Adverse Event Reporting

VAERS ID 990792
Gender Male
Age 71
StateCode IL
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 1
Vaccinated 2021-01-20
Onset 2021-01-30
Condition Permanent Disability
Symptoms
  • Dysarthria
  • Computerised tomogram
  • Facial paralysis
  • Magnetic resonance imaging
  • Full blood count
  • Metabolic function test
  • Extraocular muscle paresis

Current Illness

None

Preexisting Conditions

Crohn's disease Psoriasis

Other Medications

Remicade infusions q. 6 wks. Multi. vits/da Methotrexate 12.5mg/ wk Tamsulosin 0.4mg/da Citracal Vit. D 2000mg/da Omeprazole 20mg /da

Previous Vaccinations

Allergies

None

Laboratory Data

CBC, CMP, CT Scan, and MRI

Write-up

Bell's palsy -L side of face began 1/30/2021.
Gradual onset.
Began with dysarthria and droop of corner of mouth, then upper brow of eye, then weakness in closing L eye.
Went to Hospital ER.
Diagnosis made after exam and tests