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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1420272



Case Details

VAERS ID: 1420272 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-05-21
Onset:2021-06-20
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Emotional distress, Eyelid function disorder, Facial asymmetry, Facial paresis, Taste disorder
SMQs:, Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: I was told there are no medical tests to prove Bell''s Palsy. The doctor was so sure that this was ''textbook'' Bell''s Palsy that further stroke tests would be unnecessary.
CDC Split Type:

Write-up: HCP confidently diagnosed me with Bell''s Palsy. It came on suddenly and without much warning. I woke up to find that the right side of my face was weak - right eye hard to close, weak lower lip, and even foods/drinks had different or less taste. These symptoms have worsened a bit, most noticeable being my less active right eyelids and the weakness in my lips/face muscles (right side) makes it hard/embarrassing to talk or laugh, as my mouth becomes contorted.


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