This video taught me two things. 1) eating Subway prior to apocalyptical throat fucking yields hilarious results and 2) CGI will not be necessary in any future projectile vomiting scenes.
This seems to be one of the rare instances where a woman can orgasm with little or no physical stimulation of the genitals. In this particular case, it looks like the deepthroating and/or gagging is what's triggering her orgasm.