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VAERS ID: 1980996

AGE: 9| SEX: M|State: AR

Description

Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021. Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.

Symptoms

Abdominal pain, Blood alkaline phosphatase normal, Blood fibrinogen, Brain natriuretic peptide increased, Haemoglobin decreased, Malaise, Protein total decreased, Vomiting, Alanine aminotransferase normal, Blood bilirubin normal, Blood glucose normal, C-reactive protein increased, Hypophagia, Multisystem inflammatory syndrome in children, Pyrexia, White blood cell count increased, Aspartate aminotransferase increased, Blood calcium decreased, Blood potassium decreased, Carbon dioxide normal, Left ventricular dysfunction, Neutrophil percentage increased, Serum ferritin increased, Bilirubin conjugated, Blood chloride normal, Blood sodium decreased, Diarrhoea, Lethargy, Platelet count normal, Troponin increased, Blood albumin decreased, Blood creatinine normal, Blood urea normal, Echocardiogram abnormal, Lymphocyte percentage decreased, Procalcitonin increased, Viral infection

Vaccines

VAX DATE: 16 December 2021 | ONSET DATE: 19 December 2021 | DAYS TO ONSET: 3
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • UN
  • UN

RECVDATE:24 December 2021
CAGE_YR:9
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:WBC 15.3; hgb 8.8; platelet 270, 78% neutrophils 14.7% lymphocytes; NA 127, K 3.3, Cl 92, CO2 22, BUN 15, Cr 0.7, Glucose 126, Ca 8.5, Tpro 5.7, Albumin 3.3, total Bili 0.6 (direct 0.2), AST 44, ALT 25, AlkPhos 92 BNP: 1163, Hs Toponin 194.34 (normal <45), Ferritin 971, CRP 164 mg/L, Procal 7.74 ng/mL; Fibrinogen 542 (normal <400); Echocardiogram with mild left ventricular dysfunction
V_ADMINBY:PVT
OTHER_MEDS:none reported
CUR_ILL:Suspected COVID exposure end of November
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:24 December 2021
BIRTH_DEFECT:
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:
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