Report #2826413

Received Feb 16, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 61 yrs
State: VA
Recovered: Not recovered
Vaccinated: Jul 21, 2021
Onset: Nov 1, 2021
Days to onset: 103
Hospital days: 20

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (3)

Bell's palsyCardiac failure congestiveLaboratory test

Symptom narrative

Bell's palsey and Congestive heart failure

Current illness

Diabetes

Medical history

Diabetes

Other medications

Allergies

Lab data

There has been numerous test ran, would have to fax medical history