VAERS ID: 1753044

AGE: 44| SEX: M|STATE: SC (United States)

Description

Within 24 hours I had diarrhea with blood in my stool. The blood in stool lasted for 48 hours. The Diarrhea has persisted for 32 days.

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Symptoms

Diarrhoea, Haematochezia

Vaccines

VAX DATE: 08-30-2021| ONSET DATE: 09-01-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 014C21A SYR LA

RECVDATE:10-01-2021
RPT_DATE:
CAGE_YR:44
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:None
V_ADMINBY:PHM
OTHER_MEDS:None
CUR_ILL:None
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-01-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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