From the 4/8/2021 release of VAERS data:

This is VAERS ID 132843

Case Details

VAERS ID:	132843 (history)
Form:	Version 1.0
Age:	51.0
Sex:	Male
Location:	Nebraska

Vaccinated:	1999-11-03
Onset:	1999-11-03
Days after vaccination:	0
Submitted:	1999-12-04
Days after onset:	31
Entered:	1999-12-27
Days after submission:	23

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES	U0186 / 6	RA / IM

Administered by: Private Purchased by: Private
Symptoms: Diplopia, Influenza
SMQs:, Ocular motility disorders (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: double vision and flu-like symptoms
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EKG/ECG, MRI/brain, echo carotid, CT/head, cerv-spine obliques,mra head & neck
CDC Split Type:

Write-up: Received flu shot on 11/3/99 at 10:30 am and by 2:00 pm was experiencing double vision which is still occuring. Per follow-up, the pt is 95% recovered. Pt suffers from slight diplopia.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=132843