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Keith Sacco #,1, Riccardo Castagnoli #,1,2, Svetlana Vakkilainen #,1, Can Liu #,3,4, Ottavia M Delmonte 1, Cihan Oguz 5,6, Ian M Kaplan 7, Sara Alehashemi 1, Peter D Burbelo 8, Farzana Bhuyan 1, Adriana A de Jesus 1, Kerry Dobbs 1, Lindsey B Rosen 1, Aristine Cheng 1, Elana Shaw 1, Mikko S Vakkilainen 9, Francesca Pala 1, Justin Lack 3,5, Yu Zhang 1, Danielle L Fink 10, Vasileios Oikonomou 1, Andrew L Snow 11, Clifton L Dalgard 12,13, Jinguo Chen 14, Brian A Sellers 14, Gina A Montealegre Sanchez 15, Karyl Barron 16, Emma Rey-Jurado 17, Cecilia Vial 17, Maria Cecilia Poli 17,18, Amelia Licari 2, Daniela Montagna 2,19, Gian Luigi Marseglia 2, Francesco Licciardi 20, Ugo Ramenghi 20, Valentina Discepolo 21, Andrea Lo Vecchio 21, Alfredo Guarino 21, Eli M Eisenstein 22, Luisa Imberti 23, Alessandra Sottini 23, Andrea Biondi 24, Sayonara Mató 25, Dana Gerstbacher 26, Meng Truong 1, Michael A Stack 1, Mary Magliocco 27, Marita Bosticardo 1, Tomoki Kawai 1, Jeffrey J Danielson 1, Tyler Hulett 28, Manor Askenazi 28, Shaohui Hu 28, NIAID Immune Response to COVID Group; Chile MIS-C Group; Pavia Pediatric COVID-19 Group; Jeffrey I Cohen 29, Helen C Su 1, Douglas B Kuhns 10, Michail S Lionakis 1, Thomas M Snyder 7, Steven M Holland 1, Raphaela Goldbach-Mansky 1, John S Tsang 3 30, Luigi D Notarangelo 31; 1 Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 2 Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy. 3 Multiscale Systems Biology Section, Laboratory of Immune System Biology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 4 Graduate Program in Biological Sciences, University of Maryland, College Park, MD, USA. 5 NIAID Collaborative Bioinformatics Resource (NCBR), National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 6 Advanced Biomedical Computational Science, Frederick National Laboratory for Cancer Research, Leidos Biomedical Research, Inc, Frederick, MD, USA. 7 Adaptive Biotechnologies, Seattle, WA, USA. 8 National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD, USA. 9 Department of Computer Science, Aalto University, Helsinki, Finland. 10 Applied/Developmental Research Directorate, Frederick National Laboratory for Cancer Research, Frederick, MD, USA. 11 Department of Pharmacology & Molecular Therapeutics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA. 12 Department of Anatomy, Physiology & Genetics, Uniformed Services University of the Health Sciences, Bethesda, MD, USA. 13 The American Genome Center, Uniformed Services University of the Health Sciences, Bethesda, MD, USA. 14 Trans-NIH Center for Human Immunology, Autoimmunity, and Inflammation (CHI), National Institutes of Health, Bethesda, MD, USA. 15 Intramural Clinical Management and Operation Branch (ICMOB), Division of Clinical Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 16 Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 17 Facultad de Medicina Clínica Alemana Universidad del Desarrollo, Santiago, Chile. 18 Unidad de Inmunología y Reumatología, Hospital de niños Dr. Roberto del Río, Santiago, Chile. 19 Laboratory of Immunology and Transplantation, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. 20 Department of Pediatric and Public Health Sciences, Regina Margherita Children's Hospital, A.O.U. Città Della Salute E Della Scienza Di Torino, University of Turin, Turin, Italy. 21 Department of Translational Medical Sciences, Section of Pediatrics, University of Naples Federico II, Napoli, Italy. 22 Department of Pediatrics, Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel. 23 CREA Laboratory (AIL Center for Hemato-Oncologic Research), Diagnostic Department, ASST Spedali Civili di Brescia, Brescia, Italy. 24 Pediatric Department and Centro Tettamanti-European Reference Network PaedCan, EuroBloodNet, MetabERN, University of Milano Bicocca, Fondazione MBBM, Ospedale San Gerardo, Monza, Italy. 25 Randall Children's Hospital at Legacy Emanuel, Portland, OR, USA. 26 Division of Pediatric Rheumatology, Stanford Children's Hospital, Stanford, CA, USA. 27 Molecular Development of the Immune System Section, Laboratory of Immune System Biology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 28 CDI Laboratories, Antygen Division, Baltimore, MD, USA. 29 Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 30 NIH Center for Human Immunology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. 31 Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA. luigi.notarangelo2@nih.gov. # Contributed equally.