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This is VAERS ID 911677

History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 911677
VAERS Form:2
Age:46.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-22
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Facial paralysis, Magnetic resonance imaging normal

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: The employee''s primary care provider''s office contacted our office this morning saying that she received the vaccine on 12/22/2020, on 12/26/2020 she began experiencing facial drooping, came into their office on 12/28/2020, had MRI performed (that was negative), and was diagnosed with Bell''s Palsy.


Changed on 5/7/2021

VAERS ID: 911677 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-22
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Facial paralysis, Magnetic resonance imaging normal

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: The employee''s primary care provider''s office contacted our office this morning saying that she received the vaccine on 12/22/2020, on 12/26/2020 she began experiencing facial drooping, came into their office on 12/28/2020, had MRI performed (that was negative), and was diagnosed with Bell''s Palsy.


Changed on 5/14/2021

VAERS ID: 911677 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-22
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Facial paralysis, Magnetic resonance imaging normal

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: The employee''s primary care provider''s office contacted our office this morning saying that she received the vaccine on 12/22/2020, on 12/26/2020 she began experiencing facial drooping, came into their office on 12/28/2020, had MRI performed (that was negative), and was diagnosed with Bell''s Palsy.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=911677&WAYBACKHISTORY=ON


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