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This is VAERS ID 1399851

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1399851
VAERS Form:2
Age:31.0
Sex:Female
Location:California
Vaccinated:2021-04-16
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038B21A / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Bell's palsy, Facial paralysis, Muscle twitching

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: 10mg Zyrtec as needed
Current Illness: Positive ANA testing (antinuclear antibody test)
Preexisting Conditions: allergic urticaria/pruritus, anxiety
Allergies: penicillins
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.

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