VAERS ID: 2289856

AGE: 30| SEX: M|STATE: AR

Description

Patient received second dose of Pfizer (tozinameran-tris-sucrose) vaccine on May 10, 2022. On May 17, 2022 patient started experiencing severe lower abdominal pain and decreased bowel movements. Patient started having nausea and vomiting the morning of May 21, 2022. Patient saw his PCP and received a sample of Trulance 3mg to take for the constipation. Patient took the first and only dose the morning of May 21, 2022 and had a bowel movement that was green/black in color. Patient came to the ER May 21, 2022 at 1656 due to this. Scans were done and it was found patient had acute appendicitis with severe surrounding inflammation as well as large fecalith with possible perforation. Patient taken emergently to OR for laparoscopic appendectomy.

Symptoms

Abdominal pain lower, Appendicectomy, Appendicitis, Computerised tomogram abdomen, Constipation, Faeces discoloured, Full blood count, Inflammation, Infrequent bowel movements, Nausea, Scan abdomen abnormal, Urine analysis, Vomiting

Vaccines

VAX DATE: 05-10-2022| ONSET DATE: 05-17-2022| DAYS TO ONSET: 7
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FK9893 IM RA

RECVDATE:05-21-2022
RPT_DATE:
CAGE_YR:30
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Blood count, CBC, Urinalysis, CT of abdomen and pelvis without contrast
V_ADMINBY:PHM
OTHER_MEDS:Zyrtec 10mg as needed
CUR_ILL:
HISTORY:Seasonal allergies
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:05-21-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:Codeine, Penicillins
V_FUNDBY:

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