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From the 6/11/2021 release of VAERS data:

Found 1,853 cases where Vaccine is COVID19 and Symptom is Facial asymmetry or Facial dysmorphism or Facial palsy or Facial paralysis or Facial paresis



Case Details

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VAERS ID: 921114 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-28
Onset:2020-12-31
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blister, Decreased appetite, Dizziness, Dry skin, Dysphonia, Eyelid function disorder, Facial pain, Facial paresis, Feeling abnormal, Headache, Hypoaesthesia, Impaired driving ability, Impaired work ability, Muscle spasms, Myalgia, Nervous system disorder, Neuralgia, Pain in extremity, Paraesthesia, Periorbital swelling, Pruritus, Sleep disorder, Swelling face, Vision blurred
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (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: Zinc40mg (daily), Melatonin 10mg(nightly), Concerta 36mg(daily)
Current Illness: None.
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Contact PCP
CDC Split Type:

Write-up: No issue on date of vaccine. Minor muscle soreness in left arm the following day. No further issues following days. On 01/31/2020 at approximately 2130hrs, numbness and tingling of right side of face began while on work duty. Completed shift, drove home and went to bed. The following morning lips were covered in blisters, right cheek and under eye was extremely swollen. Attempted to drive to work and began experiencing brain fog and blurred vision. Returned home and facial swelling worsened along with severe headache and itchy dry skin. Took a bath and was unable to determine water temperature by touch. Intense leg muscle aches and nerve pain in right side of face. Remained calm and slept the following two days. Went to PCP as soon as possible on 01-04-2020 and was advised symptoms to be delayed adverse reaction to Moderna Vaccine. Patient was prescribed Alegra, Tylenol and methylprednisolone at this time. PCP advised inability to receive secondary dose on 01/28/2021 due to steroid treatment for allergic reaction to Moderna Vaccine. Swelling retreats and returns throughout the day following Dr visit. Voice changes occur during swelling (gurgled). The patient has no appetite but maintains a scheduled healthly diet. The patient has been unable to sleep for 24 hrs straight even after taking melatonin. There has been no shortness of breath however the patient experiences muscle spasms, dizziness and blurred vision while reading. The patient''s right side of face has slower reaction timing than the left, the right eye closes frequently (not in tandum with the left) and is unable to smile. The patient has not experienced vomiting nor stool issues. The patient is unable to return to work until 01-11-2021 or until symptoms remain undetected for 48 hrs.


VAERS ID: 921173 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Massachusetts  
Vaccinated:2020-12-31
Onset:2021-01-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011L20A / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Dysgeusia, Facial paralysis, Magnetic resonance imaging
SMQs:, Taste and smell disorders (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: shingles vaccine 2017 diagnosed with shingles following day.
Other Medications: eloquis 5mg, HCTZ 25mg, astrovastin 45mg, metformin, Keppa 500mg, metropolol 25mg, VIte B12/ 6, fish oil Medication prescribed 1/3/21: predisone 20mg valacyclovir 500mg
Current Illness: no
Preexisting Conditions: seizure 2017 pneumonia, blood clots a fib 2018
Allergies: penicillin
Diagnostic Lab Data: Blood work, MRI w/o contrast
CDC Split Type:

Write-up: 1/1 I started having metallic taste in my mouth. 1/2 I noticed the left side of my face was drooping. 1/3 It was worse so I spoke with a a co worker who is a paramedic who told me to go to the ER. I went to ER and they diagnosed me with Bells Palsy.


VAERS ID: 921633 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood test, Computerised tomogram, Drooling, Dry eye, Ear pain, Facial paralysis, Hypoaesthesia, Neurological examination abnormal, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Hearing impairment (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Dehydration (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: Doxycycline 20 mg bid, Vascepa 2 caps bid, YAZ, Spironolactone, Folic acid 1 mg, Fluoxetine 40 mg daily, GNC women''s multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Acetaminophen and daptomycin
Diagnostic Lab Data: CT scan to rule out stroke and full blood work. As per the neurologist (MD), patient is developing mild Bell''s Palsy.
CDC Split Type:

Write-up: The night after the covid vaccine, the patient started experiencing left-side facial numbness and tingling of the V2 and V3. Patient also started experiencing ear pain. Patient also had uncontrollable drooling and dry eye. The next day, the patient went to work and there the adverse events started worsening. Patient went to the ER and did a full workup. CT scan to rule out stroke and full blood work. As per the neurologist (MD), patient is developing mild Bell''s Palsy. No course of treatment was given.


