Report #2842696

Received May 26, 2025

ER / ED visit

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Overview

Sex: Female
Age: 49 yrs
State: —
Recovered: Unknown
Vaccinated: Feb 26, 2021
Onset: Feb 26, 2021
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	031M20A	IM / RA

Symptoms (1)

Anaphylactic reaction

Symptom narrative

Patient was seen in ER on 2/26/21 for an anaphylactic (acute allergic) reaction to the Moderna COVID Vacine. Patient was given 2 epipens, steroids, benadryl for symptoms as well as some medications for nausea and stomach irritation. Patient's breathing and symptoms improved with these medications. Patient was sent home with prescriptions for epi-pens Patient went on to successfully receive 3 Pfizer doses following this.