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

This is VAERS ID 1430603



Case Details

VAERS ID: 1430603 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-02-10
Onset:2021-06-21
   Days after vaccination:131
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013M20A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi vitamin Tramadol Flexaril Lexapro
Current Illness:
Preexisting Conditions: Neck and shoulder pain
Allergies: Savella, Mirapex, Docy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bells Palsy


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430603


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