VAERS ID: 961688

AGE: 83| SEX: M|STATE: NC (United States)

Description

Patient has been having abdominal cramping with uncontrollable diarrhea for three days following his first COVID vaccination. He is eating a bland diet with yogurt, but has been passing bloody, loose stools every 30-40 minutes. He notified his PCP, who prescribed him an antibiotic for possible diverticulitis flare.

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Symptoms

Abdominal pain, Diarrhoea, Haematochezia

Vaccines

VAX DATE: 01-17-2021| ONSET DATE: 01-17-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EL3248 IM LA

RECVDATE:01-21-2021
RPT_DATE:
CAGE_YR:83
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PUB
OTHER_MEDS:unknown
CUR_ILL:
HISTORY:history of diverticulitis
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-21-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:unknown
V_FUNDBY:

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