This is VAERS ID 1925239

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/10/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FK5127 / 1	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	54C23 / N/A	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arteriovenous malformation, Body temperature increased, Brain stem haemorrhage, Epistaxis, Headache, Neck pain, Pain, Posture abnormal, Vomiting, Musculoskeletal stiffness, Decreased appetite, Scan with contrast abnormal, Magnetic resonance imaging head abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None known at that time
Allergies: None known
Diagnostic Lab Data: MRI Brain w/wo Contrast, November 29, 2021 12:39 CST IMPRESSION: Arteriovenous malformation in the medulla with apparent focus of hemorrhage.
CDC 'Split Type':

Write-up: On Sunday, November 21, the patient woke up with mild headache, body aches, and vomiting every time she ate food or drink liquids. She did have temperatures in the range of 99-100 that day. On Monday, November 22nd, she had a nosebleed that parents report was uncontrollable and continued for about 30 minutes. She has not had this previously. She also developed neck pain on Nov 22 as well, primarily and neck flexion. She had a temperature to 101 on Monday evening. The following day, November 23rd, she continued to have an extremely poor appetite with mild headache, she vomited once in the morning after Tylenol and continued to complain of stiff neck. She continued to have temperatures in the 99 range. They did take her to urgent care who referred her to ED, discharged after supportive care. The following day, Wednesday November 24th, she seemed to improve to about 75% of normal. This continued until Nov 28. On Sunday, November 28th, she awoke with severe neck pain and stiffness as well as a 10/10 headache, the worst of her life. She vomited x1 prior to eating but may have had a few sips of water at that point. She was subsequently identified as having an arterial venous malformation in the medulla with apparent focus of hemorrhage.

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