Report #2841126

Received May 15, 2025

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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: Female
Age: 67 yrs
State: IL
Recovered: Not recovered
Vaccinated: Feb 3, 2021
Onset: May 3, 2021
Days to onset: 89
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	038K20A	IM

Symptoms (6)

Cranial nerve paralysisDysarthriaMagnetic resonance imaging head normalPulmonary function testScan with contrast normalSwallow study

Symptom narrative

She had the 2nd vaccine a month later. 3 months after the 1st vaccine (reported info above) and 2 months after the 2nd vaccine booster (info available in her medical record), she had sudden onset of dysarthria. Has had full neurological work up and no progression or improvement. Idiopathic cranial nerve palsy is diagnosis at this time, but due to proximity of the vaccines to this neurological condition, M.D. felt obligated to report.

Current illness

none

Medical history

Osteoarthritis Hypertension Hyperlipidemia Insomnia

Other medications

Current Outpatient Medications Medication Sig Dispense Refill ? Ascorbic Acid (VITAMIN C PO) Take by mouth. ? Cholecalciferol (VITAMIN D PO) Take by mouth. ? hydroCHLOROthiazide 25 MG Tablet TAKE 1 TABLET BY MOUTH DAILY 90 Tab 3 ?

Allergies

Atorvastatin Drug Ingredient Other (see Comments) Not Specified Allergy 1/18/2022 Past Updates Throat swelling Hydrochlorothiazide Drug Ingredient Rash Not Specified Allergy 7/28/2023 Past Updates Phenergan [Promethazine] Drug Ingredient Other (see Comments) Not Specified Unknown Past Updates Difficulty breathing Adverse Reactions/Drug Intolerances Amoxicillin

Lab data

MRI brain with contrast, negative. Swallow study, pulmonary function studies.