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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1764345

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Case Details

VAERS ID: 1764345 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-10-01
Onset:2021-10-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 206A21A / UNK - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bell's palsy, Facial paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Augmentin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient received the J and J vaccine on 10/1/21. He noticed on 10/4/21 that his right side of his face was drooping. He presented to a walk in clinic on 10/5/21 and diagnosed with Bells Palsy. He denies any other complications or side effects. He was prescribed prednisone and advised to follow up with his primary care doctor in 2-3 days.


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