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VAERS ID: 1913198

AGE: 13| SEX: F|State: TX


Patient received Pfizer vaccine in 8/2021. In 9/2021 she began to have some vague complaints of upper back pain. Patient ultimately diagnosed with epitheliod sarcoma. Parents requested that this information be sent to VAERS in case her cancer was related to Vaccine. Physicians caring for the child do not feel her death or her cancer was related to the covid vaccine. Presented to the local Medical Center on 10/30/21 after having received care closer to home. Pt is a 13 y.o. female with no past medical history who presents with fever, chest pain, and diarrhea. About two weeks PTA, she began complaining of sternal chest pain. She had fatigue and sore throat so was taken to an urgent care where she was negative for strep, flu, and COVID. She was prescribed bromfed. She then progressed to a dry mild that started about 10 days PTA. On Tuesday, 10/26, she was seen at an outside ER and was diagnosed with pneumonia. She was started on azithromycin and augmentin. She has continued to have chest pain, SOB, and fatigue. The day of presentation, she stayed home from school. She developed nonbloody diarrhea, tachycardia, and weakness so she was taken back to the ER for evaluation. Found to have a pericardial friction rub. Admitted to hospitalist service.


Acute kidney injury, Cardiac output decreased, Debridement, Exploratory operation, Hypotension, Low lung compliance, Pericardial excision, SARS-CoV-2 test negative, Airway peak pressure increased, Cardiac tamponade, Diarrhoea, Fatigue, Influenza virus test negative, Multiple organ dysfunction syndrome, Pericardial rub, Sedation, Asthenia, Chemotherapy, Dyspnoea, Fluid retention, Intracardiac mass, Neoplasm malignant, Pneumonia, Streptococcus test negative, Back pain, Chest pain, Endotracheal intubation, General symptom, Lactic acidosis, Oedema, Pulmonary oedema, Tachycardia, Bradycardia, Death, Epithelioid sarcoma, Haemofiltration, Loss of personal independence in daily activities, Oropharyngeal pain, Pyrexia, Tumour excision


VAX DATE: 31 July 2021 | ONSET DATE: 31 August 2021 | DAYS TO ONSET: 31
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • UNK

RECVDATE:30 November 2021
DATEDIED:30 November 2021
LAB_DATA:Admitted to local HCF 10/30/21. See the following from her death note summary related to hospital course: Pt is a 13 y.o. female admitted for Left atrial mass and has been hospitalized for 30 days. she had her left atrial mass resection on 11/11/21, pericardial window creation, and mediastinal exploration with debridement. Her mass continued to grow and increase in size and Rhee invading the left atrium and possibly the right atrium along with creation of tamponade physiology on the ventricles. She was started on chemotherapy by hematology team, Nephrology team started her her on CRRT since she developed acute kidney injury along was multi organ failure and severe lactic acidosis. Patient was on multiple inotropics support with progressively increasing inotropics support epinephrine up to 0.3 micrograms/kilogram per minute, norepinephrine up to 0.3 micrograms/kilogram per minute along with 2 milliunits per kg per minute vasopressin. Over the past 48 hours prior to patient staff she was getting multiple fluid boluses and she was few L positive every day with severe 3rd spacing and progressively worsening cardiac output. She has had evidence of progressive tamponade physiology despite aggressive chemotherapy. she remained intubated and sedated with extremely high lung peak pressures and very poor compliance with severe pulmonary edema. On 12/1/2021 family expressed the wishes of stop giving fluids to her since she looks very edematous, parents understand that this will lead to cardiac arrest and ending her life within the next few hours, father expressed he is willing to do everything for her but he wants to end her suffering, mom and dad were at the bedside, IV fluid replacement was stopped. Patient vasopressin was weaned along with other inotropic support, family agreed on extubating the patient so that they can spend some time with her prior to the off. Patient continue to progressively having low cardiac output, hypotension and bradycardia, time of death was 7:00 a.m..
OTHER_MEDS:None known
TODAYS_DATE:30 November 2021
ALLERGIES:No known allergies
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