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From the 1/14/2022 release of VAERS data:

Found 90,569 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 20 out of 9,057

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VAERS ID: 909730 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Iowa  
Vaccinated:2020-12-26
Onset:2020-12-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Cough, Fatigue, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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:
Preexisting Conditions:
Allergies: Just sensitive to some medication and food.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Tired, body aches, fevers and cough


VAERS ID: 909731 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Nevada  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Dysgeusia, Flushing, Hyperhidrosis, Visual impairment
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (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: Birth control pill only
Current Illness: None
Preexisting Conditions: None
Allergies: Environmental allergies to pets and grass
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Dizziness, dim vision, sweating, flushing, metallic taste in mouth, chest pressure


VAERS ID: 909735 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2020-12-24
Onset:2020-12-24
   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: Headache, Pain, Pain in extremity, Rash, Rash erythematous, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: Intermittently taking biotin, Vit D, and multi vitamin
Current Illness: none
Preexisting Conditions: none
Allergies: None
Diagnostic Lab Data: none, I did not seek medical attention
CDC Split Type:

Write-up: Extremely sore arm, full body aches, and headache the day after the vaccine. Resolved the following morning. Also presented with hive like raised red itchy rash on lower back starting approx. 9 PM the night of the vaccine on 12/24,. I still have the rash- it hasn''t gotten any worse or any better. It hasn''t changed in size either. I tried Benadryl spray with fair effect.


VAERS ID: 909737 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-23
Onset:2020-12-23
   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: Public       Purchased by: ?
Symptoms: Contusion, Erythema, Induration, Local reaction, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xeljanz XR, vyvanse, rheumate, skelaxin (qday), ketoprofen ER, levothyroxine, tizanidine (qhs), tramadol (qhs), vitamin D, MVI
Current Illness: None
Preexisting Conditions: RA, SIgA deficiency, celiac, hashimoto?s, ADD,
Allergies: Humira, plaquenil, lexapro, gluten
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Localized reaction. Erythema initially 1 in diameter, indurated, sore arm. Worse 12/24. Induration/erythema up to 3 inch diameter. Soreness obviously worse. Took antihistamines, tylenol. Today induration down to 1 inch, bruised not nearly as sore.


VAERS ID: 909741 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Body temperature increased, Chest discomfort, Chills, Cough, Diarrhoea, Fatigue, Headache, Hyperhidrosis, Malaise, Myalgia, Nausea, Night sweats, Tremor, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), 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: Plaquinil 200mg daily Diclofenac 75mg daily Levothyroxine 112 mcg daily Omeprazole 40 mg daily
Current Illness: Diagnosed with Covid 19 November 27 2020
Preexisting Conditions: Rheumatoid Arthritis Hypothyroidism Degenerative disc disease
Allergies: Neurontin allergy generalized edema
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Headache beginning two to three hours after the injection. Generalized malaise approximately 9 pm. Awoke from sleep at 1 AM with severe chills and tremors lasting until 3 AM. Temperature of 103. Back to sleep and awoke at 4:30 with severe headache and N/V. Temperature 100.8. Muscle aches, headache extreme tiredness throughout the day on the 25th. Chills again around 11:00, temp 100.1. Generalized malaise, stomach cramping and headache lasted throughout the day. Awoke on the 26th at approximately 2am with night sweats. Went back to sleep and awoke at 8am on the 26ths with wet blankets and pajamas. Felt better after showering. Still had a headache but didn?t really hurt unless sneezing or coughing. Well enough to go to church. After returning had diarrhea a couple of times. Now only a lingering heaviness in center of my chest and need to cough that I have had since a week before my Covid diagnoses in November


