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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  
Vaccinated:2020-12-28
Onset:2021-01-03
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686 / UNK LA / IM

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


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=919329


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