VAERS ID: 2006451

AGE: 6| SEX: F|STATE: TN (United States)

Description

12/23-developed rash and fever 12/25-admited to hospital for abnormal labs; enlarged liver. Dx with kawasaki disease

Open in Wayback Machine
(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

Rash, Pyrexia, Laboratory test abnormal, Hepatomegaly, Kawasaki's disease

Vaccines

VAX DATE: 12-11-2021| ONSET DATE: 12-23-2021| DAYS TO ONSET: 12
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FJ8757 IM

RECVDATE:01-05-2022
RPT_DATE:
CAGE_YR:6
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:5
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:admited to hospital
V_ADMINBY:PHM
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-05-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:none
V_FUNDBY:

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