VAERS ID: 1001005

AGE: 42| SEX: F|STATE: ND (United States)

Description

pt became nauseated, vomiting and abdominal pain on 12/27/20 came in to be seen on 12/30/20 labs, ct and exam were performed determined pt had gallbladder flare up pt then sent to hospital where they removed gallbladder

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Symptoms

Vomiting, Nausea, Abdominal pain, Full blood count, Laboratory test, X-ray, Gallbladder disorder, Computerised tomogram abnormal, Cholecystectomy

Vaccines

VAX DATE: 12-22-2020| ONSET DATE: 12-27-2020| DAYS TO ONSET: 5
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 011J20A IM LA

RECVDATE:02-04-2021
RPT_DATE:
CAGE_YR:42
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:2
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:12/30/20 cbc, chemistry, ct-scan, xray
V_ADMINBY:WRK
OTHER_MEDS:spironolactone 25mg vitamin b 12 SL
CUR_ILL:none
HISTORY:diabetic well controlled no meds since weight loss htn no meds since weight loss
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-04-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:latex codiene
V_FUNDBY:

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