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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2123895 |
VAERS Form: | 2 |
Age: | 14.0 |
Sex: | Female |
Location: | Michigan |
Vaccinated: | 2022-01-31 |
Onset: | 2022-02-01 |
Submitted: | 0000-00-00 |
Entered: | 2022-02-18 |
Vaccination / Manufacturer (2 vaccines) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | 33036BD / 1 | LA / IM |
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS | ZG474 / 1 | RA / IM |
Administered by: Private Purchased by: ??
Symptoms: Facial paralysis, Neuritis, Laboratory test normal, Eyelid function disorder, Motor dysfunction, Vitamin D decreased, Magnetic resonance imaging
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamin D
Current Illness: no sickness at time of vaccine or 1 month prior
Preexisting Conditions: no chronic or long standing conditions
Allergies: no
Diagnostic Lab Data: Labs were done and were within normal except vitamin D and patient was given vitamin D supplement. Patient underwent MRI at local hospital.
CDC 'Split Type':
Write-up: 7th facial nerve inflammation. Patient woke up and could not close her eye on the right side of face and had facial paralysis on the right side of face in eye brow, cheek, and tongue and facial drooping and can''t laugh or whistle. Doctor gave her hydrocortisone 20mg in the morning and at night and artificial tears and will do physical therapy three times a week.
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