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This is VAERS ID 1257033

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1257033
VAERS Form:2
Age:52.0
Sex:Male
Location:New York
Vaccinated:2021-03-09
Onset:2021-04-21
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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


Changed on 5/7/2021

VAERS ID: 1257033 Before After
VAERS Form:2
Age:52.0
Sex:Male
Location:New York
Vaccinated:2021-03-09
Onset:2021-04-21
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto, Metoprolol, Candesartan
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None None
Diagnostic Lab Data: Diagnosed by physician on 04/21/2021, MRI scheduled
CDC 'Split Type':

Write-up: Bell''s Palsy


Changed on 5/14/2021

VAERS ID: 1257033 Before After
VAERS Form:2
Age:52.0
Sex:Male
Location:New York
Vaccinated:2021-03-09
Onset:2021-04-21
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Xarelto, Metoprolol, Candesartan
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: None 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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