VAERS ID: 921802 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: New York  
Vaccinated:2020-12-21
Onset:2020-12-29
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Facial paralysis, Facial paresis, Paraesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Immune-mediated/autoimmune 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: Diabetic Medications
Current Illness: No acute illness
Preexisting Conditions: Type 2 Diabetes
Allergies: None
Diagnostic Lab Data: Ct to r/o CVA
CDC Split Type:

Write-up: Patient developed tingling on the tongue 7 days after vaccine and developed unilateral facial weakness 9 days later diagnosed as bell''s palsy and started on Prednisone, Valcyclovir and ophthalmic Lubricants.


VAERS ID: 921950 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-23
Onset:2021-01-03
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: 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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Shingles 2.5 years ago tiredness
Other Medications: Allopurinol; amlodipine; hydrochlorothiazide; lisinopril; atorvastatin
Current Illness: HTN. Hypertriglycerademia; gout
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: ER visit
CDC Split Type:

Write-up: Bell?s palsy


VAERS ID: 922182 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-30
Onset:2020-12-31
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Body temperature increased, Disorientation, Facial paralysis, Speech disorder
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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: 1. She was found with her skirt up around her neck and normally is oriented 2. Speech slightly off 3. Left sided facial drooping 4. At time of EMS transfer BP 156/22, P 118, R 18, Temp 104


VAERS ID: 922503 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-01-05
Onset:2021-01-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Public       Purchased by: ?
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: unknown
Preexisting Conditions: HTN, Hyperlipidema
Allergies: Pollen/dust mites
Diagnostic Lab Data:
CDC Split Type:

Write-up: Client verbalized facial drooping. Client was evaluated by onsite paramedic. Client''s symptoms resolved within 10 minutes. Client was transported to medical Clinic for further evaluation at 1:38 pm.


VAERS ID: 922640 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Minnesota  
Vaccinated:2020-12-18
Onset:2020-12-29
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Eyelid function disorder, Facial paralysis, Facial paresis, Headache, Influenza like illness
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Immune-mediated/autoimmune disorders (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: 64-year-old male who presented to the clinic with complaints of left-sided weakness on his face. He stated when he woke up this morning he noticed that the left side of his mouth drooped and that he could not close his left eye all the way. Yesterday he felt fine. Today he went to work. Patient stated that on 12/18 he got the COVID vaccine. It was on a Friday. The following day he had a headache and he felt flu-like. He stated that those symptoms resolved quickly. He then had the facial weakness today (11 days after the vacciantion). He has not had any fever, sweats, or chills. Patient stated that he had called ask a nurse, and he was advised to hang up and call 911 and go to the emergency room. However, he stated he was an EMT and did not feel that was necessary. He denies headache. He has not had any vision change. He has been eating and drinking well without any difficulty. PHYSICAL EXAMINATION: General appearance - patient was not in any distress. He was conversant, pleasant and appropriate. HEENT - normal conjunctivae and lids. Sclerae anicteric. Pupils equal and reactive to light. Patient was not able to close his left eyelid. Normal ear canals. TMs are pearly gray with bright light reflex. Neck - supple. No lymphadenopathy. Skin - pink, warm and dry. Neuro - alert and oriented. Deep tendon reflexes 2+ upper and lower extremities with no focal weakness. Normal range of motion. Patient can raise his right eyebrow. Could not raise his left eyebrow. There was impaired eyelid closure on the left; tight closure on the right. Smiling of the face revealed lateralization to the right side. When frowning, he had upper and lower facial paralysis on the left with flattening of the forehead. The patient could not tighten the left side of his mouth. ? ASSESSMENT: Bell''s palsy. ? PLAN: Discussed pathophysiology of Bell''s palsy. Advised patient I recommended him to call the number that he got with the information when he received his COVID vaccine. Advised patient that I could not definitively correlate the Bell''s palsy with the COVID immunization, but that he can call the number he has to let them know of his symptoms. Discussed treatment options. Since patient woke up with his symptoms this morning, I advised patient that he would have hopefully the best outcome because he would be able to get on the steroid and antiviral soon after developing the symptoms. He is to wear an eye patch to prevent corneal drying or abrasion of the left eye at night. Using Lacri-Lube at night before placing the eye patch and then following up by using artificial tears during the day. ? Patient was placed on prednisone 60 mg once a day for 1 week to be taken with food. Valtrex 1,000 mg 3 times a day for 1 week. ? Side effects of medication discussed. Handouts were provided. He will follow up with PCP if any changes or concerns. Advised patient that it may take up to 3 weeks before all his symptoms have resolved


