Report #2839683

Received May 6, 2025

Life-threateningHospitalizedER / ED visit

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Overview

Sex: Male
Age: 30 yrs
State: MI
Recovered: Not recovered
Vaccinated: May 14, 2021
Onset: May 1, 2025
Days to onset: 1448
Hospital days: 2

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (JANSSEN))	JANSSEN	1	—	SYR / RA

Symptoms (1)

Thrombosis

Symptom narrative

Multiple blood clots in abdomen.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Hospital ER visit