VAERS ID: 1787913

AGE: 12| SEX: M|STATE: OH (United States)

Description

Patient was diagnosed with acute appendicitis 4 days after receiving his second COVID vaccine.

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Symptoms

Blood test, Appendicectomy, Appendicitis

Vaccines

VAX DATE: 10-08-2021| ONSET DATE: 10-11-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0177 IM LA

RECVDATE:10-15-2021
RPT_DATE:
CAGE_YR:12
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:10/12/21, had blood work, IV fluids, and ultimately surgery to remove his appendix.
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:None known
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-15-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None known
V_FUNDBY:

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