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From the 9/17/2021 release of VAERS data:

Found 80,760 cases where Vaccine is COVID19 and Manufacturer is MODERNA and Standard-MedDRA-Query broadly-matches 'Anaphylactic reaction'



Case Details

This is page 8 out of 8,076

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VAERS ID: 908368 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Fatigue, Injection site induration, Lip swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (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: Moderna COVID 19 vaccine eua, lip swelling approximately 12 hours after injection, chills, fatigue and hardness at injection site approximately 10 hrs after injection


VAERS ID: 908431 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium, Brain natriuretic peptide, Chest X-ray, Chest discomfort, Chest pain, Dizziness, Full blood count, Hyperhidrosis, Metabolic function test, Myocardial necrosis marker, Nausea, Troponin, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (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: entresto,metoprolol,simvastin,oxycontin,torsemide,bumex,
Current Illness:
Preexisting Conditions: CAD,L4 L5 spinal injury,MVR, CABG x 1
Allergies: dilaudid,peanuts, chlorhexadine
Diagnostic Lab Data: CBC,CMP,BNP,CXR,MG,CARDIAC ENZYNMES/SERIAL TROPONINS,
CDC Split Type:

Write-up: I premedicated prior to injection with benadryl 50mg po and otc pepcid. Approx 25 minutes post injection felt some very mild chest pressure that slowly developed to moderate pain scale 4 over a period of approx 2 hours then returned to a mild pressure once again, all left sided and no radiation of pain noted. At approx 430pm the pressure began to increase again and became painful at approx a 5 on the pain scale, it was then I developed diaphoresis,dizziness and severe nausea/vomitting., Bright green bile appearing vomitus. Went to ED where I was given IV,Zofran 4mg x 2 doses,Reglan 10mg IV and contiued go vomit violently. Recd prescriptions for antiemetic and dc home to ride out the vomitting.


VAERS ID: 908471 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Blood pressure orthostatic abnormal, Body temperature increased, Bradycardia, Chills, Decreased appetite, Disturbance in attention, Dizziness, Electrocardiogram, Fatigue, Feeling abnormal, Headache, Hypotension, Laboratory test, Nausea, Pain, Sluggishness
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (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: None
Allergies: None
Diagnostic Lab Data: Lab work and EKG was performed at the hospital . I am unsure as to what test at the time of reporting
CDC Split Type:

Write-up: I was very tired at 18:30 after receiving the vaccine at 14:29. I went to bed at 18:30 that night awoke at 3 am for work and was still very tired and body aches. I was driving to work and notice that I was having a delayed reaction to such things as I was looking at Christmas lights and had to remind myself I was driving. The drive to work otherwise I do not remember. I felt as if I was just not processing things around me correctly. At work the symptoms were intermittent. The thought process or lack of continued. I began to have stomach pain felt like diarrhea coming on however I never had it. Then nauseated and thought I was going to throw up and felt like I was going to pass out. The passing out feeling continued until I had my coworker call a rapid because I knew my blood pressure was dropping and my hear rate became slow and I was passing out. I was then taken to the emergency room to where I continued to experience orthostatic blood pressure changes and bradycardia and hypotension. I was given fluids and potassium IV and was feeling slightly better. I went home and slept for the next 18 hours. When I did briefly awaken through the evening I had an elevated temperature 102, chills and an extreme headache and body aches. Today I awoke at 6 am and still sluggish with a slight headache and absolutely no appetite.


VAERS ID: 908486 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / UNK RA / IM

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? 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: Received vaccine around 0700 this morning. Started itching around 1300, rash appeared on both hands around 1500. Arms also itch but no current sign of rash. Has taken benadryl. Talked to employee health and was directed to go to ED if rash spreads.


VAERS ID: 908534 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Eye pruritus, Flushing, Lacrimation increased, Ocular hyperaemia, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Glaucoma (broad), Lacrimal disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: mirtazapine 25mg QHS
Current Illness: none
Preexisting Conditions: none
Allergies: Zofran, Bee stings
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient started with watery red eyes and face was flushed. initial vital signs after notice of reaction was Bp 120/88 then noticed mild hives on neck and behind ears. Decided to give patient Benedryl 50 mg IM in Right Deltoid at 1:12pm and retook vitals at 1:20 Bp 118/74 pulse 86 and SAO2 99% on room air. Vitals at 1:36 pm were BP 116/84 pulse 90 and SAO2 97% on room air. Redness and eye watering and itching improved. Spoke with patient again today she says she still has a slight itchiness between fingers and will consult physician prior to second dose.


VAERS ID: 908537 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Washington  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Flushing, Hypersensitivity, Lacrimation increased, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Lacrimal disorders (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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: None
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Hypersensitivity reaction. Redness, flushing, runny nose, watery eyes. Gave Diphenhydramine 25mg PO. Symptoms subsided after about 20 minutes. Patient stayed in the clinic for observation for approximately 1 hour. Advised to call 911 and seek emergency medical care if any symptoms started again after leaving the clinic. Patient expressed understanding.


VAERS ID: 908538 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dysgeusia, Sensation of foreign body, Throat irritation
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sensation of lump in the throat and metallic taste in mouth approx. 10 minutes post vaccination while still in Vaccine Observation area. VS normal and stable. O2Sat 100%. Evaluated by on site physician. Received diphenhydramine 25mg PO at clinic. Remained stable and D/C''d home. F/U telephone call 12/24/2020. States additional 25mg diphenhydramine at home in "evening" for "Scratchy" throat. No problems overnight and all sxs resolved in AM of 12/24 2020.


VAERS ID: 908540 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Maine  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Lip swelling, Paraesthesia oral, Tachycardia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ocella
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin (hives)
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 30 minutes after receiving vaccination, patient started to have tingling and mild swelling in her lips as well as tachycardia. Vital signs taken. Heart rate was 102 bpm, respiratory rate 18, blood pressure 144/80, O2 Sat 98%. Received cetirizine 10 mg PO. Symptoms resolved within one hour of receiving cetirizine.


VAERS ID: 908588 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Vermont  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: itchy nose and chin. Lasted about 5 minutes


VAERS ID: 908590 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Flushing, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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: "Scratchy" throat, dizzy, shortness of breath, and flushed approx. 10 minutes post vaccination. Evaluated onsite at vaccine clinic by physician. Received diphenhydramine 25MG PO. VS normal and stable. O2 Sat at 100%. Monitored and observed for 60 minutes and D/C''d in stable condition. Contacted by phone in AM of 12/24/2020 and states all sxs resolved yesterday evening. Will receive 2nd dose of vaccine in hospital Allergy Clinic.


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