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When you've had too much to drink and you're stood up, taking a piss (where ever that may be) and suddenly you feel like throwing up, and do so while looking directly down.
John: "You guys won't believe what happened to me last night. I had so much to drink that I couldn't even hold it in while taking a piss."
Dave: "Sounds like you had a serious case of vomit cock."
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When you are being deepthroated too hard they choke and throw up onto your dick. Making your cock reek of vomit for days.
Joel: "yo, did you hear Oli got vomit cock last night"
Dan: "k"