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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1693752

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Case Details

VAERS ID: 1693752 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Visual field defect
SMQs:, Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre natal vitamin, probiotic, fiber
Current Illness: None
Preexisting Conditions: Psoriasis
Allergies: Cefdinir and Bactrim
Diagnostic Lab Data:
CDC Split Type:

Write-up: Temporary loss of peripheral vision in right eye. Started in the center of right eye vision as large white spot and slowly moved to the peripheral before disappearing. Lasted approximately 1 hour.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1693752


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