National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 118522

Government Disclaimer on use of this data



Case Details

VAERS ID: 118522 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: Arizona  
Vaccinated:1999-01-06
Onset:1999-01-19
   Days after vaccination:13
Submitted: 1999-01-26
   Days after onset:7
Entered: 1999-02-01
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Diplopia, Visual disturbance
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Ocular motility disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=118522


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166