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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 26 out of 9,057

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VAERS ID: 910372 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dyspnoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (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: Unknown
Current Illness: None
Preexisting Conditions: History of Asthma. Reports no asthma attacks for past 5 years. No medications for asthma.
Allergies: Unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed wheezing, c/o difficulty breathing. Denies tongue swelling, no visible rash. Treated with albuterol nebulizer and transported to hospital.


VAERS ID: 910375 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA -Allergic to hazelnut
Diagnostic Lab Data:
CDC Split Type:

Write-up: visible rash to anterior chest and left side of the neck ( close to left ear). Client c/o of itching. Allegra 60 po given with water per protocol.


VAERS ID: 910377 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Arizona  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Flushing
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (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: Upper body flushing and dizziness (arms/face). Dizziness resolved in approximately 20 minutes. Pt left observation area still slightly flushed.


VAERS ID: 910387 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: "throat feels tight" - no obvious signs of distress. Benadryl 50mg Po given and discharged at 1040 feeling better


VAERS ID: 910547 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Missouri  
Vaccinated:2020-12-24
Onset:2020-12-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Condition aggravated, Dizziness, Headache, Lip swelling, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Seasonal allergies -- tree, pollen, ragweed, etc. Mostly mild, managed with daily Allegra.
Diagnostic Lab Data:
CDC Split Type:

Write-up: I''m not sure this is entirely vaccine related, but I wanted you to be aware. I occasionally experience unexplained swelling of my lips. It has been investigated by an allergist, but the cause is unknown -- doesn''t appear to be a food allergy (no trigger foods identified, and it has never appeared immediately after eating), and may not even be histamine related. It could be something immune-system related, and my experience this weekend might support that. I had normal, expected symptoms on Friday evening (chills, headache). Those resolved Saturday. Saturday night, my lower lip swelled dramatically. Swelling spread into the upper lip as well. I have seen this before, but this was one of the more severe instances I have experienced. Lips remained swollen overnight. When I woke up Sunday morning and went to the restroom, I became suddenly lightheaded and passed out. That''s a symptom I have never experienced before. I consulted with my primary care doctor and took it very easy the rest of Sunday. He and I will follow up to further asses what happened. No further light-headedness on Sunday or today. Lips eventually resolved late in the afternoon. This is all about 72 hours after the vaccine, so I can''t be sure it is related, but I do wonder if it is related to having my immune system revved up by the vaccine. I reported it on the CDC check-in app and my primary care physician is noting it on his side as well.


VAERS ID: 910584 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-26
Onset:2020-12-26
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK - / -

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? Yes
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: Rash and Hives


VAERS ID: 910587 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Virginia  
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 039K20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Anxiety, Asthenia, Chest X-ray normal, Fatigue, Feeling abnormal, Feeling of body temperature change, Hallucination, Headache, Heart rate increased, Hyperhidrosis, Hyperventilation, Incoherent, Nasal congestion, Nasal dryness, Nausea, Pain, Pyrexia, Respiration abnormal, SARS-CoV-2 test negative, Tremor
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (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), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), COVID-19 (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: Vitamins C & D. I also take HIV medication (Biktarvy- 1 pill once a day) and also Pantoprazole 1 pill once a day
Current Illness: HIV + (undetectable) and had Covid at the beginning of November but recovered at the time of vaccination
Preexisting Conditions: HIV + (undetectable) and healthy
Allergies: None that I am aware
Diagnostic Lab Data: Chest xray came back normal on Dec 25th at hospital.
CDC Split Type:

