Adverse Event Reporting
| VAERS ID | 921950 |
|---|---|
| Gender | Male |
| Age | 57 |
| StateCode | CA |
| Pharmaceutical Company | MODERNA |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-23 |
| Onset | 2021-01-03 |
| Condition | Permanent Disability |
Symptoms
- Facial paralysis
Current Illness
HTN. Hypertriglycerademia; gout
Preexisting Conditions
Other Medications
Allopurinol; amlodipine; hydrochlorothiazide; lisinopril; atorvastatin
Previous Vaccinations
Shingles 2.5 years ago tiredness
Allergies
None
Laboratory Data
ER visit
Write-up
Bell?s palsy