VAERS ID: 2271233

AGE: 10| SEX: M|STATE: NY (United States)

Description

01/13/2022 10-year-old male without significant past medical or surgical history presenting for evaluation of 6 days of fever, nausea/vomiting and decreased p.o. intake, diffuse abdominal pain, headache, fatigue, and migratory rash. Patient reportedly COVID-positive 12/6/2021, received initial COVID-vaccine in late November. Patient denying any chest pain, cough, or shortness of breath. Constellation of symptoms is concerning for Kawasaki versus MIS-C. Exam notable for diffuse rash with palmar involvement and early bullae/vesicles, straw berry tongue. There is no conjunctival injection, no perineal involvement. No focal neurologic deficits, diffuse abdominal tenderness without focality. Vital signs are stable hough notable for mild hypotension. Laboratory studies overall consistent with MISC (elevations in ESR/CRP, ferritin, etc. with elevations in troponin and BNP consistent with myocarditis. Electrolyte abnormalities including hyponatremia, hypokalemia, hypocalcemia consistent with inadequate oral intake and diarrhea. Hospital course: MIS-C associated with COVID-19, S/p CTX x2, negative blood cultures, S/p IVIG 1/14, Solumedrol 1/14-1/15, Transitioned to PO Prednisolone 1/16 Lovenox switched to ASA 1/1 Acute respiratory failure with hypoxia, Required HFNC on arrival to PICU, Stable on RA day of d/c. Myocarditis, LVEF 45-50% on 1/14 Discharge: Pt tolerating regular diet well. No N/V. Pt denies any pain. Rash to BLE and bilateral hands/arms improved. Follow up with PMD in one week, Rheumotology in one week, Cardiology in one month

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Symptoms

Rash, Pyrexia, Hypotension, Headache, Vomiting, Nausea, Abdominal pain, Diarrhoea, Red blood cell sedimentation rate increased, Hypokalaemia, Electrocardiogram abnormal, Myocarditis, Hyponatraemia, Electrolyte imbalance, Hypocalcaemia, Fatigue, Blister, Intensive care, Blood potassium decreased, Prothrombin time prolonged, C-reactive protein increased, Troponin I increased, Immunoglobulin therapy, Blood fibrinogen increased, Blood culture negative, Troponin increased, Hypophagia, Acute respiratory failure, Brain natriuretic peptide increased, International normalised ratio increased, Fibrin D dimer increased, Serum ferritin increased, Strawberry tongue, COVID-19, SARS-CoV-2 test positive, Multisystem inflammatory syndrome in children

Vaccines

VAX DATE: 11-29-2021| ONSET DATE: 01-07-2022| DAYS TO ONSET: 39
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FL0007 IM RA

RECVDATE:05-11-2022
RPT_DATE:
CAGE_YR:10
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:1/13-sed rate 41, Ferritin: 358, Fibrinogen 469, D dimer: 2.27, B Type Natriuretic Peptide: 1407 1/14-PT 15.8, INR 1.3, D dimer 14.8, Potassium: 2.8, Troponin I: 0.32, EKG
V_ADMINBY:PHM
OTHER_MEDS:UNKNOWN
CUR_ILL:UNKNOWN
HISTORY:NONE
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-11-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NONE
V_FUNDBY:

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