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This is VAERS ID 911087

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 911087
VAERS Form:2
Age:42.0
Sex:Male
Location:New Mexico
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram normal, Facial paralysis, HIV test, Laboratory test normal, Hypoaesthesia oral, Treponema 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: PrEP (Emtricitabine/Tenofivir) Albuterol inhaler Fluticasone/Salmeterol inhaler Montelukast Fexofenadine Cyclobenzaprine Fluoxetine
Current Illness: none
Preexisting Conditions: Mild persistent asthma Obesity Pre-diabetes Back pain Non-alcoholic fatty liver Adjustment disorder/depression
Allergies: Clindamycin - rash
Diagnostic Lab Data: HIV/RPR pending (though he is already monitored closely while on PrEP).
CDC 'Split Type':

Write-up: Onset of tongue numbness a few hours after vaccination, which was gone the next day. Vaccinated on 12/16 - 10 days later on 12/26/20 tongue numbness recurred & he developed (R) facial droop - seen in ER on 12/17 had normal head CT, negative work up for stroke. Seen in clinic on 12/28 - diagnosed with Bells palsy, started on Valacyclovir. Patient will hold PrEP x7 days (precautionary), no sexual activity during that time.


Changed on 5/7/2021

VAERS ID: 911087 Before After
VAERS Form:2
Age:42.0
Sex:Male
Location:New Mexico
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram normal, Facial paralysis, HIV test, Laboratory test normal, Hypoaesthesia oral, Treponema 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: PrEP (Emtricitabine/Tenofivir) Albuterol inhaler Fluticasone/Salmeterol inhaler Montelukast Fexofenadine Cyclobenzaprine Fluoxetine
Current Illness: none
Preexisting Conditions: Mild persistent asthma Obesity Pre-diabetes Back pain Non-alcoholic fatty liver Adjustment disorder/depression
Allergies: Clindamycin - rash rash
Diagnostic Lab Data: HIV/RPR pending (though he is already monitored closely while on PrEP).
CDC 'Split Type':

Write-up: Onset of tongue numbness a few hours after vaccination, which was gone the next day. Vaccinated on 12/16 - 10 days later on 12/26/20 tongue numbness recurred & he developed (R) facial droop - seen in ER on 12/17 had normal head CT, negative work up for stroke. Seen in clinic on 12/28 - diagnosed with Bells palsy, started on Valacyclovir. Patient will hold PrEP x7 days (precautionary), no sexual activity during that time.


Changed on 5/14/2021

VAERS ID: 911087 Before After
VAERS Form:2
Age:42.0
Sex:Male
Location:New Mexico
Vaccinated:2020-12-16
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram normal, Facial paralysis, HIV test, Laboratory test normal, Hypoaesthesia oral, Treponema 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: PrEP (Emtricitabine/Tenofivir) Albuterol inhaler Fluticasone/Salmeterol inhaler Montelukast Fexofenadine Cyclobenzaprine Fluoxetine
Current Illness: none
Preexisting Conditions: Mild persistent asthma Obesity Pre-diabetes Back pain Non-alcoholic fatty liver Adjustment disorder/depression
Allergies: Clindamycin - rash rash
Diagnostic Lab Data: HIV/RPR pending (though he is already monitored closely while on PrEP).
CDC 'Split Type':

Write-up: Onset of tongue numbness a few hours after vaccination, which was gone the next day. Vaccinated on 12/16 - 10 days later on 12/26/20 tongue numbness recurred & he developed (R) facial droop - seen in ER on 12/17 had normal head CT, negative work up for stroke. Seen in clinic on 12/28 - diagnosed with Bells palsy, started on Valacyclovir. Patient will hold PrEP x7 days (precautionary), no sexual activity during that time.

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