National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 630301

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 630301
VAERS Form:
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 0 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 0 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 9/14/2017

VAERS ID: 630301 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 0 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 0 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 2/14/2018

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 6/14/2018

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 8/14/2018

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 9/14/2018

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 10/14/2018

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 12/24/2020

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 12/30/2020

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 5/7/2021

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.


Changed on 5/21/2021

VAERS ID: 630301 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Michigan
Vaccinated:2012-09-05
Onset:2012-09-06
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH74SAD / 1 AR / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH 0025AE / 1 AR / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Blindness, Multiple sclerosis, Nuclear magnetic resonance imaging, Blood test

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: asthma, dust/pet/tree alergies
Allergies:
Diagnostic Lab Data: Several MRI scans. Tons of blood work was done.
CDC 'Split Type':

Write-up: I woke up blind in both eyes. My sight slowly came back over the next few weeks. I went to an ophthalmologist, who sent me to a neuro ophthalmologist, who sent me for MRI scans and was then send to a neurologist. I went to a second neurologist who after many, many tests diagnosed me with MS.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=630301&WAYBACKHISTORY=ON


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