National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1389100

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1389100
VAERS Form:2
Age:15.0
Sex:Male
Location:Virginia
Vaccinated:2021-05-16
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0176 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Bell's palsy, Trismus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin, vitamin D
Current Illness: none
Preexisting Conditions: none
Allergies: shellfish
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: 6/3/21: started having left eye watering with the inability to close the eyelid 6/6/21: received 2nd covid vaccine 6/8/21: Developed inability to close his mouth and to smile which has persisted 6/10/21: Seen in clinic and diagnosed with left Bells Palsy and prescribed prednisone

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1389100&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166