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This is VAERS ID 852688

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2019

VAERS ID: 852688
VAERS Form:2
Age:13.0
Sex:Male
Location:Ohio
Vaccinated:2019-11-11
Onset:2019-11-12
Submitted:0000-00-00
Entered:2019-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Completed suicide, Autopsy, Abnormal behaviour

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-12-08
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? No
Previous Vaccinations: Multiple fevers throughout history of immunizations
Other Medications: Adderall Vit D Fluoxetine
Current Illness: pyelonephritis Fever Renal Lithiasis
Preexisting Conditions: Autism ADHD
Allergies: Sulfa Milk Garlic
Diagnostic Lab Data: Please refer to Coroner?s report
CDC 'Split Type':

Write-up: Patient has Autism. Shortly after shot he began acting different & this was noticed by school, family & friends. Almost a month afterwards, despite seeming much happier & outgoing, he committed suicide.


Changed on 12/24/2020

VAERS ID: 852688 Before After
VAERS Form:2
Age:13.0
Sex:Male
Location:Ohio
Vaccinated:2019-11-11
Onset:2019-11-12
Submitted:0000-00-00
Entered:2019-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Completed suicide, Autopsy, Abnormal behaviour

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-12-08
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? No
Previous Vaccinations: Multiple fevers throughout history of immunizations
Other Medications: Adderall Vit D Fluoxetine
Current Illness: pyelonephritis Fever Renal Lithiasis
Preexisting Conditions: Autism ADHD
Allergies: Sulfa Milk Garlic Garlic
Diagnostic Lab Data: Please refer to Coroner?s report
CDC 'Split Type':

Write-up: Patient has Autism. Shortly after shot he began acting different & this was noticed by school, family & friends. Almost a month afterwards, despite seeming much happier & outgoing, he committed suicide.


Changed on 12/30/2020

VAERS ID: 852688 Before After
VAERS Form:2
Age:13.0
Sex:Male
Location:Ohio
Vaccinated:2019-11-11
Onset:2019-11-12
Submitted:0000-00-00
Entered:2019-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Completed suicide, Autopsy, Abnormal behaviour

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-12-08
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? No
Previous Vaccinations: Multiple fevers throughout history of immunizations
Other Medications: Adderall Vit D Fluoxetine
Current Illness: pyelonephritis Fever Renal Lithiasis
Preexisting Conditions: Autism ADHD
Allergies: Sulfa Milk Garlic Garlic
Diagnostic Lab Data: Please refer to Coroner?s report
CDC 'Split Type':

Write-up: Patient has Autism. Shortly after shot he began acting different & this was noticed by school, family & friends. Almost a month afterwards, despite seeming much happier & outgoing, he committed suicide.


Changed on 5/7/2021

VAERS ID: 852688 Before After
VAERS Form:2
Age:13.0
Sex:Male
Location:Ohio
Vaccinated:2019-11-11
Onset:2019-11-12
Submitted:0000-00-00
Entered:2019-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Completed suicide, Autopsy, Abnormal behaviour

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2019-12-08
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? No
Previous Vaccinations: Multiple fevers throughout history of immunizations
Other Medications: Adderall Vit D Fluoxetine
Current Illness: pyelonephritis Fever Renal Lithiasis
Preexisting Conditions: Autism ADHD
Allergies: Sulfa Milk Garlic Garlic
Diagnostic Lab Data: Please refer to Coroner?s report
CDC 'Split Type':

Write-up: Patient has Autism. Shortly after shot he began acting different & this was noticed by school, family & friends. Almost a month afterwards, despite seeming much happier & outgoing, he committed suicide.

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