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

Found 190,632 cases where Location is U.S., Territories, or Unknown and Vaccine is COVID19 and Standard-MedDRA-Query broadly-matches 'Anaphylactic reaction'

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Case Details

This is page 22 out of 19,064

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VAERS ID: 903760 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-15
Onset:2020-12-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Diarrhoea, Full blood count, Metabolic function test, Pruritus
SMQs:, Anaphylactic reaction (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Noninfectious diarrhoea (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: none
Current Illness: asthma
Preexisting Conditions: asthma, costochondritis
Allergies: none
Diagnostic Lab Data: CBC and BMP
CDC Split Type:

Write-up: Body pruritus, generalized, diarrhea Treatment: Benadryl 50mg Solumedrol 125mg Pepcid 20 mg


VAERS ID: 903762 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lip swelling, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: sulfa, latex, nitrofurantoin, povidone (severe)
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT RECEIVED COVID VACCINE. WAITED THE REQUIRED 15 MIN OBSERVATION TIME. AFTER THE 15 MINUTES PT STATED SHE NOTICED SOME LIP SWELLING AND THROAT TIGHTNESS. PATIENT ALERTED STAFF. PT ASSISTED TO SITTING POSITION. PT REFUSED TO LAY DOWN. BP AT 1233 WAS 160/102 HR 99. PT VISABLLY SHAKING. PT STATED NO DIFFICULTY BREATHING. PT ADMINISTERED 25MG IM BENADRYL PER EMERGENCY ORDERS AT 1235. BP BP AT 1238 WAS 150/91 HR 80 SAT 96. CALLED TO PATIENT. NO INCREASED SYMPTOMS. PT WAS TOLD TO STAY TO BE MONITORED FOR FEW HOURS. RECHECKED PT AFTER 15 BP 151/76 HR 90 O2 100% ON RA. AT TIME OF THIS ENTRY PATIENT NO LONGER COMPLAINS OF FURTHER SYMPTOMS AND IS IMPROVING.


VAERS ID: 903763 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ED5730 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Tachycardia, Throat tightness, Tremor
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (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: Melatonin 10 mg every night and vitamin C 1,000 mg every morning
Current Illness: Was on a medrol dose pack, then a prednisone taper for a stiff neck. Last dose of prednisone prior to vaccination was 30 mg on 12/17/2020.
Preexisting Conditions: hypertension, GERD, hyperlipedemia, and Reflex sympathetic dystrophy syndrome
Allergies: Amlodipine- itching, diltiazem- hives, codeine- hives, contrast- hives, gentamicin ointment- swelling, hydralazine- hives, lyrica- hives, nitrofurantoin- rash, clopidogrel- hives, nifedipine-hives, trandolapril/verapamil- hives, and tramadol- hives
Diagnostic Lab Data:
CDC Split Type:

Write-up: Throat tightening and patient started to tremble 30 minutes after vaccination. Also became tachycardic. Patient was treated with methylprednisolone 80 mg IV x 1, famotidine 20 mg IV x 1, and diphenhydramine 50 mg IV x 1.


VAERS ID: 903765 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Alaska  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Flushing, Headache, Rash macular
SMQs:, Anaphylactic reaction (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Zyrtec Flonase Chlorthalidone Vitamin D Ferrous Gluconate Lisinopril Metoprolol Succinate Jardiance Famotidine Lantus Novolog Rosuvastatin Levothyroxin
Current Illness: No
Preexisting Conditions: Diabetes Hypertension GERD
Allergies: Stargazer Lillies Some cleansers/detergents Essential Oils (Some) Perfumes
Diagnostic Lab Data: BP 140/70 pulse 77
CDC Split Type:

Write-up: Flushing of face, mild headache, blotchy skin on truck (front and back), upset stomach Gave Benadryl 50mg at 11:15am Symptoms not progressing


VAERS ID: 903766 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Angioedema, Full blood count, Human chorionic gonadotropin, Metabolic function test
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Levothyroxine 100 mcg, albuterol HFA, Wellbutrin XL
Current Illness: None
Preexisting Conditions: CSF leak, migraines, asthma
Allergies: Amoxicillin (hives), divalproex (swelling)
Diagnostic Lab Data: CBC, BMP, HCG
CDC Split Type:

Write-up: Angioedema


VAERS ID: 903767 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Unknown  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling hot, Headache, Nausea, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: nausea, headache, rash, hot all over


VAERS ID: 903773 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Paraesthesia oral, Rash
SMQs:, Anaphylactic reaction (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash and tingling lips approximately 40 minutes after Pfizer-BioNTech COVID-19 vaccine 0.3 mL injected IM into the left deltoid. Presented to ED to report symptoms. Symptoms mild enough that patient did not want to have any interventions. She just wanted to report them for tracking purposes. Instructed to return in symptoms worsen or if new symptoms develop. Patient did not return, so assuming no new or worsening symptoms.


VAERS ID: 903774 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Paraesthesia oral, Rash
SMQs:, Anaphylactic reaction (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash and tingling lips approximately 40 minutes after Pfizer-BioNTech COVID-19 vaccine 0.3 mL injected IM into the left deltoid. Presented to ED to report symptoms. Symptoms mild enough that patient did not want to have any interventions. She just wanted to report them for tracking purposes. Instructed to return in symptoms worsen or if new symptoms develop. Patient did not return, so assuming no new or worsening symptoms.


VAERS ID: 903776 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Michigan  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Feeling hot, Pruritus, Skin warm, Swelling face, Tachycardia, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: Arm swelling and hand swelling after Flu vaccine in 2020. Also numbness and tingling.
Other Medications: Synthroid, multi-vitamin, vitamin D3, elderberry, magnesium, dulera inhaler.
Current Illness: N/A
Preexisting Conditions: Asthma, hypothyroidism.
Allergies: Shellfish, pecans, sensitive to preservatives
Diagnostic Lab Data: Not applicable
CDC Split Type:

Write-up: Hives, itching, warmth on bilateral face and neck and chest. Tachycardia. Facial swelling.


VAERS ID: 903777 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: asthma, atopic dermatitis
Preexisting Conditions: Atopic Dermatitis
Allergies: seafood, pines
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Chest tightness, sob, tachycardia Treatment: Benadryl 50mg Solumedrol 125mg


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