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This is VAERS ID 1225573

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1225573
VAERS Form:2
Age:29.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-11
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: Haemorrhoids thrombosed, Haemorrhoid operation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 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.


Changed on 5/7/2021

VAERS ID: 1225573 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-11
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: Haemorrhoids thrombosed, Haemorrhoid operation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None. 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.


Changed on 5/14/2021

VAERS ID: 1225573 Before After
VAERS Form:2
Age:29.0
Sex:Male
Location:Florida
Vaccinated:2021-04-08
Onset:2021-04-11
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: Haemorrhoids thrombosed, Haemorrhoid operation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None. 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1225573&WAYBACKHISTORY=ON


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