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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1484986



Case Details

VAERS ID: 1484986 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-06-02
Onset:2021-07-03
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Full blood count, Testicular torsion, Ultrasound testes abnormal
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Seasonal rhinitis
Allergies: Amoxicillin, Omnicef
Diagnostic Lab Data: Ultrasound, CBC
CDC Split Type:

Write-up: Testicular torsion


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