VAERS ID: 1787791

AGE: 37| SEX: M|STATE: (United States)

Description

Intense diarrhea for 48 hours after 2nd does.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Diarrhoea

Vaccines

VAX DATE: 04-01-2021| ONSET DATE: 04-29-2021| DAYS TO ONSET: 28
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 0 COVID19 MODERNA Unknown Unknown

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:37
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:Allergies, Wisdom tooth removal 4/16
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Iodine, amoxicillin
V_FUNDBY:

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