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

This is VAERS ID 1329494



Case Details

VAERS ID: 1329494 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-04-28
Onset:2021-05-02
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Electrocardiogram, Magnetic resonance imaging head
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arthritis; Fibromyalgia (Diagnosed over 20 years ago.); Hashimoto''s thyroiditis (Diagnosed over 20 years ago.); Overweight
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: EKG; Result Unstructured Data: Test Result:negative; Test Date: 20210502; Test Name: MRI of head; Result Unstructured Data: Test Result:negative
CDC Split Type: USPFIZER INC2021499863

Write-up: Bell''s palsy; This is a spontaneous report from a contactable consumer, the patient. A 61-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), intramuscular in the left arm on 28Apr2021 at 13:30-13:40 (at the age of 61-years-old) as a single dose for COVID-19 immunisation. Medical history included Hashimoto''s thyroiditis and fibromyalgia, both diagnosed over 20 years ago, overweight, and arthritis. Concomitant medications were not reported, but the patient did state she took something for arthritis and thyroid for years prior to the vaccination. There were no prior vaccinations within 4 weeks of the vaccine. On 02May2021, at 15:30-16:00, the patient was diagnosed with Bell''s Palsy. She went to the emergency room on 02May2021, where they performed an EKG & MRI of the head to make sure it was not a stroke, which were all negative. The patient was not admitted to the hospital. She tried to speak slow because her words were slurred. The patient was not treated for the event. The clinical outcome of Bell''s Palsy was not resolved. Information on lot number has been requested.


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