National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 919436

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 919436
VAERS Form:2
Age:29.0
Sex:Male
Location:Illinois
Vaccinated:2020-12-29
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Computerised tomogram, Dysphagia, Facial paralysis, Hypoaesthesia, Eyelid function disorder, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Strained neck resulting in numbness in extremities. This and facial numbness prompted me to see my PCP who urged me to go to the ER immediately. I went to Medical Center''s ED, after which I was admitted to the neuro ICU for a possible brain bleed, which after an MRI was determined to be a cavernoma.
Preexisting Conditions: Depression, anxiety, seasonal allergies
Allergies:
Diagnostic Lab Data: Full bloodwork, CT, MRI as part of inpatient hospitalization 1/2/2021-1/3/2021 at Medical Center.
CDC 'Split Type':

Write-up: Bell?s palsy, right side of face is numb, with difficulty closing eyes, smiling, raising eyebrows, eating, drinking, swallowing.


Changed on 5/7/2021

VAERS ID: 919436 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Illinois
Vaccinated:2020-12-29
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Computerised tomogram, Dysphagia, Facial paralysis, Hypoaesthesia, Eyelid function disorder, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Strained neck resulting in numbness in extremities. This and facial numbness prompted me to see my PCP who urged me to go to the ER immediately. I went to Medical Center''s ED, after which I was admitted to the neuro ICU for a possible brain bleed, which after an MRI was determined to be a cavernoma.
Preexisting Conditions: Depression, anxiety, seasonal allergies
Allergies:
Diagnostic Lab Data: Full bloodwork, CT, MRI as part of inpatient hospitalization 1/2/2021-1/3/2021 at Medical Center.
CDC 'Split Type':

Write-up: Bell?s palsy, right side of face is numb, with difficulty closing eyes, smiling, raising eyebrows, eating, drinking, swallowing.


Changed on 5/14/2021

VAERS ID: 919436 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Illinois
Vaccinated:2020-12-29
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Computerised tomogram, Dysphagia, Facial paralysis, Hypoaesthesia, Eyelid function disorder, Blood test, Magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Strained neck resulting in numbness in extremities. This and facial numbness prompted me to see my PCP who urged me to go to the ER immediately. I went to Medical Center''s ED, after which I was admitted to the neuro ICU for a possible brain bleed, which after an MRI was determined to be a cavernoma.
Preexisting Conditions: Depression, anxiety, seasonal allergies
Allergies:
Diagnostic Lab Data: Full bloodwork, CT, MRI as part of inpatient hospitalization 1/2/2021-1/3/2021 at Medical Center.
CDC 'Split Type':

Write-up: Bell?s palsy, right side of face is numb, with difficulty closing eyes, smiling, raising eyebrows, eating, drinking, swallowing.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=919436&WAYBACKHISTORY=ON


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