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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1225573



Case Details

VAERS ID: 1225573 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-04-08
Onset:2021-04-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 042A21A / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Haemorrhoid operation, Haemorrhoids thrombosed
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None.
Diagnostic Lab Data: 4/14/2021 Dr, found Thrombosed External Hemorrhoid, informed patient that surgery needed to be performed within 24 hours of findings. 4/15/2021 Dr. performed Flex sig with hemorrhoidectomy.
CDC Split Type:

Write-up: Patient had to have surgery for blood clot removal in rectum, within 1 week of receiving Janssen vaccine. No prior health issues leading up to this event.


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