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This is VAERS ID 1457028

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1457028
VAERS Form:2
Age:71.0
Sex:Male
Location:California
Vaccinated:2021-03-28
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Aphasia, Bell's palsy, Dizziness, Hypoaesthesia, Vision blurred, Visual impairment, Facial asymmetry

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Prostate cancer (CMS/HCC) 2005 s/p prostatectomy ? Right inguinal hernia ? Urinary incontinence mild
Allergies: Scallops
Diagnostic Lab Data: Seen in Emergency Department on 07/02/21 07/07/21 Seen by Nurse practioner in a neurology clinic
CDC 'Split Type':

Write-up: Left sided Bell''s palsy Eyes: Positive for visual disturbance ( Blurred vision in the right eye Neurological: Positive for dizziness ( When he closes eyes.), facial asymmetry ( Left-sided facial droop), speech difficulty and numbness ( To the right side of the face). Negative for weakness and headaches.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457028&WAYBACKHISTORY=ON

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