|
| VAERS ID: |
928302 (history) |
| Form: |
Version 2.0 |
| Age: |
38.0 |
| Sex: |
Male |
| Location: |
Tennessee |
| Vaccinated: | 2020-12-21 |
| Onset: | 2021-01-01 |
| Days after vaccination: | 11 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ7655 / 1 |
LA / IM |
Administered by: Public Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (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: none
Current Illness: none
Preexisting Conditions: none
Allergies: No known allergies
Diagnostic Lab Data:
CDC Split Type:
Write-up: BELLS PALSEY ON LEFT SIDE ON DAY 11 AFTER VACCINE. FUNCTION HAS ALMOST FULLY RESOLVED AFTER A MEDROL DOSE PACK WAS STARTED. |
|
| VAERS ID: |
928390 (history) |
| Form: |
Version 2.0 |
| Age: |
92.0 |
| Sex: |
Female |
| Location: |
Delaware |
| Vaccinated: | 2020-12-28 |
| Onset: | 2021-01-03 |
| Days after vaccination: | 6 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Bell's palsy,
Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 1/3/2021 developed facial drooping later to be diagnosed by ER on 1/4/2021 as Bels Palsy status post COVID-19 Vaccine administered on 12/28/2020. The long-term outcome is unknown. The patient returned to the center and was doing well. |
|
| VAERS ID: |
928474 (history) |
| Form: |
Version 2.0 |
| Age: |
40.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 2021-01-06 |
| Onset: | 2021-01-06 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL 1283 / 1 |
LA / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Bell's palsy,
Dizziness,
Ear pain,
Headache,
Hypoaesthesia,
Hypoaesthesia oral,
Injection site pain,
Lethargy,
Nausea,
Pain in jaw,
Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), 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), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hearing impairment (broad), Vestibular disorders (broad), Osteonecrosis (broad), Hypoglycaemia (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: Allegra was taken in the morning
Current Illness: None
Preexisting Conditions: Seasonal allergies
Allergies: No knows allergies
Diagnostic Lab Data: None, but My doctor told me I have Bell?s Palsy after taking the vaccine
CDC Split Type:
Write-up: Tingling and numb face and lips mostly on right side of face, right ear pain, right jaw pain, right side headache, sore arm at site, nausea, dizziness, lethargic |
|
| VAERS ID: |
928572 (history) |
| Form: |
Version 2.0 |
| Age: |
77.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-30 |
| Onset: | 2021-01-04 |
| Days after vaccination: | 5 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
UN / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Bell's palsy,
Cerebral haemorrhage,
Facial paralysis,
Transient ischaemic attack
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Facial drooping on 1/4/2021 6 days after the vaccine suffered a mild TIA or bells palsy event. appointments for a CT scan. Has mild facial drooping on the side that is already affected by TIA / cerebral hemorrhage. The long-term or permanent outcome is unknown. |
|
| VAERS ID: |
928688 (history) |
| Form: |
Version 2.0 |
| Age: |
67.0 |
| Sex: |
Male |
| Location: |
Oklahoma |
| Vaccinated: | 2021-01-05 |
| Onset: | 2021-01-07 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EK9231 / 2 |
- / SYR |
Administered by: Public Purchased by: ?
Symptoms: Bell's palsy,
Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (broad), Sexual dysfunction (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: Metoprol Lamactil Seroquel
Current Illness: None
Preexisting Conditions: No
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:
Write-up: Numbness, drooping mouth and nose area.....Bells Palsy |
|
| VAERS ID: |
929337 (history) |
| Form: |
Version 2.0 |
| Age: |
80.0 |
| Sex: |
Male |
| Location: |
Washington |
| Vaccinated: | 2021-01-05 |
| Onset: | 2021-01-07 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1686 / 1 |
RA / IM |
Administered by: Other Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Development of Bells Palsy approximately 48 hours after initial (dose 1) vaccination with Pfizer vaccine. |
|
| VAERS ID: |
930423 (history) |
| Form: |
Version 2.0 |
| Age: |
80.0 |
| Sex: |
Male |
| Location: |
Washington |
| Vaccinated: | 2021-01-05 |
| Onset: | 2021-01-07 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL3246 / 1 |
UN / IM |
Administered by: Senior Living Purchased by: ?
Symptoms: Bell's palsy,
Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hearing impairment (broad), Sexual dysfunction (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:
Write-up: I received a call from the pharmacist at the clinic at 10:30 am on 1/8/2021, to let me know that a staff member at the facility we were at on Tuesday 1/5/2021 developed Bell''s Palsy on 1/7/2021. Half of his face went numb and they feared the patient had a stroke. They rushed the patient to urgent care where it was determined it was Bell''s Palsy and NOT a stroke. The patient is back home and recovering well. |
|
| VAERS ID: |
930917 (history) |
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 2021-01-06 |
| Onset: | 2021-01-06 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL1283 / 2 |
LA / IM |
Administered by: Private Purchased by: ?
Symptoms: Adverse reaction,
Bell's palsy,
Hypoaesthesia,
Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hearing impairment (broad), Sexual dysfunction (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: Metformin.prilosec.glyburide.januvia.vitimin B12.vitamin c.vitamin d claritin.
Current Illness: None
Preexisting Conditions: Niddm.svt..mitral valve prolapse..gerd.. hysterectomy Herniated disc lumbar
Allergies: Pepcid.textracyvline. doxycycline.vistaril. lima beans.aloe
Diagnostic Lab Data: None
CDC Split Type:
Write-up: 2hours post began with tingling in tip of tongue and bottom lip. Took otc benadryl.48hours later all right side of face became numb.Was sent for evaluation by employer to hospital.dx with adverse reaction.bells palsy I was given Decadron IM and medrol dose pack. |
|
| VAERS ID: |
994198 (history) |
| Form: |
Version 2.0 |
| Age: |
45.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 2020-12-18 |
| Onset: | 2020-12-24 |
| Days after vaccination: | 6 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EJ1685 / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Bell's palsy
SMQs:, Hearing impairment (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Bell''s Palsy started 12/24 or 12/25/2020 Narrative: Currently being treated by her Primary Care Provider with prednisone |
|
| VAERS ID: |
1395518 (history) |
| Form: |
Version 2.0 |
| Age: |
42.0 |
| Sex: |
Male |
| Location: |
Unknown |
| Vaccinated: | 2020-12-23 |
| Onset: | 2020-12-30 |
| Days after vaccination: | 7 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
039K20A / 1 |
LA / IM |
Administered by: Other Purchased by: ?
Symptoms: Bell's palsy,
Facial paralysis,
Headache
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: Headache On Jan 1, 2021 10:00 had facial droop with headache, went to ED Narrative: went to ED Jan 1 after onset of facial droop with headache around 10:00am, diagnosed with Bell''s Palsy, treated with Toradol, Acyclovir, Benadryl and 7 day course of Prednisone 60mg daily and acyclovir 1000mg q8 hours x 7 days |
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