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

This is VAERS ID 1303248



Case Details

VAERS ID: 1303248 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-04-09
Onset:2021-05-02
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram
SMQs:

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: CT IMAGING
CDC Split Type:

Write-up: FIRST DOSE ADMINISTERED 3/22/21. SECOND DOSE ADMINISTERED 4/9/21. DIAGNOSED WITH APPENDICITIS 5/6/21 WITH ONSET OF SYMPTOMS 5/2/21. LAPAROSCOPIC APPENDECTOMY PERFORMED 5/6/21.


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