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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1257033



Case Details

VAERS ID: 1257033 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: New York  
Vaccinated:2021-03-09
Onset:2021-04-21
   Days after vaccination:43
Submitted: 0000-00-00
Entered: 2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Bell's palsy, Magnetic resonance imaging
SMQs:, Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto, Metoprolol, Candesartan
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None
Diagnostic Lab Data: Diagnosed by physician on 04/21/2021, MRI scheduled
CDC Split Type:

Write-up: Bell''s Palsy


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