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This is VAERS ID 1424034

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1424034
VAERS Form:2
Age:35.0
Sex:Male
Location:Alabama
Vaccinated:2020-12-18
Onset:2021-06-20
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ELT9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Bell's palsy, Facial paralysis, Pain in jaw, Laboratory test, Eyelid function disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril 10 mg daily Propranolol 40 mg PRN Multivitamin daily
Current Illness: None
Preexisting Conditions: HTN
Allergies: Penicillin (unknown reaction as a baby)
Diagnostic Lab Data: Seen in the University Hospital ER where sensation tests were performed. No other tests involved in diagnosis nor bloodwork.
CDC 'Split Type':

Write-up: Patient developed Bell''s Palsy 6 months after 1st dose. Received both doses in the series. 12/18/21 and 1/8/21 Left sided jaw pain, then drooping mouth following by entire left sided facial droop within 3 hours involving loss of eyelid function. Started prednisone taper, valacyclovir, and lubricating eye drops within 5 hours of symptom onset. Facial droop worsened over the next 36 hours. Appears stable now.

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