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This is VAERS ID 919329

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 919329
VAERS Form:2
Age:92.0
Sex:Female
Location:Delaware
Vaccinated:2020-12-28
Onset:2021-01-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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


Changed on 5/7/2021

VAERS ID: 919329 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:Delaware
Vaccinated:2020-12-28
Onset:2021-01-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 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


Changed on 5/14/2021

VAERS ID: 919329 Before After
VAERS Form:2
Age:92.0
Sex:Female
Location:Delaware
Vaccinated:2020-12-28
Onset:2021-01-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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 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&WAYBACKHISTORY=ON


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