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Report #2863989

Received Oct 7, 2025

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Overview

Sex
Female
Age
63 yrs
State
TX
Recovered
Not recovered
Vaccinated
Mar 14, 2021
Onset
Mar 16, 2021
Days to onset
2
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1017M20AIM / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA2048A21AIM / AR

Symptoms (10)

AlopeciaBell's palsyComputerised tomogramEchocardiogramElectrocardiogramInterstitial lung diseaseLaboratory testMental impairmentPulmonary function testRheumatoid arthritis

Symptom narrative

MODERNA #1 2/12/2021 MODERNA #2 3/14/2021 ABOUT TWO DAYS AFTER SECOND DOSE DEVELOPED COVID-19 VACCINE INDUCED LEFT SIDED BELL'S PALSY HAIR LOSS LOSS OF MENTAL CLARITY FOLLOWED BY A MORE CHRONIC INSIDIOUS ONSET OF COVID-19 VACCINE INDUCED SEROPOSITIVE RA WITH PREVIOUS NEGATIVE RF RESULTS AND MANIFESTATIONS OF MCP BILAT INVOLVEMENT AND INTERSTITIAL LUNG DISEASE. HAS SEEN MULTIPLE SPECIALISTS AND BEEN ADVANCED TO BIOLOGIC THERAPY. LATE IN COURSE HAS STARTED BASE SPIKE DETOXIFICATION.

Current illness

NONE

Medical history

HYPOTHYROIDISM OSTEOPOROSIS MULTIPLE BREAST IMPLANTS RECURRENT SINUSITIS AFTER EXTENSIVE SINUS SURGERY

Other medications

LEVOTHYROXINE CYTOMEL PREMARIN

Allergies

PENICILLINS, OPIODS

Lab data

EXAM, ECG, ECHOCARDIOGRAPHY, LABS, AXIAL BRAIN AND CHEST IMAGING, PFTS