Adverse Event Reporting
| VAERS ID | 957147 |
|---|---|
| Gender | Male |
| Age | 56 |
| StateCode | NY |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-29 |
| Onset | 2021-01-02 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Pain in extremity
- Chest pain
- Blood test
- Abdominal pain
- Computerised tomogram abdomen
- Ultrasound scan
- Computerised tomogram thorax
- Surgery
- Complicated appendicitis
- Acute abdomen
Current Illness
none
Preexisting Conditions
GERD
Other Medications
none
Previous Vaccinations
Allergies
none
Laboratory Data
3 abdominal and chest CAT scans multiple blood tests and ultrasound
Write-up
Excruciating abdominal pain, left arm pain, chest pain.
Gangrenous appendicitis requiring emergency surgery and followed by admission for complicated acute abdomen.