VAERS ID: 920879

AGE: 36| SEX: F|STATE: WI (United States)

Description

Abdominal pain that proceeded to get worse into the next day. Connected with PCP, had labs drawn and ultrasound ordered. Ended up going to ER. Determined to have Appendicitis, needed and had appendectomy on 12/29/2020.

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Symptoms

Abdominal pain, Laboratory test, Appendicectomy, Ultrasound abdomen abnormal, Computerised tomogram abdomen abnormal, Appendicitis, Appendicolith

Vaccines

VAX DATE: 12-23-2020| ONSET DATE: 12-28-2020| DAYS TO ONSET: 5
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EL1284 IM RA

RECVDATE:01-05-2021
RPT_DATE:
CAGE_YR:36
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Labs drawn, abdominal ultrasound and ct scan performed. Stones found in appendix
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:Back pain
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-05-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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