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This is VAERS ID 1761120

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First Appeared on 10/15/2021

VAERS ID: 1761120
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-08-29
Onset:2021-09-04
Submitted:0000-00-00
Entered:2021-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
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': AUPFIZER INC202101243373

Write-up: Bell''s palsy; This is a spontaneous report from a contactable other health professional via the Regulatory Authority. Regulatory authority report number is 624808. A 30-years-old female patient received BNT162b2 (Comirnaty, Solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration on an unspecified date, as dose number unknown, single for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. On 04Sep2021, patient experienced bell''s palsy. The outcome of the event was recovered on Sep2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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