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Report #2866011

Received Oct 15, 2025

ER / ED visitDisabled
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
39 yrs
State
IN
Recovered
Not recovered
Vaccinated
Mar 13, 2021
Onset
Aug 13, 2021
Days to onset
153
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (JANSSEN))JANSSEN1—SYR / RA

Symptoms (4)

Computerised tomogramKidney fibrosisMagnetic resonance imagingRenal vein thrombosis

Symptom narrative

5 months later blood clot formed in my right kidney, the medical center has all the records. Permanente scarring in my right Kidney.

Current illness

None

Medical history

None

Other medications

None

Allergies

None

Lab data

Cat scan/mri

Prior vaccinations

Right Kidney Clot and Permanent Scarring in Right Kidney