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Report #2860251

Received Sep 21, 2025

ER / ED visitOffice visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
29 yrs
State
NE
Recovered
Unknown
Vaccinated
Mar 19, 2021
Onset
Mar 20, 2021
Days to onset
1
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1003B21ALA
COVID19COVID19 (COVID19 (MODERNA))MODERNA2031A21A—

Symptoms (10)

Anaphylactic reactionBrain fogHistamine intoleranceHypersensitivityPainPyrexiaSwelling faceSwollen tongueTremorUrticaria

Symptom narrative

Initial: extreme body shaking, fever, and body aches for 24 hours. Then, hives all over body, face swelling, tongue swelling, requiring ER intervention numerous times in the proceeding 6-12 months. No history of histamine intolerance or allergies.

Current illness

None.

Medical history

Migraine headaches. After the vaccination chronic histamine intolerance (requiring epi pens and several ER trips for full body allergic reaction and anaphylaxis) and brain fog developed.

Other medications

Pre-natal

Allergies

None. Allergies developed after the vaccination.

Lab data

None.