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

This is VAERS ID 911898



Case Details

VAERS ID: 911898 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2020-12-27
Onset:2020-12-28
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram head normal, Facial nerve disorder, Facial paralysis, Injection site pain, Muscle tightness, Sensory loss
SMQs:, Peripheral neuropathy (narrow), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (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: none
Current Illness: none
Preexisting Conditions: asthma, diabetes type 2, HTN, psoriasis
Allergies: cat dander
Diagnostic Lab Data: Head CT; negative
CDC Split Type:

Write-up: After injection, within 1 hour, started having left arm muscle tightening, up to left shoulder. Following morning: facial numbnes/decreased sensation; mild facial droop. Onset 9am on 12/28/2020. Went to ED for evaluation. Sensation started to resolve, continues to be slightly diminished on left side of face. Droop has since resolved.


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