National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 6/4/2021 release of VAERS data:

This is VAERS ID 919329

Case Details

VAERS ID: 919329 (history)  
Form: Version 2.0  
Age: 92.0  
Sex: Female  
Location: Delaware  
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Senior Living       Purchased by: ?
Symptoms: Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine Citalopram Metoprolol Diltiazem Loratadine Tylenol Arthritis Colace Famotidine
Current Illness: None
Preexisting Conditions: Atrial Fibrillation COPD Epilepsy Depression Hypertension Vascular Dementia Arthritis TIA''s GERD
Allergies: Morphine, Oxycodone, Penicillin, Sulfa Antibiotics
Diagnostic Lab Data: All medical and laboratory tests performed in the ER
CDC Split Type:

Write-up: Facial drooping occurred on 1/3/2021, patient sent to ER and returned with diagnosis of Bels Palsy on 1/4/2021

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166