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

This is VAERS ID 1457620



Case Details

VAERS ID: 1457620 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Male  
Location: California  
Vaccinated:2021-07-01
Onset:2021-07-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047B21A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Extraocular muscle paresis, Facial paralysis, Facial paresis, Hypoaesthesia, Ophthalmoplegia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Immune-mediated/autoimmune disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: nonr
Current Illness: none
Preexisting Conditions: none
Allergies: Fluconazole
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states reporting numbness, weakness, with paralysis to the left side of the face and left eye. He states he first noticed his left eye not closing and drooping of the mouth when brushing his teeth on 07/03/2021. Patient was seen by a provider and was palced on medication and diagnosed with Bells Palsy.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457620


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