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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1301337



Case Details

VAERS ID: 1301337 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-03-08
Onset:2021-05-02
   Days after vaccination:55
Submitted: 0000-00-00
Entered: 2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1802070 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Laboratory test, Pulmonary thrombosis
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Nill
Preexisting Conditions: Nill
Allergies:
Diagnostic Lab Data: Contact the hospital
CDC Split Type:

Write-up: Blood clots in lungs was diagnosed after so many test. Treatment ongoing


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1301337


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