VAERS ID: 952318

AGE: 49| SEX: F|STATE: MD (United States)

Description

Patient experienced abdominal pain on January 12th. She reported having a headache and joint pain as well. Her temperature was 103.5. On January 14th the patient was admitted for acute appendicitis with perforation, localized peritonitis, and gangrene. Patient was discharged on January 16th post appendectomy.

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Symptoms

Arthralgia, Headache, Abdominal pain, Alanine aminotransferase increased, Aspartate aminotransferase increased, Body temperature increased, White blood cell count increased, Appendicectomy, Appendicitis, Appendicitis perforated, Complicated appendicitis, Focal peritonitis

Vaccines

VAX DATE: 01-11-2021| ONSET DATE: 01-12-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EL1283 IM LA

RECVDATE:01-18-2021
RPT_DATE:
CAGE_YR:49
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:WBC = 18.5 on Jan 14th at 0915 AST 72 ALT 81
V_ADMINBY:WRK
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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