Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dental discomfort, Drooling, Facial paralysis, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: drooping on one side of his face/Left side is drooping, experienced a type of palsy/palsy; lips and mouth were still numb; drool all the time; Had trouble with teeth on the left side, cannot feel anything.; His left side (face) tingles; Whole left side of face went numb/Jaw from mandible down, cannot feel anything/Used to be whole side of face, the cheekbone down to chin; This spontaneous case was reported by a patient and describes the occurrence of FACIAL PARALYSIS (drooping on one side of his face/Left side is drooping, experienced a type of palsy/palsy) in a 62-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 046A21A and 012A21A) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.    The patient's past medical history included COVID-19 (all he had was a cough) in November 2020. Concurrent medical conditions included Drug allergy (beta blockers) and Soap allergy (Mr. Bubble Bubble bath.). Concomitant products included LISINOPRIL and GLIPIZIDE for an unknown indication.  On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 01-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In June 2021, the patient experienced FACIAL PARALYSIS (drooping on one side of his face/Left side is drooping, experienced a type of palsy/palsy) (seriousness criterion medically significant), HYPOAESTHESIA ORAL (lips and mouth were still numb), DROOLING (drool all the time), DENTAL DISCOMFORT (Had trouble with teeth on the left side, cannot feel anything.), PARAESTHESIA (His left side (face) tingles) and HYPOAESTHESIA (Whole left side of face went numb/Jaw from mandible down, cannot feel anything/Used to be whole side of face, the cheekbone down to chin). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency and IBUPROFEN at an unspecified dose and frequency. At the time of the report, FACIAL PARALYSIS (drooping on one side of his face/Left side is drooping, experienced a type of palsy/palsy), HYPOAESTHESIA ORAL (lips and mouth were still numb), DROOLING (drool all the time), DENTAL DISCOMFORT (Had trouble with teeth on the left side, cannot feel anything.) and PARAESTHESIA (His left side (face) tingles) had not resolved and HYPOAESTHESIA (Whole left side of face went numb/Jaw from mandible down, cannot feel anything/Used to be whole side of face, the cheekbone down to chin) was resolving.    It was reported that other vaccines were not taken within 1 month prior to Moderna COVID-19 vaccine. Patient experienced a type of palsy, with drooping and drooling on one side of his face. Two months later his whole left side of face went numb. His left side (face) tingles, lips and mouth were still numb, drool all the time. He has had eyes checked and it did not seem like it effected eyes. Nurses have told to patient that it was one of the side effects. Left side was drooping. It was stated that he was up for retirement two weeks before and they made him get the shot. Patient was having trouble with teeth on the left side, could not feel anything. Jaw from mandible down could not feel anything. Mentioned that used to be whole side of face, now it was just the cheekbone down to chin. Reported that patient was dealing with effects for a year and a half. Patient stated that, the nurse said it would go away after 6 months but it has not gone away. He asked a doctor and was informed that, it was just a side effect and they did not want to touch it.  Company Comment: This spontaneous case concerns a 62-year-old male patient with relevant medical history of intake of Lisinopril and Glipizide, who experienced expected, serious (medically significant) event of Facial paralysis along with non-serious events of Hypoaesthesia oral, Drooling, Dental discomfort, Paresthesia and Hypoaesthesia approximately 2 months after vaccination with a second dose of mRNA-1273. Approximately 2 months after vaccination with a second dose of mRNA-1273, the patient experienced numbness and drooping on the left side of the face. He also complained of having trouble with teeth on the left side and can't feel anything on the jaw, from the mandible down. The patient stated that the left side of his face still tingles, his lips and mouth are still numb, and he still drool all the time. It used to be the whole side of face, now it's just the cheekbone down to chin. The outcome of the events was reported as not resolved. The relevant medical history of intake of Lisinopril and Glipizide (which implies that the patient is Hypertensive and Diabetic) is a confounder for the event. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.; Sender's Comments: This spontaneous case concerns a 62-year-old male patient with relevant medical history of intake of Lisinopril and Glipizide, who experienced expected, serious (medically significant) event of Facial paralysis along with non-serious events of Hypoaesthesia oral, Drooling, Dental discomfort, Paresthesia and Hypoaesthesia approximately 2 months after vaccination with a second dose of mRNA-1273. Approximately 2 months after vaccination with a second dose of mRNA-1273, the patient experienced numbness and drooping on the left side of the face. He also complained of having trouble with teeth on the left side and can't feel anything on the jaw, from the mandible down. The patient stated that the left side of his face still tingles, his lips and mouth are still numb, and he still drool all the time. It used to be the whole side of face, now it's just the cheekbone down to chin. The outcome of the events was reported as not resolved. The relevant medical history of intake of Lisinopril and Glipizide (which implies that the patient is Hypertensive and Diabetic) is a confounder for the event. The benefit-risk relationship of mRNA-1273 vaccine is not affected by this report.