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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1454733



Case Details

VAERS ID: 1454733 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-06-18
Onset:2021-06-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 204AZIA / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Haemorrhoid operation, Haemorrhoids thrombosed
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: na
Current Illness: na
Preexisting Conditions: na
Allergies: na
Diagnostic Lab Data: Excision of thrombosed external hemorrhoid on June 27 at 11:06 am
CDC Split Type:

Write-up: Perianal venous thrombosis/blood clots


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454733


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