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

This is VAERS ID 1466759



Case Details

VAERS ID: 1466759 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-06-04
Onset:2021-07-03
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Bell's palsy, Computerised tomogram head normal, Dysarthria, Dysphagia, Facial pain, Facial paralysis, Ophthalmoplegia
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 3 Blood Pressure Medications Humalog, Lantus, Metformin Statins Oxybutynin
Current Illness: None
Preexisting Conditions: COVID-19 disease dx 1-28-2021 passive antibodies on 1-30-2021 Hypertension Diabetes Mellitus
Allergies: Morphine
Diagnostic Lab Data: CT scan of head 7-3-2021
CDC Split Type:

Write-up: On 7-3-2021 the client was at a gathering. Friends noted that her left face was drooping and her words slurred. She has a history of stroke in the family. She went immediately to ER . Her CT of the head was normal. Consultation with OSU neurologist on 7-3-21 by teleconference dx Bell''s palsy. the client has had no improvement of sx. Today she is reporting continued pain in the left side of her face that feels like" a bad sinus infection and toothache at the same time". Her words remain slurred and left side of face paralyzed, Left eye unable to close on own, difficulty swallowing.


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