This report summarizes the clinical and epidemiologic characteristics of case reports of allergic reactions, including anaphylaxis and nonanaphylaxis allergic reactions, after receipt of the first dose of Moderna COVID-19 vaccine during December 21, 2020–January 10, 2021, in the United States. For four case reports, investigators have been unable to obtain sufficient information to assess the likelihood of anaphylaxis. Among the remaining case reports that were determined not to be anaphylaxis, 47 were assessed to be nonanaphylaxis allergic reactions, and 47 were considered nonallergic adverse events. Among eight persons with follow-up information available, all had recovered or been discharged home. The median interval from vaccine receipt to symptom onset was 7.5 min (range = 1–45 min). 2 Among these case reports, 10 cases were determined to be anaphylaxis (a rate of 2.5 anaphylaxis cases per million Moderna COVID-19 vaccine doses administered), including nine in persons with a documented history of allergies or allergic reactions, five of whom had a previous history of anaphylaxis. Anaphylaxis is a life-threatening allergic reaction that occurs rarely after vaccination, with onset typically within minutes to hours. Among these, 108 case reports were identified for further review as possible cases of severe allergic reaction, including anaphylaxis. ![]() 1 As of January 10, 2021, a reported 4 041 396 first doses of Moderna COVID-19 vaccine had been administered in the United States, and reports of 1266 (0.03%) adverse events after receipt of Moderna COVID-19 vaccine were submitted to the Vaccine Adverse Event Reporting System (VAERS). ![]() On December 19, 2020, the Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use of Moderna COVID-19 vaccine. On December 18, 2020, the Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for Moderna COVID-19 vaccine administered as 2 doses, 1 month apart to prevent COVID-19. As of January 20, 2021, a total of 24 135 690 cases of coronavirus disease 2019 (COVID-19) and 400 306 associated deaths had been reported in the United States ( ).
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