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VAERS ID: 1708023

AGE: 80| SEX: F|State: NJ

Description

Patient states she gradually became partial blindness and weakness . She states that she collapsed a few times In addition to that she stated that she had a similar reaction when she received a flu shot but with Pfizer it was severe. Thank

Symptoms

Asthenia, Syncope, Visual impairment

Vaccines

VAX DATE: 10 August 2021 | ONSET DATE: 07 September 2021 | DAYS TO ONSET: 28
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        17 September 2021
        CAGE_YR:
        80
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        U
        LAB_DATA:
        Her physician is ordering lab work and an MRI
        V_ADMINBY:
        PHM
        OTHER_MEDS:
        Unknown
        CUR_ILL:
        Unknown
        HISTORY:
        Unknown However, patient stated that she got similar side effects when she received a flu shot vaccine however with Pfizer vaccine it was severe.
        PRIOR_VAX:
        Flu shot
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        17 September 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        Unknown
        V_FUNDBY:
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