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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1437684



Case Details

VAERS ID: 1437684 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-05-21
Onset:2021-06-04
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Blood test, Chest X-ray, Computerised tomogram
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: Verapamil 120mg citalopram 20 mg Bupropion XL 300mg Bayer aspirin 81mg multi vitamin gummie osteo biflex calcium chew fiber gummie B12 1000mcg D3 25 mcg Aleve
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Trip to ER where they performed CAT scan, chest x-ray, and blood work follow up tests scheduled: MRA scan, echo ultrasound, and carotid scan
CDC Split Type:

Write-up: Developed Bell''s Pasly two weeks after injection


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437684


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