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This is VAERS ID 910902

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 910902
VAERS Form:2
Age:48.0
Sex:Female
Location:Wyoming
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia eye, Paraesthesia, Physical examination normal, Inflammatory marker test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dexilent 60 mg, Estradiol 1 mg, Multivitamin daily, Calcium daily, Vitamin D daily, Probiotic daily
Current Illness: None
Preexisting Conditions: GERD
Allergies: Latex -sensitivity ("red, itchy, swelling on skin"), Levaquin (swelling in joints to the point of not being able to walk), Demerol (hives), Phenobarbital (Infantile seizures), Biaxin (GI sensitivity), Keflex (hives), Dermabond ( Skin reaction)
Diagnostic Lab Data: "Sensation test", blood work - inflammatory markers - within normal limits
CDC 'Split Type':

Write-up: December 23, 2020, at approximately, 1645 patient noted right eye numbness that tingled into right cheek. At 1730, looked in the mirror and noted no movement in muscles on right side of face. Could raise right eyebrow, but right eyebrow and below numbness and no movement. Patient spoke with physician at Public Health Department and it was recommended patient go to Primary Care to see provider NP. Then at approximately, 1920 went to the local Emergency Department and was seen by Dr. in the ER department. Dr. consulted with on call neurologist. Patient states she was diagnosed with Bells Palsy and given oral steroids ("three pills), then started a Medrol Dose Pak the next morning. As of today, December 28, 2020 patient reports "Face and eye area feel normal. My mouth is not drooping. I have at least 50% of my movement back." Patient continues to take Medrol Dose Pak. On day 4 of Medrol Dose Pak has 3 more days. Emergency Department recommended patient follow up with pcp in 5-7 days.


Changed on 5/7/2021

VAERS ID: 910902 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Wyoming
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia eye, Paraesthesia, Physical examination normal, Inflammatory marker test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dexilent 60 mg, Estradiol 1 mg, Multivitamin daily, Calcium daily, Vitamin D daily, Probiotic daily
Current Illness: None
Preexisting Conditions: GERD
Allergies: Latex -sensitivity ("red, itchy, swelling on skin"), Levaquin (swelling in joints to the point of not being able to walk), Demerol (hives), Phenobarbital (Infantile seizures), Biaxin (GI sensitivity), Keflex (hives), Dermabond ( Skin reaction) reaction)
Diagnostic Lab Data: "Sensation test", blood work - inflammatory markers - within normal limits
CDC 'Split Type':

Write-up: December 23, 2020, at approximately, 1645 patient noted right eye numbness that tingled into right cheek. At 1730, looked in the mirror and noted no movement in muscles on right side of face. Could raise right eyebrow, but right eyebrow and below numbness and no movement. Patient spoke with physician at Public Health Department and it was recommended patient go to Primary Care to see provider NP. Then at approximately, 1920 went to the local Emergency Department and was seen by Dr. in the ER department. Dr. consulted with on call neurologist. Patient states she was diagnosed with Bells Palsy and given oral steroids ("three pills), then started a Medrol Dose Pak the next morning. As of today, December 28, 2020 patient reports "Face and eye area feel normal. My mouth is not drooping. I have at least 50% of my movement back." Patient continues to take Medrol Dose Pak. On day 4 of Medrol Dose Pak has 3 more days. Emergency Department recommended patient follow up with pcp in 5-7 days.


Changed on 5/14/2021

VAERS ID: 910902 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Wyoming
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Facial paralysis, Hypoaesthesia eye, Paraesthesia, Physical examination normal, Inflammatory marker test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dexilent 60 mg, Estradiol 1 mg, Multivitamin daily, Calcium daily, Vitamin D daily, Probiotic daily
Current Illness: None
Preexisting Conditions: GERD
Allergies: Latex -sensitivity ("red, itchy, swelling on skin"), Levaquin (swelling in joints to the point of not being able to walk), Demerol (hives), Phenobarbital (Infantile seizures), Biaxin (GI sensitivity), Keflex (hives), Dermabond ( Skin reaction) reaction)
Diagnostic Lab Data: "Sensation test", blood work - inflammatory markers - within normal limits
CDC 'Split Type':

Write-up: December 23, 2020, at approximately, 1645 patient noted right eye numbness that tingled into right cheek. At 1730, looked in the mirror and noted no movement in muscles on right side of face. Could raise right eyebrow, but right eyebrow and below numbness and no movement. Patient spoke with physician at Public Health Department and it was recommended patient go to Primary Care to see provider NP. Then at approximately, 1920 went to the local Emergency Department and was seen by Dr. in the ER department. Dr. consulted with on call neurologist. Patient states she was diagnosed with Bells Palsy and given oral steroids ("three pills), then started a Medrol Dose Pak the next morning. As of today, December 28, 2020 patient reports "Face and eye area feel normal. My mouth is not drooping. I have at least 50% of my movement back." Patient continues to take Medrol Dose Pak. On day 4 of Medrol Dose Pak has 3 more days. Emergency Department recommended patient follow up with pcp in 5-7 days.

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