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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1332714



Case Details

VAERS ID: 1332714 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-04-24
Onset:2021-05-02
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Appendicitis, Computerised tomogram, Urine analysis, White blood cell count
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: CAT scan; Result Unstructured Data: Test Result:Positive for Appendicitis; Test Date: 20210502; Test Name: Urine test; Result Unstructured Data: Test Result:Unknown results; Test Date: 20210502; Test Name: Blood test; WBC; Result Unstructured Data: Test Result:22.03; Comments: units per microliter
CDC Split Type: USPFIZER INC2021504007

Write-up: She was diagnosed with appendicitis; This is a spontaneous report received from a contactable consumer (parent; patient''s mother). A 19-year-old female patient (daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration in left arm on 24Apr2021 at 11:00 (at the age of 19 years old) (Lot Number: ER8736, unknown expiration) as 1st dose, single for COVID-19 immunization. Medical history and concomitant medication reported as none. One week after the vaccine dose, the patient went to the ED with pain and vomiting on 02May2021. She was diagnosed with appendicitis after running some tests on 02May2021 and had her appendix has been removed on the same day she was admitted. The reporter asked if there was any further information about more patients getting appendicitis after the Pfizer vaccine and if the patient should get the second shot. One of her daughter''s friends knew someone else who got the shot and got appendicitis, so the reporter wanted to know if it was a common side effect or coincidence. The reporter has no identifying information about her daughter''s friend who knew someone that got the shot and had appendicitis. No additional vaccines administered on same date of the Pfizer suspect. They knew from the blood test something was wrong, the patient''s WBC results were too high on 02May2021. The regular range was between 4.31-10.16 but the result was 22.03 units per microliter, she was not sure what the units mean. The patient''s urine test results (unknown results) were not explained to the reporter and the CAT scan confirmed positive for appendicitis on 02May2021. No prior vaccinations within 4 weeks. The patient was recuperating from it with no more complications. The events require emergency room visit. The patient was recovering from the events. The events were assessed as serious (hospitalization from 02May2021 to 03May2021) Information on lot/batch number was available. Additional information has been requested.


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