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

This is VAERS ID 1714329

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Case Details

VAERS ID: 1714329 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-01
Onset:2021-09-07
   Days after vaccination:129
Submitted: 0000-00-00
Entered: 2021-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8738/EW0168 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Computerised tomogram, Diplopia, Eye movement disorder, Magnetic resonance imaging, Migraine
SMQs:, Ocular motility disorders (narrow), Hypoglycaemia (broad)

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Mri
CDC Split Type:

Write-up: Double vision, problem moving my eye , migraine


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