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

This is VAERS ID 1454537



Case Details

VAERS ID: 1454537 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-03
Onset:2021-06-25
   Days after vaccination:83
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN-6207 / 1 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Retinal artery occlusion
SMQs:, Embolic and thrombotic events, arterial (narrow), Retinal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Gabapentin, Meloxicam, Lisinopril, Vitamin D3, Famotidine
Current Illness: Parkinsonian Tremors
Preexisting Conditions:
Allergies: Silace
Diagnostic Lab Data: Contact Dr.
CDC Split Type:

Write-up: Branch Arterial Retina Occlusion


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