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From the 4/23/2021 release of VAERS data:

This is VAERS ID 904012



Case Details

VAERS ID: 904012 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Florida  
Vaccinated:2020-12-18
Onset:2020-12-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Facial asymmetry, Facial pain
SMQs:, Glaucoma (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Latex Sensitive
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Around 0300, I was awakened abruptly by a sharp pain in my Right TMJ region. This happened 2 times. It felt worse than a dentist shot. Around 0430, I went to the restroom and notice my right nasolabial fold is less prominent than my left nasolabial fold.


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