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Report #2849959
Received Jul 16, 2025
Office visit
A note on interpretation.
VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation.
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Overview
Sex
Male
Age
36 yrs
State
FL
Recovered
Not recovered
Vaccinated
Jul 14, 2021
Onset
Jul 27, 2021
Days to onset
13
Hospital days
—
Vaccines (1)
Type
Name
Manufacturer
Dose
Lot
Route / Site
COVID19
COVID19 (COVID19 (MODERNA))
MODERNA
1
054C21A
IM / LA
Symptoms (2)
Computerised tomogram
Diverticulitis
Symptom narrative
Diverticulitis
Current illness
N/A
Medical history
N/A
Other medications
N/A
Allergies
N/A
Lab data
Cat Scan