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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 909720 |
VAERS Form: | 2 |
Age: | 41.0 |
Sex: | Male |
Location: | Minnesota |
Vaccinated: | 2020-12-22 |
Onset: | 2020-12-23 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-27 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EJ1685 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Abdominal pain lower, Appendicectomy, Appendicitis, Computerised tomogram abnormal, Pyrexia
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: (blank)
Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 12/24- CT revealed appendicitis, appendectomy performed
CDC 'Split Type':
Write-up: 12/23- began to experience intermittent right lower quadrant pain in the morning, fever of 100.4 F in the evening which subsided with ibuprofen. 12/24- no fever noted but intermittent right lower quadrant pain continued, seen at the Health Clinic, sent to Hospital ER for CT scan, diagnosed with appendicitis, appendectomy performed.
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