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From the 11/12/2021 release of VAERS data:

This is VAERS ID 168021

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Case Details

VAERS ID: 168021 (history)  
Form: Version 1.0  
Age: 53.0  
Sex: Male  
Location: West Virginia  
Vaccinated:2001-01-05
Onset:2001-01-05
   Days after vaccination:0
Submitted: 2001-03-07
   Days after onset:61
Entered: 2001-04-02
   Days after submission:25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4008181 / 1 LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Blindness
SMQs:, Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: This patient lost sight in his left eye. (Nothing else attached). The follow up received on 7/3/01 states, "this is a 53 year old pt who was referred by Dr, to "try to help me." "I''m losing my vision; I basically lost my vision in my left eye." "I first noticed the loss of vision on January 5, I took the flu shot about 2:00 in the afternoon, and about 7:30 or 8:00, I went down to read a book and it was fuzzy." He checked the eyes individually and found that the fuzziness was only OS. When he awoke the next morning, it was still fuzzy. The same morning, Saturday, January 6, he was seen by Dr, an optometrist. "She basically said I needed to go see an ophthalmologist." It sounds like he was told that he had AION. On Monday, January 8, he was seen by Dr and "he basically told me I had the same problem but he wanted to go ahead and run various blood tests and an MRI." The MRI scan was done on January 9. "It was all good except he had sinusitis." "I didn''t have any vision in the upper half." "This past Sunday (1/14), it started in the lower half, and since then it''s just about to the point where it''s all gone." "There is a mild swelling-like or puffy-like sensation." There has been no real pain; no pain on motility. "In driving down here yesterday, there was a lot of strain on it." "It just feels like your eye is weak, it''s worn out, you just want to close it." "There has been no problem with vision OD. He has had some mild hypertension. "It''s high when I first have it tested, but by the time I leave the office, it''s down to around 140/90." Four days ago he was started on Norvasc. There is no history of diabetes, ASCVD, angina, MI, CVA, focal motor weakness, or cigarette consumption. He has been on Decadron for 2 years for "Meniere''s disease." There was no prior MRI scan."


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