This case series found hospitalized pediatric patients infected with COVID-19 were significantly younger; more likely to have an underlying comorbidity or coinfection, and more likely to report fever and dyspnea, compared to non-hospitalized COVID-19 pediatric patients. Pediatric patients also likely to have a COVID-19 infected adult within their household. 

• Study involved COVID-19 patients living in Chicago aged 0-17 years, who were reported to Chicago Department of Public Health (CDPH) from 3/5/20–4/8/20.
• 6369 lab-confirmed cases of COVID-19 were reported, with only 64 (1.0%) were among children 0-17 years.
  • 10 patients (16%) were hospitalized
    • 7 (70%) required ICU
    • Of those hospitalized, all had an underlying comorbidity or co-infection
    • median length of hospitalization 4 days (range: 1–14).
•  Among the 34 unique households with multiple laboratory-confirmed infections, median number of laboratory-confirmed infections was 2 (range: 2–5)
• 2 (7%) had traveled to NYC within prior 14 days
• 40 (64%) of children had at least one family member with COVID-19
• 15 households with available data to assess transmission (transmission defined as one individual testing positive prior to another individual, which has limitations)
  • 11 (73%) were adult-to-child, 2 (13%) child-to-child, and 2 (13%) child-to-adult.