National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1433657

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433657
VAERS Form:2
Age:19.0
Sex:Female
Location:Colorado
Vaccinated:2021-05-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Bell's palsy

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':

Write-up: Bell''s Palsy - Seen 6/28/2021 - Caregiver or patient concerns: o Cannot close her right eye well and cannot use the right side of her mouth well for 1 week. She is getting watery eyes, no pain in eyes. When she brushes her teeth water comes out the right side of her mouth. She has to take small bites of food b/c otherwise food comes out of her mouth. It is improving. Left eye and left side of mouth is ok. No arm or leg weakness. o Pt vaccinated against covid, 1st dose 4/25/21, 2nd dose 5/21/21.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433657&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166