VAERS ID: 1808753

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

Description

Symptoms began on 9/23/21, and progressively got worse. Symptoms include: weight loss (7.8kg), vomiting, abdominal pain - very poor appetite - only sips or soup or Pedialyte and will vomit. Fevers (Tmax 101) initially, but only for a few days, with last fever on 9/25. Abdominal pain which is periumbilical. Pain to bottom of feet, and parents report feet always feel cold. Dizzy when he walks or stands up. Vomiting 1-2 times per day. "Lethargic" per mom. This is the 4th ED visit for this illness. Has been on Reglan and Pepcid. Not stooling (much), and when does, stool looks like hard pebbles. Mid to lower back pain that causes him to hunch forward when he walks, per mom "he walk like an old man".

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Symptoms

Pyrexia, Vomiting, Abdominal pain, Back pain, Weight decreased, Pain in extremity, Decreased appetite, Lethargy, Peripheral coldness, Dizziness postural, Faeces hard, X-ray normal, Dizziness exertional, Posture abnormal, Bowel movement irregularity, Ultrasound abdomen abnormal, Computerised tomogram abdomen abnormal, Pelvic fluid collection, Scan with contrast abnormal, Scan with contrast, Illness

Vaccines

VAX DATE: 08-31-2021| ONSET DATE: 09-23-2021| DAYS TO ONSET: 23
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FC3183 IM RA

RECVDATE:10-22-2021
RPT_DATE:
CAGE_YR:13
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:9/30 - US of abdomen normal. Abdominal CT on 9.28 was unremarkable US ABDOMEN, LIMITED Result Date: 9/30/2021 Impression: 1. No free fluid. No abnormal appendix identified. 2. Mild pelviectasis right kidney CT ABDOMEN-PELVIS WITH RAPID ORAL CONTRAST AND IV CONTRAST Result Date: 9/28/2021 Impression: 1. No CT evidence of appendicitis. 2. Trace pelvic free fluid, nonspecific. Preliminary report transmitted by Dr. at 1:00 AM on 9/28/2021 XR ABDOMEN 2 VIEW Result Date: 9/30/2021 Impression: 1. No acute findings
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-22-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

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