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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1391382



Case Details

VAERS ID: 1391382 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-20
Onset:2021-06-04
   Days after vaccination:45
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 OT / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Simvastatin, Atenolol, Esomeprazole MA DR, L-Thyroxine, Androgel, Finesteride, Monoxidil, Aspirin (81 mg), Folic Acid, Vitamin D3, Naproxin Sodium, Align, daily multiple vitamin.
Current Illness: None
Preexisting Conditions: High blood pressure High Chloresterol Aorotic Stenosis
Allergies: None
Diagnostic Lab Data: CAT scan, MRI, and Coratid Ultrasound
CDC Split Type:

Write-up: Belle''s Palsy, Left side of face. Treatment Anti-Viral and Prednisone. Has not normalized to date.


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