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

This is VAERS ID 1462111



Case Details

VAERS ID: 1462111 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-06-25
Onset:2021-07-02
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Balance disorder, Bell's palsy, Chest X-ray, Computerised tomogram head, Electrocardiogram, Full blood count, Headache, Magnetic resonance imaging head, Metabolic function test, Neurological examination, Swallow study abnormal
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: CT brain MRI brain Emergendy Department evaluation Nurologist consult/ evalaution cbc, cmp, ekg, cxr Swallow study (failed)
CDC Split Type:

Write-up: Bells Palsey (right facial dysequilibrium with standing, ambulatoin Headache, cervical trigger points


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