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This is VAERS ID 989988

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 989988
VAERS Form:2
Age:52.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blindness unilateral, Cerebrovascular accident, Retinal artery occlusion, Retinal artery thrombosis, Visual impairment, Retinal infarction, Retinogram abnormal, Ophthalmic artery thrombosis, COVID-19

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? No
Previous Vaccinations:
Other Medications: doxepin in evening for sleep 5mg asprin 325mg daily
Current Illness: Covid 19 infection diagnosed 12/23/2020
Preexisting Conditions: angioedema periodic due to sulfite allergy
Allergies: sulfites- angioedema
Diagnostic Lab Data: Opthomology retinal vessel scans showing reduced blood flow in left eye and infarted areas of retina.
CDC 'Split Type':

Write-up: Diagnosed day after 2nd shot with opthalmic artery thrombus causing vision loss/change in left eye. I did get shot series on 12/22/2020 #1 and 1/10/2021 and was diagnosed with Covid-19 on 12/13/2020. My internist MD did not feel the vaccine caused the thrombus /Stroke but I wanted to report it as it was associated with the vaccine administration (symptoms of vision loss within 24 hours of the vaccine #2 administration).


Changed on 5/7/2021

VAERS ID: 989988 Before After
VAERS Form:2
Age:52.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blindness unilateral, Cerebrovascular accident, Retinal artery occlusion, Retinal artery thrombosis, Visual impairment, Retinal infarction, Retinogram abnormal, Ophthalmic artery thrombosis, COVID-19

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? No
Previous Vaccinations:
Other Medications: doxepin in evening for sleep 5mg asprin 325mg daily
Current Illness: Covid 19 infection diagnosed 12/23/2020
Preexisting Conditions: angioedema periodic due to sulfite allergy
Allergies: sulfites- angioedema angioedema
Diagnostic Lab Data: Opthomology retinal vessel scans showing reduced blood flow in left eye and infarted areas of retina.
CDC 'Split Type':

Write-up: Diagnosed day after 2nd shot with opthalmic artery thrombus causing vision loss/change in left eye. I did get shot series on 12/22/2020 #1 and 1/10/2021 and was diagnosed with Covid-19 on 12/13/2020. My internist MD did not feel the vaccine caused the thrombus /Stroke but I wanted to report it as it was associated with the vaccine administration (symptoms of vision loss within 24 hours of the vaccine #2 administration).


Changed on 5/21/2021

VAERS ID: 989988 Before After
VAERS Form:2
Age:52.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blindness unilateral, Cerebrovascular accident, Retinal artery occlusion, Retinal artery thrombosis, Visual impairment, Retinal infarction, Retinogram abnormal, Ophthalmic artery thrombosis, COVID-19

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? No
Previous Vaccinations:
Other Medications: doxepin in evening for sleep 5mg asprin 325mg daily
Current Illness: Covid 19 infection diagnosed 12/23/2020
Preexisting Conditions: angioedema periodic due to sulfite allergy
Allergies: sulfites- angioedema angioedema
Diagnostic Lab Data: Opthomology retinal vessel scans showing reduced blood flow in left eye and infarted areas of retina.
CDC 'Split Type':

Write-up: Diagnosed day after 2nd shot with opthalmic artery thrombus causing vision loss/change in left eye. I did get shot series on 12/22/2020 #1 and 1/10/2021 and was diagnosed with Covid-19 on 12/13/2020. My internist MD did not feel the vaccine caused the thrombus /Stroke but I wanted to report it as it was associated with the vaccine administration (symptoms of vision loss within 24 hours of the vaccine #2 administration).

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