This is VAERS ID 1948381

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/17/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	FK5127 / 1	RA / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	2493G / 1	RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Acute disseminated encephalomyelitis, Headache, Somnolence, White matter lesion, Magnetic resonance imaging abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: No other illnesses
Preexisting Conditions: None
Allergies: none
Diagnostic Lab Data: MRI FLAIR/T2 with abnormalities throughout the bilateral cortices and juxtacortical white matter without significant post contrast enhancement.
CDC 'Split Type':

Write-up: Covid19 and Flu vaccine were given on Nov 17,2021. On Dec 6th patient started to endorse severe headaches that waxed and waned for 7 days and somnolence . On Dec 13 was admitted after MRI confirmed signs of acute disseminated encephalomyelitis. Patient was started on high dose steroids for at least 5 days inpatient with steroid taper following.

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