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

This is VAERS ID 1247036



Case Details

VAERS ID: 1247036 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-03-21
Onset:2021-04-19
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1808980 / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram abdomen, Diverticulitis
SMQs:, Gastrointestinal nonspecific inflammation (broad)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT of abdomen confirmed acute diverticulitis
CDC Split Type:

Write-up: Patient had acute diverticulitis within 3 weeks of J and J vaccine


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1247036


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