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Report #2838995

Received Apr 30, 2025

ER / ED visit
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
78 yrs
State
NC
Recovered
Not recovered
Vaccinated
Nov 15, 2021
Onset
Feb 12, 2022
Days to onset
89
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAN/A034F21AIM / RA

Symptoms (5)

Bell's palsyBorrelia test negativeFacial paralysisHerpes simplex test negativeMagnetic resonance imaging head normal

Symptom narrative

February 12, 2022 R sided facial droop and sensation changes, forehead muscle paralysis, presented to this same facility's ER , diagnosed with Bell's Palsy and sent with antiviral, steroids, about 1 month out had near resolution of facial droop.

Current illness

Struggling with R calf pain deemed sciatica around this time, given extended prednisone taper in November of 2021, then when presented to ER for the poss reaction of concern HSV antibodies positive but not active, LYME negative.

Medical history

Thyroid cancer, mood disorder, GERD, BPH, cervicalgia, hypertension, hyperlipidemia

Other medications

Levothyroxine, tylenol occasional for pain, amlodipine, famotidine, simvastatin, flonase nasal, docusate/senna daily, prednisolone opthalmic susp, aspirin 81 mg daily, calcium citrate, Vitamin D, denosumab injection q 6 month

Allergies

Alendronate (nausea and vomiting)

Lab data

MRI brain 3/18/2022: "FINDINGS: No acute infarct. No mass lesion, mass effect, or midline shift. The basilar cisterns are patent. Internal as prominence of the CSF containing spaces is consistent with generalized atrophy. Scattered T2/FLAIR hyperintensities are identified in the deep and periventricular white matter, nonspecific in appearance. No evidence of intracranial hemorrhage. No evidence of a cerebellopontine angle mass lesion. No evidence of intracranial hemorrhage. " HSV TYPE 1 AB(6447) 52.30 H Index Ref: SEE BELOW HSV TYPE 2 AB(6447) 1.07 H Index Ref: SEE BELOW (<0.90 Negative 0.90-1.09 Equivocal >1.09 Positive) HSV TYPE 1 DNA(34257) Not Detected Ref: Not Detected HSV TYPE 2 DNA(34257) Not Detected Ref: Not Detected LYME AB SCREEN(6646) <0.90 Index