The land became defiled

"The people defiled the land"

the land vomited out its inhabitants

Yahweh forcibly removing the people from the land is spoken of as if the land were a person who vomited the people out. Alternate translation: "I forcibly removed the people from the land, like a person vomits up food" (See: rc://en/ta/man/translate/figs-metaphor and rc://en/ta/man/translate/figs-personification)