VAERS ID: 2137230

AGE: 7| SEX: M|STATE: TN (United States)

Description

On 02/15/2022 patient presented to hospital with concerns for MIS-C; developed fevers, tmax of 105F, also complained of myalgia, and abdominal pain. He was initially diagnosed with cervical lymphadenitis and prescribed amoxicillin without symptom improvement. He presented to the ED with additional symptoms of bilateral conjunctivitis strawberry tongue, and upper extremity rashes. Currently inpatient at hospital being treated for MIS-C.

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Symptoms

Rash, Pyrexia, Myalgia, Abdominal pain, Conjunctivitis, Lymphadenitis, Strawberry tongue, Multisystem inflammatory syndrome in children

Vaccines

VAX DATE: 01-03-2022| ONSET DATE: 02-15-2022| DAYS TO ONSET: 43
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FL0007 SYR

RECVDATE:02-24-2022
RPT_DATE:
CAGE_YR:7
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-24-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Tylenol
V_FUNDBY:

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