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This is VAERS ID 1378341

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378341
VAERS Form:2
Age:21.0
Sex:Male
Location:Alaska
Vaccinated:2021-06-01
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN UNKNOWN / 1 UN / UN

Administered by: Private      Purchased by: ??
Symptoms: Blindness unilateral, Eye pain, Optic nerve cupping, Retinal artery occlusion, Retinal oedema, Retinal pallor, Vision blurred, Angiogram normal, Scan with contrast normal, Computerised tomogram head normal, Computerised tomogram neck, Magnetic resonance imaging head normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CT Head and Neck with contrast and MRI/MRA were normal. Ophthalmology Physician diagnosed as arterial occlusion of ophthalmic artery despite patent arteries on imaging
CDC 'Split Type':

Write-up: Patient developed painful blurry vision in left eye that progressed to painless blurry vision in same eye within 24 hours after onset of symptoms. Patient had edematous and pale retina with swollen optic cup. Patient has had complete vision loss in his left eye since.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378341&WAYBACKHISTORY=ON

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