This is VAERS ID 1968450

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2021

Vaccin­ation / Manu­facturer (2 vaccines)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	KF5618 / 1	LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS	7557A / 1	RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blindness unilateral, Deafness, Visual impairment, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: moderate persistent asthma, environmental allergies (pets in home), urticaria, headaches, exphoria
Allergies: NKDA
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: a few minutes after vaccine administration patient informed her mother that she felt like she couldn''t hear and had some visual disturbance as she couldn''t see out of her left eye. Patient then vomited once. She was evaluated by staff RN and MD and a full set of vitals were taken. She was observed for an extra 15 minutes and was told to rest for the remainder of the day and mom was instructed to call our office with any questions.

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