VAERS ID: 918051

AGE: 33| SEX: F|STATE: NJ (United States)

Description

At around 40 hours post vaccination, developed severe abdominal pain and went to an emergency room for evaluation on 1/1/21. Abdominal pain was eventually diagnosed as appendicitis requiring appendectomy on 1/2/21. Emergency room visit and hospital discharged patient early on 1/2/21. It was then determined that the on-call team covering mis-read the CT scan and acute appendicitis was found. Patient then went to Medical Center on 1/2/21 for appendectomy and was discharged later that night following operation.

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Symptoms

Abdominal pain, Laboratory test, Liver function test, Appendicectomy, Ultrasound pelvis, Ultrasound abdomen, Computerised tomogram abdomen abnormal, Appendicitis

Vaccines

VAX DATE: 12-30-2020| ONSET DATE: 01-01-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 026LZOA IM RA

RECVDATE:01-03-2021
RPT_DATE:
CAGE_YR:33
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Liver panel and chemistry lab: 1/1/21 Abdominal ultrasound: 1/1/21 Abdominal CT scan: 1/1/21 Pelvic Ultrasound: 1/2/21
V_ADMINBY:PVT
OTHER_MEDS:prenatal vitamin
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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