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This is VAERS ID 1454537

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454537
VAERS Form:2
Age:72.0
Sex:Male
Location:Missouri
Vaccinated:2021-04-03
Onset:2021-06-25
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

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: 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454537&WAYBACKHISTORY=ON


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