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From the 9/17/2021 release of VAERS data:

This is VAERS ID 104721



Case Details

VAERS ID: 104721 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Indiana  
Vaccinated:1995-10-11
Onset:0000-00-00
Submitted: 1997-10-23
Entered: 1997-11-14
   Days after submission:22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Eye disorder, Visual disturbance, Visual field defect
SMQs:, Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: unk
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 897309005L

Write-up: this plaintiff allegedly sustained permanent eye damage & was otherwise injured p/vax;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=104721


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