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From the 5/7/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1105119



Case Details

VAERS ID: 1105119 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: California  
Vaccinated:2021-02-10
Onset:2021-03-02
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6201 / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Blindness, Computerised tomogram, Echocardiogram, Laboratory test, Magnetic resonance imaging, Retinal artery occlusion
SMQs:, Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (narrow)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Baby aspirin, Vitamins B & D and Omega 3 up to day of vaccine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: MRI, CAT Scan, Echo Cardiogram and numerous lab tests as well as 6 hyperbaric chamber treatments.
CDC Split Type:

Write-up: Permanent loss of vision in right eye three weeks after receiving first COVID 19 vaccination. Diagnosed with Branch Retina Artery Occlusion (BRAO) clotting of the retinal artery. Emergency Room admittance and 4 day stay at Hospital at direction of Retina Specialist Dr.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=1105119

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