| Days after vaccination:||48
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA
||038B21A / 2
||LA / IM
Administered by: Other Purchased by: ?
Symptoms: Bell's palsy,
SMQs:, Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Other Medications: 10mg Zyrtec as needed
Current Illness: Positive ANA testing (antinuclear antibody test)
Preexisting Conditions: allergic urticaria/pruritus, anxiety
Diagnostic Lab Data: No testing post- diagnosis. Will have rechecks with doctors and may start testing if no improvment in next couple of weeks.
CDC Split Type:
Write-up: Bell''s Palsy; acute left sided facial nerve paralysis diagnosed officially on 6/6/21. Clinical signs started 6/3/21 with progressive facial paralysis and facial twitching. Started steroids and antiviral on 6/6/21. Disease is currently present with no resolution yet, no improvement yet (6/1521 at the time of submitting this report). First moderna vaccine, left arm 3/19/21. Second moderna vaccine, left arm 4/16/21.