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VAERS Report 2156880

Case Report Section

Vaer Report Details

Age: NA

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: unknown


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-01-19
Date of Onset
13
Number of days (onset date – vaccination date)
13
Adverse Event Description

facial palsy/drooping of face; pain on affected side of face; bells palsy/bells palsy affecting both eyes; this is a spontaneous report received from a contactable reporter(s) (consumer or other non hcp) from the regulatory authority. regulatory number: gb-mhra-webcovid-202202231123555020-s8yxr. other case identifier(s): gb-mhra-adr 26639552. a 12 year-old female patient received bnt162b2 (comirnaty), administration date 19jan2022 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. relevant medical history included: "covid-19", start date: 28oct2021 (unspecified if ongoing); "palsy" (unspecified if ongoing). the patient's concomitant medications were not reported. the patient did not have symptoms associated with covid-19 and was not enrolled in the clinical trial. the following information was reported: facial paralysis (hospitalization, medically significant) with onset 15feb2022, outcome "not recovered", described as "facial palsy/drooping of face", drooping of face suddenly at school; the doctor sent them to the hospital as soon as possible and magnetic resonance imaging (mri) was done urgently; facial pain (hospitalization) with onset feb2022, outcome "unknown", described as "pain on affected side of face"; bell's palsy (hospitalization, medically significant) with onset feb2022, outcome "not recovered", described as "bells palsy/bells palsy affecting both eyes". the patient was seen by an ophthalmologist, doctors, ear nose throat (ent), consultant. the patient was diagnosed with grade 4 bells palsy one month after the 1st pfizer vaccine. the patient was hospitalized for facial paralysis, facial pain, bell's palsy (start date: feb2022). the events "facial palsy/drooping of face", "pain on affected side of face" and "bells palsy/bells palsy affecting both eyes" were evaluated at the physician office visit. the patient underwent the following laboratory tests and procedures: blood test: (2022) unknown results; magnetic resonance imaging: (2022) unknown results; neuro observations: (2022) unknown results; opthalmology observations: (2022) unknown results; sars-cov-2 test: (28oct2021) yes - positive covid-19 test. the patient had not been tested positive for covid-19 since having the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
test date: 2022; test name: blood test; result unstructured data: test result:unknown results; test date: 2022; test name: mri; result unstructured data: test result:unknown results; test date: 2022; test name: neuro observations; result unstructured data: test result:unknown results; test date: 2022; test name: opthalmology observations; result unstructured data: test result:unknown results; test date: 20211028; test name: covid-19 virus test; result unstructured data: test result:yes - positive covid-19 test
List of symptoms
ophthalmological examination sars-cov-2 test magnetic resonance imaging blood test facial paralysis neurological examination facial pain bell's palsy
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
Yes
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na