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This is VAERS ID 1316820

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1316820
VAERS Form:2
Age:63.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-16
Onset:2021-05-04
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, Drooling, Facial paralysis, Eyelid function disorder, Eye patch application, Computerised tomogram head normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1316820&WAYBACKHISTORY=ON


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