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This is VAERS ID 919372

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 919372
VAERS Form:2
Age:28.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-22
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Ear pain, Eating disorder, Facial paralysis, Headache, Eyelid function disorder, Blood test

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: adderall xr meloxicam baclofen pristiq
Current Illness: n/a
Preexisting Conditions: migraines and asthma
Allergies: shellfish All nuts except almonds sulfa drugs lexapro penicillin amoxicillin
Diagnostic Lab Data: CAT scan and blood work both on 01/02/2021
CDC 'Split Type':

Write-up: Bell''s Palsy on the right side of my face. ear ache, head ache all on the right side. droopiness of the right eye and right side of lips. inability to fully shut my eye., difficulty eating and drinking. Attempted to go to an urgent care on 1/02/2021, but they sent me to the ER. ER evaluated me and sent me home with antivirals and steroids. I was sent home with Prednisone and Acyclovir


Changed on 5/7/2021

VAERS ID: 919372 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-22
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Ear pain, Eating disorder, Facial paralysis, Headache, Eyelid function disorder, Blood test

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: adderall xr meloxicam baclofen pristiq
Current Illness: n/a
Preexisting Conditions: migraines and asthma
Allergies: shellfish All nuts except almonds sulfa drugs lexapro penicillin amoxicillin amoxicillin
Diagnostic Lab Data: CAT scan and blood work both on 01/02/2021
CDC 'Split Type':

Write-up: Bell''s Palsy on the right side of my face. ear ache, head ache all on the right side. droopiness of the right eye and right side of lips. inability to fully shut my eye., difficulty eating and drinking. Attempted to go to an urgent care on 1/02/2021, but they sent me to the ER. ER evaluated me and sent me home with antivirals and steroids. I was sent home with Prednisone and Acyclovir


Changed on 5/14/2021

VAERS ID: 919372 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-12-22
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Ear pain, Eating disorder, Facial paralysis, Headache, Eyelid function disorder, Blood test

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: adderall xr meloxicam baclofen pristiq
Current Illness: n/a
Preexisting Conditions: migraines and asthma
Allergies: shellfish All nuts except almonds sulfa drugs lexapro penicillin amoxicillin amoxicillin
Diagnostic Lab Data: CAT scan and blood work both on 01/02/2021
CDC 'Split Type':

Write-up: Bell''s Palsy on the right side of my face. ear ache, head ache all on the right side. droopiness of the right eye and right side of lips. inability to fully shut my eye., difficulty eating and drinking. Attempted to go to an urgent care on 1/02/2021, but they sent me to the ER. ER evaluated me and sent me home with antivirals and steroids. I was sent home with Prednisone and Acyclovir

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=919372&WAYBACKHISTORY=ON


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