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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'

Table

   
AgeCountPercent
9-12 Years10%
3-6 Years20%
< 3 Years100.01%
12-17 Years280.03%
Unknown4,5765.67%
75+ Years8,21210.17%
65-75 Years13,68716.95%
17-44 Years26,42432.72%
44-65 Years27,82034.45%
TOTAL80,760100%



Case Details

This is page 1 out of 8,076

Result pages: 1 2 3 4 5 6 7 8 9 10   next


VAERS ID: 905937 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001J20A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Breath sounds abnormal, Cough, Headache, Rash, Rhinorrhoea, Stridor, Throat irritation
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (narrow), Hypersensitivity (narrow), Respiratory failure (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: AMLODIPINE 5 MG DAILY ALBUTEROL INHALER 2 PUFFS Q6H PRN SOA CARVEDILOL CR 80 MG DAILY DILTIAZEM SR 240 MG BID HCTZ 12.5 MG DAILY LEVOTHYROXINE 175 MCG DAILY MON - FRIDAY LEVOTHYROXINE 200 MCG DAILY SAT/SUN NTG 0.4 MG SL PRN CHEST PAIN PRAVA
Current Illness:
Preexisting Conditions:
Allergies: ASPIRIN - BODY RASH CODEINE - ANAPHYLAXIS CEPHALEXIN - RASH WITH BLISTER MEPERIDINE - RASH WITH BLISTERS ALL ANTIBIOTICS EXCEPT MACROLIDES AND QUINOLONES - RASH WITH BLISTERS MINT LAVENDER OREGANO BEE BALM CATNIP HYSSOP LEMON BALM MOVI-PREP SULFA - ANAPHYLAXIS
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT WITH KNOWN H/O SEVERE ALLERGIC REACTION - APPROXIMATELY 15 MINUTES AFTER INJECTION, BEGAN TO COUGH AND EXPERIENCE ITCHY THROAT. SHE REPORTED THAT THIS IS WHAT HAS HAPPENED WITH OTHER ALLERGIC REACTIONS. SHE REQUESTED ORAL DIPHENHYDRAMINE HOWEVER SYMPTOMS WORSENED QUICKLY - DETERMINATION WAS MADE TO ADMINISTER EPINEPHRINE. SHE WAS GIVEN A DOSE OF 0.3 MG EPINEPHINE IM AT 1402. PT QUICKLY BEGAN TO FEEL BETTER. SHE WAS GIVEN ORAL BENADRYL 100 MG (PER HER REQUEST - SHE SAYS THIS IS HOW MUCH SHE TAKES EVERY TIME SHE HAS AN ALLERGIC REACTION). DOSE GIVEN AT 1410. SHE DID HAVE COMPLETE RESOLUTION OF HER SYMPTOMS. SHE WAS KEPT IN THE CLINIC FOR OBSERVATION. AT 1430, PT AGAIN BEGAN EXPERIENCING SYMPTOMS AGAIN, SHE WAS COUGHING AND HAD ITCHY THROAT. SHE WAS IMMEDIATELY TAKEN TO THE ED. SHE HAD COUGH, RUNNY NOSE, RASH ON FORARMS ONLY - NOT PRESENT ON CHEST OR BACK OR FACE. AN IV WAS PLACED BY ULTRASOUND IN HER LEFT AC. AT 1438, EPI 0.3 MG IM GIVEN 1440 - FAMOTIDINE 20 MG IV GIVEN 1441 - METHYLPREDNISOLONE 125 MG IV GIVEN 1442 - FAMOTIDINE 20 MG IV GIVEN 1443 - DIPHENHYDRAMINE 50 MG IV 1444 - VITALS - 136/94, HR - 92, OXYGEN SAT - 96% ON RA 1445 - PT C/O HEADACHE, STILL COUGHING, RASH PERSISTS 1450 - IPRATROPIUM / ALBUTEROL + RACEMIC EPI GIVEN 1453 - STILL CONTINUOUS DRY COUGH, RASH BETTER 1455 - BREATHING TREATMENT COMPLETE - COUGH MUCH BETTER 1457 - HEIGHT - 63" WEIGHT - 87.7 KG, 97.4 TEMP, HR - 77, OXYGEN SAT 96% 1504 - PT REPORTS FEELING MUCH BETTER, NO COUGH, NO RASH, LUNGS CTA BIL, NSR - HR - 75, 127/89, 96% ON RA 1610 - PT DOING WELL - PLANNING TO BE DISCHARGED - WITH RX FOR EPI PEN AND PREDNISONE 50 MG DAILY X 3 1616 - SYMPTOMS RETURNED, CONTINUOUS COUGH RETURNED, RASH PRESENT ON ARM, OXYGEN SAT 93%, 146/102, HR - 91, RUNNY NOSE 1619 - IPRATROPIUM / ALBUTEROL + RACEMIC EPI GIVEN - LUNGS DIMINISHED IN BASES WTIH STRIDOR HIGHER UP NEW IV PLACED IN LEFT HAND 1620 - 151/91, OXYGEN SAT 99% ON RA, HR - 86


