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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1316820



Case Details

VAERS ID: 1316820 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-16
Onset:2021-05-04
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram head normal, Drooling, Eye patch application, Eyelid function disorder, Facial paralysis
SMQs:, Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: aspirin 81mg, biotin 5000mcg, fish oil x 3, Glucotrol xl 10mg, inderol160mg, multivitamin 1000mg, Prozac hcl 20mg, vitamin C 1000mg, D3 2000IU, Wellbutrin xl 300mg,
Current Illness:
Preexisting Conditions: diabetes, depression, rapid heartbeat, anxiety, issues w/ kidney stones, arthritis in hands and feet
Allergies: avelox, azithromycin, clindamycin, codeine, Zpac, dobutamine, fragrances, glipizide er, iodine, Keflex, Lipitor, metformin hcl, methylprednisolone, penicillin, surgical tape, medication intolerances: Biaxin, diazepam, Flagel, hydrocodone, Levaquin, metronidazole, Relafen, topiramate,
Diagnostic Lab Data: CT
CDC Split Type:

Write-up: pt states on 5/4/21 her mouth was drooping and she couldn''t shut her left eye. When she would drink, she would drool. Her condition did not improve so on 5/8/21 she went to Hospital. She had a CT, no stroke detected. No lab work. She was diagnosed w/ Bells Palsy. She was prescribed a valacyclovir hcl 1gm, 1 tab every 12rs. She was released to FU w/ PCP. She saw her PCP, on 5/12/21. She was evaluated and told to continue her meds and come back on 6/1/21. Pt still has these symptoms, wears a patch on her at night and is using artificial tears. The right side of her face is stronger than her left now.


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