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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. Full disclaimer

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)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1054C21AIM / LA

Symptoms (2)

Computerised tomogramDiverticulitis

Symptom narrative

Diverticulitis

Current illness

N/A

Medical history

N/A

Other medications

N/A

Allergies

N/A

Lab data

Cat Scan