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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1782349

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Case Details

VAERS ID: 1782349 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-08-14
Onset:2021-10-05
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207AZIA / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Bell's palsy, Cardiac telemetry, Chest X-ray, Computerised tomogram, Contusion, Dizziness, Electrocardiogram, Facial paralysis, Laboratory test, Magnetic resonance imaging, Pain in extremity, Vertigo
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hearing impairment (broad), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cymbalta 20mg/day Vit C Vit B12 Vit D3 turmeric
Current Illness: none
Preexisting Conditions: osteo arthritis and migraine
Allergies: Latex, bananas. penG, Keflex, Erythamycin, Sulfa ,codeine
Diagnostic Lab Data: Oct 6 ER visit labs and CT scan Oct 11-12 hospitalized labs, CT, MRI, chest xray, EKG, tele monitoring
CDC Split Type:

Write-up: initial bruising and sore arm. 7 weeks later vertigo and then bells palsy chronic dizziness and left sided facial paralysis


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