VAERS ID: 1779567

AGE: 13| SEX: M|STATE: CO (United States)

Description

Patient developed symptoms concerning for Acute COVID-19 in mid August of 2021. He had a positive test outside of our system. He had a mild course with cough and nasal congestion (parents also had infection around the same time). He fully recovered, but developed symptoms again on 9/11/21 that culminated in admission to our hospital, and subsequent diagnosis of MIS-C on 9/19

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Symptoms

Cough, Antibody test, Nasal congestion, Platelet count decreased, C-reactive protein increased, Troponin, N-terminal prohormone brain natriuretic peptide, COVID-19, SARS-CoV-2 test positive, Exposure to SARS-CoV-2, SARS-CoV-2 antibody test positive, Multisystem inflammatory syndrome in children

Vaccines

VAX DATE: 06-12-2021| ONSET DATE: 09-11-2021| DAYS TO ONSET: 91
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0185 IM LA

RECVDATE:10-12-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:Reactive SARS-CoV-2 spike and nucleocapside antibodies: 9/19/2021 ProBNP 477 9/19 Troponin 0.04 9/19 platelets 109K 9/19 ALC 600 9/19 CRP 85.8 mg/L 9/19
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:None documented
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-12-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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