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This is VAERS ID 1764345

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764345
VAERS Form:2
Age:18.0
Sex:Male
Location:Ohio
Vaccinated:2021-10-01
Onset:2021-10-04
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

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: 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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