Write-up: I received my first dose of Moderna vaccine at around 9:45 am on Dec 24 and I was fine for like 4 hrs after receiving it, until I started feeling similarly to the way I felt when I tested positive for Covid and had it at the beginning of November (feverish, headache, body ache, stuffy mucusless nose, fatigue, hangover sensation like nauseated and weird, etc...) Things got a little bit worse when all of a sudden I started feeling feverish and my heart started beating so fast I could hear it myself. I had to stop doing what I was doing and called (my insurance/MCD) because I was getting anxious and started hyperventilating, which did not allow me to breathe normal. They told me to take Tylenol which I did and little by little my fever started decreasing; it must have been almost 100 F at that moment. Then once again like 5 hrs after I had taken Tylenol I started getting fever again and this time I got extremely cold also and I was shaking so much and felt so weak I had to lay down and call once again; they told me to have someone take me to their urgent care center and I went there and they retested me for Covid but it was negative this time. Since I had taken Tylenol (2nd time same day, 6 hrs apart) just before I left, my fever was not that high when I showed up there. They told me studies have showed some people experience similar symptoms but when they get the 2nd not the 1st dose; however, they thought it could happen too. I had fever nonstop for almost 48 hrs; it was so high (101.7- highest reached). The rest of the time?at night when I was trying to sleep, obviously I could not take my temperature, I was half awake, half sleep hallucinating, shaking, cold, then hot and sweating a lot and speaking non sense in my sleep (according to my spouse)- this happened both nights. On Dec 26 I woke up feeling not great but definitely better but had a little headache and still felt somewhat nauseated. My last dose of Tylenol I took at 8 pm on Dec 25. I have been feeling better for the past two days but I still feel a little bit tired and not back to my normal self.


VAERS ID: 910598 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Colorado  
Vaccinated:2020-12-27
Onset:2020-12-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / -

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Disorientation, Dizziness, Fatigue, Feeling hot, Headache, Hypoaesthesia, Hypoaesthesia oral, Intranasal hypoaesthesia, Nasal discomfort, Nausea, Pain in extremity, Paraesthesia, Paraesthesia oral, Speech disorder, Swelling face, Visual field defect
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Junel FE 1.5
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Allergic to Swordfish
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: 10:30am - Received the Vaccine Shot 11:30am- Warmth throughout face, then right had went all tingly, then numb and swollen. The numbness crept up the arm to the elbow. Then the nose started to get tingly and numb followed by the lips and gums. 12:00pm - Started to not be able to speak a sentence. The words were coming out of my moth very jumbled even though in my mind I knew what I was trying to say. Still numb in right hand, and on right side of face. 12:10 pm- Could not see fully out of the right peripheral of my eye as well to the other symptoms of not being able to speak a full sentence. I was able to speak less words than I had about 10 min prior. Numbness in my hand went away at this time. 1:15pm- I was able to speak mostly full sentences again. I got a pounding headache on the front to left side of my head and felt fatigues. 1:40pm- Finally able to speak full sentences again, I could feel my hand and all the parts of my face. Felt weak, still had headache and felt nauseous and dizzy. 2:15pm- Took 1 advil, fell asleep 4:00pm- Woke up, felt weak, disoriented, still had a headache. 8:00pm- Only a small headache left and a sore arm


VAERS ID: 910609 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-26
Onset:2020-12-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Rash, Throat irritation
SMQs:, Anaphylactic reaction (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: Unknown
Preexisting Conditions: none
Allergies: Penicillin, Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient experienced diffuse rash on the upper extremities as well as a scratchy throat 16 hours after vaccination.


VAERS ID: 910614 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Anxiety, Feeling hot, Palpitations, Pruritus, Tremor, Tryptase, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Tryptase pending
CDC Split Type:

Write-up: The patient felt very hot around 15 min post vaccine, felt anxious. Felt her HR was racing, Watch said it was 103. Let the RN know and HR was then measured at 125 bpm. BP was 140 which is high for the patient (baseline around 100 systolic). She felt shaky. The RN said she saw a few hives on her chest and it was a bit itchy. They gave her some water and juice. She felt better and the hives resolved on their own. She then was given Zyrtec. Her HR is 85 when I spoke to her, 30 min post vaccine, and BP is 130 systolic. No wheezing, no SOB, O2 sat was normal the entire time. She still felt shaky and anxious. Called 2 hours after vaccine administration and she felt normal.


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