VAERS ID: 979690

AGE: 50| SEX: M|STATE: AZ (United States)

Description

Acute appendicitis with perforation on January 17, 2021 that required emergency surgery

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Symptoms

Surgery, White blood cell count increased, Computerised tomogram abdomen abnormal, Appendicitis, Appendicitis perforated

Vaccines

VAX DATE: 01-14-2021| ONSET DATE: 01-16-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ELI283 IM LA

RECVDATE:01-27-2021
RPT_DATE:
CAGE_YR:50
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:CT scan of abdomen on Jan 17, 2021 confirming acute appendicitis CBC on same date showing a WBC of 15,000 initially and then 22,000 the following day (Jan 18, 2021)
V_ADMINBY:PVT
OTHER_MEDS:Vitamin D 5,000 IU every day Ibuprofen 200 mg PRN headache (about 1 or 2 a month) Tadalafil 5 mg PRN
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-27-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:None known
V_FUNDBY:

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