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This is VAERS ID 1454733

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454733
VAERS Form:2
Age:61.0
Sex:Male
Location:Kansas
Vaccinated:2021-06-18
Onset:2021-06-25
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: Haemorrhoids thrombosed, Haemorrhoid operation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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Link To This Search Result:

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


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