VAERS ID: 1804167

AGE: 15| SEX: M|STATE: OH (United States)

Description

Swelling, redness, PAIN in scrotum and

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(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

Erythema, Scrotal pain, Scrotal swelling, Spermatocele

Vaccines

VAX DATE: 09-03-2021| ONSET DATE: 10-20-2021| DAYS TO ONSET: 47
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0179 IM LA

RECVDATE:10-21-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:Y
RECOVD:N
LAB_DATA:Physical exam and tests by doctor (Hospital) Possible loss of reproductive function R/T diagnosis: Spermatocele of epidymus,
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-21-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:NKDA
V_FUNDBY:

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