VAERS ID: 905962 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001J20A / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Chest discomfort, Dyspnoea, Heart rate increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant 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: NONE KNOWN
Preexisting Conditions: ASTHMA - TAKES NO MEDICATIONS ADHD - TAKES NO MEDICATIONS
Allergies: VANCOMYCIN - RASH
Diagnostic Lab Data:
CDC Split Type:

Write-up: approximately 30 minutes after receiving the vaccine, patient reported development of symptoms including increased HR, chest tightness and mild shortness of breath. She presented to the ED and was evaluated. She was given diphenhydramine 25 mg IV x 1 1629, famotidine 40 mg iv x 1 @ 1630, methylprednisolone 125 mg iv x 1 at 1629. patient was observed for 90 minutes. She was without further symptoms, VSS and she was discharge to home in stable condition at 1800


VAERS ID: 905986 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-15
Onset:2020-12-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA EK 5730 / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Induration, Mass, Pruritus, Skin warm, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (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: to many to list
Current Illness: none
Preexisting Conditions: b/p, diabetic, on a daily baby asa, chol meds, multi vitamins
Allergies: entex, pcn, adhesive tape sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe swelling, hard lump, hot to touch, severe itching


VAERS ID: 906235 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O11J20A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Erythema, Flushing, Immediate post-injection reaction, Palpitations, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (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? Yes
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: No
CDC Split Type:

Write-up: Immediately after receiving the vaccine, I felt tingling sensation in my extremities. I felt flushed, my chest became red, and I felt like my heart was racing. It generally lasted about a minute. Now, two hours later i am still feeling some tingling in my left arm.


VAERS ID: 906315 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ear swelling, Erythema, Lip swelling
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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: patient pre medicated self with Benadryl per instructions of her PCP
Current Illness: n/a
Preexisting Conditions: crohns
Allergies: Butalbital-aspirin-caffeine Iodinated Diagnostic Agents Meperidine Infliximab Montelukast Montelukast Sodium Penicillin G Azathioprine Adhesives/tape Codeine Latex Morphine Nsaids Penicillins Tetracycline
Diagnostic Lab Data: steroids administered in the Emergency Department
CDC Split Type:

Write-up: At 35min post vaccine patient noted with redness to the chest, neck and going up to face and bilateral ears. Ears were swollen. Patient transferred to the Emergency Department where she was noticed to have swollen lips


VAERS ID: 906398 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA EJ1685 / 1 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: 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? 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: Hives


VAERS ID: 906560 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: Maine  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: no
Preexisting Conditions: no
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash on arms


VAERS ID: 906800 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Male  
Location: Unknown  
Vaccinated:2020-12-21
Onset:2020-12-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J2OA / UNK LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Cough, Headache, Pain
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: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Chills, body aches, mild cough, headache


VAERS ID: 906812 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood glucose, Dizziness, Electrocardiogram, Flushing, Presyncope
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro 20 mg, Vitamin D
Current Illness: None reported
Preexisting Conditions: None reported
Allergies: PCN, Sulfa Antibiotics
Diagnostic Lab Data: EKG, blood glucose
CDC Split Type:

Write-up: Dizziness, Flushed, Light headed, Near Syncopal Episode.


VAERS ID: 906818 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Paraesthesia oral, Somnolence, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: During 15 min observation, employee reported tingling in her lips. She is allergic to grass and has experienced this feeling when she is having an allergic reaction. Employee taken to gurny, VS taken. No hives noted. Reported her throat feels a little tight. 50 mg of Benadryl given. See attachment for VS record. 1:1 observation by RN. No further s/s. Employee states points to her flowers and says it could be the flowers my mom sent me for vaccination day. Monitored employee until 1950 when she was taken home by a co-worker. Employee states she has improved s/s and is now just drowsy. Informed to discuss reaction with PCP and/or EH. Instructed to call EMS or go to ED if symptoms come back.


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