VAERS ID: 1822149

AGE: 16| SEX: F|STATE: MD (United States)

Description

MIS-C diagnosed along with a positive Covid infection. She went into shock from the MIS-C and was put on oxygen due to breathing difficulties. She was eventually treated with IVIG and made a complete recovery.

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(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Dyspnoea, Shock, Echocardiogram, Blood test, Computerised tomogram, Electrocardiogram, Immunoglobulin therapy, COVID-19, SARS-CoV-2 test positive, Multisystem inflammatory syndrome in children

Vaccines

VAX DATE: 08-27-2021| ONSET DATE: 09-05-2021| DAYS TO ONSET: 9
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0198 LA

RECVDATE:10-27-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:6
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Blood tests, CT scans, Echocardiogram, EKG
V_ADMINBY:PHM
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-27-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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