, and they immediately took me to an exam room where I was attentively cared for by several nurses, medics, and healthcare staff. I was given liquid Benedryl as my arm began to rash around the site. Within about five minutes of being in the exam room, my tongue began to feel like it was swelling in the back of my mouth, it soon began to feel swollen through the whole tongue, and it became increasingly difficult to swallow. Upon notifying the nurse nearby, I was immediately given an EpiPen injection. I do not know what may vitals were as everything happened very quickly, but I was told that my face, neck, and chest became rashy quickly, but subsided after several minutes from the EpiPen, at which time I was given more liquid Benadryl. Once stable, I was taken to the emergency room for monitoring for two hours. I felt better quite quickly after arriving in the emergency room, but the itching persisted through the evening. After 15 hours of sleep, I awoke to only a sore arm and thigh from each injection site.


VAERS ID: 909467 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Tennessee  
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 LA / IM

Administered by: School       Purchased by: ?
Symptoms: Eye pruritus, Flushing, Headache, Pharyngeal swelling
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (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: Flu vaccine
Other Medications: Claritin Vistaril Prilosec Gabapentin Norco Zanaflex
Current Illness: none
Preexisting Conditions: anxiety chronic pain
Allergies: Lyrica Flu vaccine
Diagnostic Lab Data:
CDC Split Type:

Write-up: throat swelling, itchy eyes, flushed skin and a headache


VAERS ID: 910065 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Kentucky  
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 025J20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Flushing, Hypoaesthesia oral, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data: Received IV steroids in ER
CDC Split Type:

Write-up: Moderna COVID 19 Vaccination administered IM L deltoid. Client stayed 30 minutes for observation. Left and approximately 15 minutes later experienced numbness in tongue and neck area-felt like throat was constricting. Drove self back to clinic with epi and benadryl administered IM and oxygen placed at 8l. Blood pressure 170/98, HR 108. States felt better but after approximately 15 minutes became flushed and felt like it was returning. Left with practicing MD & NP to go to ER.


VAERS ID: 910094 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Arizona  
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 011J20A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Asthenia, Chest discomfort, Cough, Discomfort, Dysphagia, Dyspnoea, Feeling abnormal, Flushing, Hyperhidrosis, Hypoaesthesia, Injected limb mobility decreased, Paraesthesia, Throat clearing, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Hypoglycaemia (broad), Sexual dysfunction (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: Voltaren topical gel
Current Illness: No
Preexisting Conditions: None
Allergies: Oxycodone
Diagnostic Lab Data: Unknown at this time
CDC Split Type:

Write-up: Employee presented to COVID 19 vaccination clinic and received 1st dose of COVID 19 @ 13:48. Patient proceeded to wait in the waiting area 15 minutes and was about to leave to return to work when the contracted employee reported she developed a cough and flushed face. VSS @ 2:04 BP 172/105 HR 111, she was A&O, Employee was moved to stretcher, given water to drink unable to drink, she stated "it feels funny", VSS retaken BP 151/97, HR 91. She continues with intermittent non productive cough and C/O she was unable to clear throat and felt throat tightness. Within minutes, her face flushed, coughing worsened, difficulty swallowing, and she became diaphoretic. Solumedrol 125 mg IM Given to right arm. Patient reported she felt heaviness throughout her body, and was unable to move her Left arm as easy as before, with bilateral numbness to tingling to upper extremities and decrease strength to left arm. Patient crying out, stated she felt as if she could not breath, no hives present, no angioedema. Anxious, crying out that she felt "heavyness on her chest". VSS 2:19 158/108 HR 78. This writer attempted to call ED RN several times through operator: NO answer to each call. I left personal message with Unit secretary of COVID 19 reaction and needed to speak with RC or ED MD. I attempted to to call ED MD, no answer. Epinephrine 0.5mg IM given to right deltoid at 14:20 patient was taken to ED triage area, patient taken to room. Report given to RN and ED MD.


VAERS ID: 909480 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Heart rate increased, Hypoaesthesia, Palpitations, Paraesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad), Sexual dysfunction (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Bactrim
Diagnostic Lab Data: EKG 12/26/20
CDC Split Type:

Write-up: Symptoms started after 2-3 mins of vaccine. Started having numbness, tingling on face, arms, legs, tachycardia up to 144 bpm, dizziness, palpitations, chest tightness. Lasted up to 1 hour. Observed in clinic and went home after 2.5 hrs. At home continued to have on and off palpitations for 2-3 hrs with heart rate increasing to 110 bpm.


VAERS ID: 909481 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea, Feeling hot, Heart rate increased, Nausea, Palpitations, Pharyngeal swelling, Swollen tongue, Urticaria, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)

Life Threatening? Yes
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: Sulfa
Diagnostic Lab Data: None
CDC Split Type:

Write-up: O had the vaccine at 9 am this morning waited 15 mins after vaccine before leaving while driving I had a pounding heart rate and hot I rolled down the window felt better. 1 hour later while at home.e started with nausea diarrhea rapid heart rate headed to medical office while in care tongue swelled I called 911 pulled over when the ambulance got to me my throat swelled and I had hives on chest they took me emergency while there I had sever pounding heart and vomiting treated with meds sent home with medication and benadryl


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