VAERS ID: 974009

AGE: 48| SEX: F|STATE: IL (United States)

Description

abd pain that began on 1/15/2021, 1/19/2021 admitted to hospital with Acute appendicitis with perforation

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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

Abdominal pain, Appendicitis, Appendicitis perforated

Vaccines

VAX DATE: 01-12-2021| ONSET DATE: 01-15-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EL3248 IM LA

RECVDATE:01-26-2021
RPT_DATE:
CAGE_YR:48
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:7
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-26-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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