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

This is VAERS ID 1337461



Case Details

VAERS ID: 1337461 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-05-04
Onset:2021-05-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 207A21A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood smear test, Differential white blood cell count, Full blood count, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP 650mg PO Q4-6H PRN, Imbruvica 420mg PO QD, losartan 100mg PO QD, melatonin 10mg PO QHS, tamsulosin 0.4mg PO QPM,
Current Illness: UTI
Preexisting Conditions: Anemia, hereditary motor/sensory neuropathy, non-Hodgkins''s lymphoma, obstructive and reflux uropathy, OSA, enlarged prostate with LUTS, prediabetes, hypertension,
Allergies: Adhesive tape
Diagnostic Lab Data: CBC w/diff and peripheral blood smear, pending
CDC Split Type:

Write-up: Pt developed petechiae on BLEs the same day he was given the vaccine (5/4/2021) and the petechiae started to improve 3-4 days later. No other adverse symptoms reported.


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