Her medical struggles informed her sixth studio album, Head Above Water (2019). Lavigne was diagnosed with a severe case of Lyme disease in 2014 and took a break from performing and recording to recuperate. It featured the hits 'Complicated,' 'Sk8er Boi,' 'I'm with You,' and 'Losing Grip.' Her popularity and fame continued with the albums Under My Skin (2004), The Best Damn Thing (2007), Goodbye Lullaby (2011), and Avril Lavigne (2013). After she relocated to Los Angeles to fine-tune her songs and her sound, her first album, Let Go, debuted in 2002 and went 6× platinum. There she worked with a professional music producer and signed, at age 16, a two-album contract worth approximately $1.25 million.

With her parents' permission, Lavigne then quit school and moved to New York City with her brother. In 1999-2000 Lavigne contributed vocals on the albums of local folksinger Stephen Medd. That same year she won a contest to perform a duet with Canadian icon Shania Twain before an audience of 20,000. Her singing ability and precocious confidence caught the attention of her first manager, who spotted her at a 1999 performance in a bookstore, when she was 14 years old. Christian tunes and country songs dominated her early singing, and her parents, in line with their strict Christian faith, carefully monitored her choice of music. Her natural singing ability was evident by age two, and she began singing at church and at local events. Many of Avril Lavigne songs become very popular and trendy online with a great number of streaming and downloads on Boomplay. She was known for a grungy pop-rock sound. Avril Lavigne, in full Avril Ramona Lavigne, (born September 27, 1984, Belleville, Ontario, Canada), Canadian singer and songwriter who achieved great success as a teenager.

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