VAERS ID: 922731 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Eyelid ptosis, Facial discomfort, Facial paralysis, Flushing, Headache, Hypoaesthesia, Paraesthesia, Periorbital swelling, Romberg test, Swelling face
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hearing impairment (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Past Medical History Acute gout of left foot 7/5/2017 o CHF (congestive heart failure) o Coronary artery disease x 3 stents- last one 2012 o Coronary artery disease o Encounter for blood transfusion o Facial hematoma 5/31/2019 o GERD (gastroesophageal reflux disease) o History of sepsis 01/2020 o Hypercholesterolemia o Hyperlipidemia o Hypertension o Morbid obesity with BMI of 40.0-44.9, adult 9/3/2015 o Pain and swelling of left shoulder 8/24/2016 o Person injured in nonmotor-vehicle nontraffic accident 1/24/2012 o PONV (postoperative nausea and vomiting) o Post concussive syndrome 5/31/2019 o Reflux o Sleep apnea with use of continuous positive airway pressure (CPAP) o Strain of tendon of left rotator cuff 7/14/2016 o Symptomatic anemia
Allergies: Allergen: Response to Allergen Iodinated Contrast Media :Not Specified Codeine Low Itching:Rash Dilaudid [hydromorphone]: Low Itching, Rash Keflex [cephalexin]: Low Itching, Rash Lyrica [pregabalin]: Low Rash Morpholine Analogues: Low Itching, Rash, Hallucinations Penicillins: Low Itching, Rash Percocet [oxycodone-acetaminophen]: Low Itching, Rash Percodan [oxycodone Hcl-oxycodone-asa]: Low Itching, Rash Sulfa (sulfonamide Antibiotics): Low Itching, Rash Tramadol:Low Itching, Rash Vicodin [hydrocodone-acetaminophen]:Low Itching, Rash Zoster Vaccine Live (pf): Low Rash
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient completed her 15 minute observation with no post injection reaction. At 1:15 pm, the patient called complaining of right eye drooping, right facial tingling, mild shortness of breath, facial flushing and new onset headache. She arrived at ED at 2:06 pm presenting with facial swelling, tingling and shortness of breath. At that time, she stated her shortness of breath had actually improved and stated "probably just nerves". She still had a funny sensation in her face. She denied any focal numbness or weakness in her extremities. She stated she felt a little lightheaded. She had no sensation of throat swelling, difficulty swallowing. Physical Exam in ED: Constitutional: She appears well-developed and well-nourished. HENT: Head: Normocephalic and atraumatic. Eyes: EOM are normal. Neck: Normal range of motion. Cardiovascular: Normal rate and regular rhythm. Pulmonary/Chest: Breath sounds normal. No respiratory distress. Abdominal: Soft. There is no abdominal tenderness. Musculoskeletal: Normal range of motion. Neurological: She is alert and oriented to person, place, and time. Patient has symmetric facial numbness, she has right periorbital swelling causing what appears to be a facial droop however her mouth seems symmetric, she has negative Romberg''s, she has full strength and symmetric sensation throughout Skin: Skin is warm and dry. Psychiatric: She has a normal mood and affect.


VAERS ID: 922839 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Male  
Location: Nevada  
Vaccinated:2020-12-19
Onset:2021-01-04
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: 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: Vitamin D, Ketotifen eye gtts
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Bell''s Palsy of 7th Nerve, treatment Prednisone 60 mg QD x 7 days, outcome TBD


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