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Anaphylactic reactions are excluded by the presence of red plasma or urine, discordant pretransfusion and posttransfusion ABO blood types, or a positive direct antiglobulin (Coombs) test result. Demonstration of anti-IgA in a pretransfusion sample of the recipient's serum or plasma establishes the diagnosis.
A delayed blood transfusion reaction can begin within 3 to 10 days. You may also have a reaction the next time you receive blood. A high fever and chills. Dizziness or fainting. Little or no urination. Headaches, double vision, or seizures. Yellowing of your skin or the whites of your eyes.