Adverse Event Reporting

VAERS ID 1228461
Gender Unknown
Age
StateCode
Pharmaceutical Company MODERNA
Lot Number 019B21A
Number of vaccinations 1
Vaccinated
Onset
Condition Permanent Disability
Symptoms
  • Blood test
  • Chest X-ray
  • Electrocardiogram
  • Computerised tomogram
  • Facial paralysis
  • Magnetic resonance imaging
  • Urine analysis
  • Ophthalmoplegia
  • Bell's palsy

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Apr 15 - CT Scan, EKG, Blood work, chest x-rays, IVs Back to emergency room on Apr 17.
MRI with contrast, additional EKG, x-rays, blood work, urinalysis, IVs,

Write-up

Left side face and eye paralysis.
Diagnosed on Apr 15, 2021 with Bells Palsey at Emergency Room.
I cannot work due to this and now may have permanent damage due to this vaccination.