Narrative:

After leaving [an international airport] (late by three hours due to late arriving aircraft) started wondering if I was feeling alright or was I just tired. Had eaten some breakfast early in the flight but couldn't finish it because it seemed like it was bad. Bad as in 'gone bad'. Throughout the flight across the ocean it became obvious to me that I was feeling worse and worse as time went by. I threw-up in a garbage bag in the cockpit at one point. Did not have time to make it to the lav. Thought about diverting at that point but felt better after throwing up and decided maybe I was okay now that I'd just eaten something bad. Breakfast on the airplane perhaps. Went on break (third break) feeling so-so but still thought I might be getting better. After my break; back in the cockpit and about to start the descent; I started feeling very; very sick again. I turned the flying over to the first officer and had the international relief officer take my seat. I was sitting on the jumpseat throwing up violently into a garbage bag as we descended through about 10;000 ft. I heard [the first officer advised ATC] at that point and heard him state to ATC that the captain was incapacitated and that also he wanted an ambulance to meet the airplane. I was too sick to even comment at that point. After landing I was feeling better again after heaving and suggested that after [the international relief officer] made the turn-off from the left-seat; he should set the brakes (which he did) and I would retake my seat and taxi into the gate. Which I did. I then walked off the aircraft after the checklists and met the paramedics [who] took me to the hospital.

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Original NASA ASRS Text

Title: B767 Captain reported becoming incapacitated in flight on an international leg possibly because of food poisoning.

Narrative: After leaving [an international airport] (late by three hours due to late arriving aircraft) started wondering if I was feeling alright or was I just tired. Had eaten some breakfast early in the flight but couldn't finish it because it seemed like it was bad. Bad as in 'gone bad'. Throughout the flight across the ocean it became obvious to me that I was feeling worse and worse as time went by. I threw-up in a garbage bag in the cockpit at one point. Did not have time to make it to the lav. Thought about diverting at that point but felt better after throwing up and decided maybe I was okay now that I'd just eaten something bad. Breakfast on the airplane perhaps. Went on break (third break) feeling so-so but still thought I might be getting better. After my break; back in the cockpit and about to start the descent; I started feeling very; very sick again. I turned the flying over to the FO and had the IRO take my seat. I was sitting on the jumpseat throwing up violently into a garbage bag as we descended through about 10;000 ft. I heard [the FO advised ATC] at that point and heard him state to ATC that the Captain was incapacitated and that also he wanted an ambulance to meet the airplane. I was too sick to even comment at that point. After landing I was feeling better again after heaving and suggested that after [the IRO] made the turn-off from the left-seat; he should set the brakes (which he did) and I would retake my seat and taxi into the gate. Which I did. I then walked off the aircraft after the checklists and met the paramedics [who] took me to the hospital.

Data retrieved from NASA's ASRS site and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.