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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1400544



Case Details

VAERS ID: 1400544 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-11
Onset:2021-06-01
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX8680 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Eyelid function disorder, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021639321

Write-up: This is a spontaneous report from a contactable consumer (patient''s wife), based on information received by Pfizer from BioNTech (control number: 60390), licensed party for BNT162B2 (Comirnaty). A 64-year-old male patient received the first dose of BNT162B2 (Comirnaty, solution for injection, lot# EX8680), at the age of 64, via an unknown route, on May 11, 2021, single dose, for COVID-19 immunisation. No medical history or concomitant medications provided. Since Jun 1, 2021, patient has unilateral facial paralysis (medically significant). He can''t shut his eye completely, eyelid problems (non-serious). The patient visited the doctor. He was given cortisone tablets and eye ointment. The patient has not recovered from the events.


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