VAERS ID: 909742 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Anxiety, Chest discomfort, Dizziness, Heart rate increased, Respiratory rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (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: none
Preexisting Conditions:
Allergies: Peanuts, tylenol w codeine, tramadol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was vaccinated at approximately 1135, exact time on consent form for vaccination. Pt was visitnig with another pt outside the lobby for about 15-20 min. then came iinto building stating that she had "chest tightness" pt was calm and able to descrive sesation. No distress. Pt was instructed to sit in chair and vital signs obtained, 2 sent obtained immedicately after. Pt still awake and alert able to verbalize needs. Manual blood pressure taken. Dr called by Pharmacist. Pt was anxious and was verbally calmed by RN. 2 RN''s and pharmacist at pt side. Pt c/o of dizziness, respirations elevated but able to maintian airway. Pt heart rate elevated. Dr arrived and asessed pt. After stabilation and meds administered, pt taken to urgent care for further monitoring and evaluation. Pt declined EMS transport to ER.


VAERS ID: 909770 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-22
Onset:2020-12-22
   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 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Chills, Electrocardiogram normal, Heart rate increased, Insomnia, Migraine, Pain, Palpitations, Pyrexia, Tinnitus
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: COVID-19 (12/06/2020 symptoms, 12/07/2020 PCR + Test)
Preexisting Conditions: None
Allergies: Aspirin and Diphenhydramine
Diagnostic Lab Data: ED took EKG and monitored vitals. ED said everything looked normal on the EKG and the elevated vitals were to be expected considering I just got over having COVID-19 and took the vaccine so soon after. I stated to the ED that no where on the COVID vaccine questionnaire or by the screening nurse for the vaccine did it ask about being ill in the past 30 days. I believe that is a standard question on the Influenza questionnaire.
CDC Split Type:

Write-up: Chills, shivering, migraine , body aches, painful tinnitus, fever, elevated resting HR of 90 (normal is 46), bounding heart beat, tightness in chest, elevated resting BP 150/80 (normal 124/72) 600mg ibuprofen & 500mg acetametaphine made me comfortable to get about an hour and half worth of sleep. Went to ED for elevated HR, BP and chest pain. ED took EKG and monitored vitals. ED discharged with 975mg acetametaphine and 800mg ibuprofen with 24hrs quarters. I was able to get about 3 hours of sleep.


VAERS ID: 909775 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest pain, Dysphagia, Headache, Hypoaesthesia oral, Paraesthesia oral, Pharyngeal swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Fluoxetine, Lamictal, Iron Supplement
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received the vaccine at 1038a. 1045 developed minor tongue tingling. Called the RN she gave me 25mg Benadryl. By this time whole tongue became tingly and the roof of my mouth started to feel numb. A minute later throat started to feel full and it became hard to swallow. This feeling of it being hard to swallow, came with a painful headache and some chest pain. Once in ER, was given more Benadryl, Epi, Lorazepam, and Protnox. The feeling in my throat and the difficulty swallowing slightly improved 25min after the oral Benadryl. It took about a little over an hour from the onset of symptoms to start to feel they were resolving.


VAERS ID: 909784 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-24
Onset:2020-12-24
   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 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest discomfort, Facial discomfort, Pain in extremity, Pruritus
SMQs:, Anaphylactic reaction (narrow), Hypersensitivity (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: influenza H1N1 2009
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: FLU vaccine H1N1 2009 with near anaphylaxis
Diagnostic Lab Data: none
CDC Split Type:

Write-up: 10 minutes following vaccination, itchiness, "fullness in face and chest" She took benadryl and cetirizine due to known adverse reaction to H1N1 vaccine Overall resolved in 30 min no worsening Arm achiness x2 days


VAERS ID: 909822 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Feeling hot, Flushing, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Vestibular disorders (broad), Hypersensitivity (broad), Dehydration (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: Singulair, xyzal, losartan, hctz, levothyroxine, pravastatin
Current Illness: None
Preexisting Conditions: HTN, HYPOTHYROIDISM, high cholesterol
Allergies: Shellfish, cephalosporins, wasps
Diagnostic Lab Data:
CDC Split Type:

Write-up: Flushed skin, elevated HR, extreme feeling of internal heat, dizzy


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