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This is VAERS ID 29710

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29710
VAERS Form:
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1527P / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: AMBLYOPIA, NEURITIS OPTIC, BLIND, ATROPHY OPTIC, BLIND COLOR

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': NONE

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 12/8/2009

VAERS ID: 29710 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-05-01 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1527P / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect, AMBLYOPIA, NEURITIS OPTIC, BLIND, ATROPHY OPTIC, BLIND COLOR

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': NONE WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 5/14/2017

VAERS ID: 29710 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 9/14/2017

VAERS ID: 29710 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 1 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 2/14/2018

VAERS ID: 29710 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 6/14/2018

VAERS ID: 29710 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 8/14/2018

VAERS ID: 29710 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 9/14/2018

VAERS ID: 29710 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


Changed on 10/14/2018

VAERS ID: 29710 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:Wisconsin
Vaccinated:1989-12-12
Onset:1990-01-16
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC 'Split Type': WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;

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