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This is VAERS ID 1400544

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1400544
VAERS Form:2
Age:64.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-11
Onset:2021-06-01
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: Facial paralysis, Eyelid function disorder

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:
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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