glaucoma and covid 19 vaccine

Published online 2022:502-504, Al-Dwairi RA, Aleshawi A, Adi S, Abu-Zreig L. Reactivation of Herpes Simplex Keratitis on a Corneal Graft Following SARS-CoV-2 mRNA Vaccination. Optic neuritis cases typically resolved after several days of intravenous methylprednisolone therapy to near-baseline visual acuity. It's a condition that can normally be treated with warm compresses and over-the-counter ointments. A proposal to ban abortion clinics in Utah and have them provided exclusively at hospitals passed the Utah Senate, The online counseling service BetterHelp has agreed to return $7.8 million to customers to settle with the Federal Trade Commission for sharing with companies including Facebook and Snapchat health data it had promised to keep private, Italian prosecutors have closed a COVID-19 investigation that accuses officials of wrongdoing for failing to extend a lockdown zone in the early days of the pandemic to the northern city of Bergamo and adjacent industrial valleys. Ocul Immunol Inflamm. 2022;15:7-14. doi:10.2147/IMCRJ.S328931, Endo B, Bahamon S, Martnez-Pulgarn DF. Bilateral Acute Angle Closure Glaucoma After Prone Position Ventilation for COVID-19 Pneumonia. Another big unknown is whether any lingering virus in patients' eye tissue will cause problems. Her family decided not to bring her in for treatment during the shutdown. The findings of the study are based on a patient in China who developed an acute glaucoma attack soon after recovering from COVID-19. Front Public Health. One study showed nearly one-fourth of children at a Chinese hospital who were treated in January, February and March 2020 for COVID-19 had developed mild eye problems. Ophthalmol Ther. Experts have reserved judgement about whether this is the result of COVID-19 infection. COVID-19 vaccines are safe, effective, and free. Due to the ongoing COVID 19 times, there is a lot of stress and anxiety which also plays an important role as a risk factor for other co-morbid conditions and glaucoma which has to be managed. Unbound in its middle to allow the pupil to change size, this structure is connected to the ciliary bodythe part of the eye that produces the eye's fluid (aqueous humor) and regulates contraction and constriction . Ocular Adverse Events After COVID-19 Vaccination. Bilateral Acute Macular Neuroretinopathy After Vaccination Against SARS-CoV-2. Rare side effects include short-term seizures and low platelet count. 5 have been reported).1,2 This reported risk emphasises how important it is that these patients develop protective immunity via COVID-19 vaccinations, but, unfortunately . Emerging data has also shown increased patient anxiety and concern regarding their eye care. ", Tags: Coronavirus, eye problems, eye health, Utah Gov. These reported side effects are similar to ocular manifestations reported with the COVID-19 infection, so there may be a common pathway between the immune-mediated response to the vaccine and the virus itself. Internet Explorer). Presentation of this work and link to additional material: While conducting this research, we also used conversations with four patients to brief an actress who prepared a monologue that highlights these key areas, accessible via the following link, There is a remote chance that the Janssen COVID-19 Vaccine could cause a severe allergic reaction. "And from there, it could have become a systemic infection" with a potentially deadly outcome. the name and manufacturer of the vaccine that you received, the date that you received each dose of the vaccine and details of either the identity of . RETINA. COVID-19 vaccines are available for free to everyone 6 months and older living in the United States, regardless of immigration or insurance status. J Neurol Sci. Opthalmology is among the medical specialties hit hardest by restrictions and fears tied to the coronavirus pandemic. "Some orbital fractures must be dealt with urgently," he says. I still experience deep inner-ear pain and excruciating headaches. Wearing eye protection in addition to a face mask is a good idea. Eye Ocular Immunology and Inflammation. doi:10.1056/NEJMoa2034577, Voysey M, Clemens SAC, Madhi SA, et al. What do the numbers on your eyeglass frames mean? J Ophthalmic Vis Res. Changes in Eye Care During COVID-19. For the shingles vaccine, common side effects are sore arm, redness and swelling at the injection site, tiredness, muscle pain, headache, shivering, fever, stomach pain and nausea. Several patients notably had prior histories of Descemet membrane endothelial keratoplasty (DMEK)2326[25][26][27][28] or penetrating keratoplasty (PKP)[25][29][30]. 2022;70(5):1817-1818. doi:10.4103/ijo.IJO_66_22, Yu S, Ritterband DC, Mehta I. But it wasn't just the more dramatic specialties where medical professionals witnessed the collateral damage from COVID, and ophthalmology has been hit particularly hard. The CDC has updated its guidance about the COVID-19 vaccine for people with certain pre-existing medical conditions. It was a 34-year-old Chinese ophthalmologist, Li Wenliang, who was among the first to warn the world about the coronavirus outbreak in late December 2019. SEE RELATED: 5 ways measles can affect eyesight. According to the CDC, the vast majority of vaccine side effects are mild, and are "normal signs that your body is building protection." Although some patients had a previous history of uveitis-related diseases that may have predisposed them to this phenomenon, many notably did not[11]. Neufeld also performed some reconstructive procedures during the pandemic for patients who had previous skin cancer surgery around the eyes. Reshef ER, Freitag SK, Lee NG. The impacts of COVID-19 on glaucoma patient outcomes as assessed by POEM. Register for an upcoming webinar, or watch past webinars. A study published in 2008 concluded that optic neuritis is a rare complication from the vaccine for the measles-rubella (MR) vaccine. "Millions of people in the United States have received COVID-19 vaccines under the most intense safety monitoring in U.S. history. Coronavirus (COVID-19): How eyes may play a role in its spread, The delta variant and your eyes: What we know, How the COVID-19 delta and omicron variants could affect your eyes. BMC Ophthalmol. official website and that any information you provide is encrypted Very few cases reported a previous history of herpes zoster ophthalmicus[20] and many documented a notable lack of vesicular rash accompanying ocular manifestations[21][22] . Other side effects caused by the Pfizer/BioNTech vaccine are mostly mild to moderate, according to a report published by the World Health Organization (WHO). Careers. 2021;47(11):625-628. doi:10.1097/ICL.0000000000000840, Wasser LM, Roditi E, Zadok D, Berkowitz L, Weill Y. Keratoplasty Rejection After the BNT162b2 messenger RNA Vaccine. Iridotomy to slow progression of visual field loss in angle-closure glaucoma. When she finally visited her doctor after a break of more than three months, she was legally blind. These common reactions usually go away within a few days. What are signs that a baby needs glasses? She now takes additional medication and may have to undergo laser surgery. Cancelations of clinic visits, deemed non-urgent, were compounded by social distancing measures and potential fear of COVID-19 infection. How older drivers can improve their driving at night, The controversial use of ivermectin as a COVID-19 treatment, Dr. Li died of complications from the disease, Hydroxychloroquine, as coronavirus treatment, may be bad for your eyes, How unproven COVID treatment ivermectin can affect your vision, Coronavirus Vaccine May Exist in Eye Disease Gene Therapy. PMID: 34914035; PMCID: PMC8675299. Written by Jahnavi Sarma |Updated : October 16, 2020 9:29 AM IST. Early detection and treatment for glaucoma are the most important steps to prevent vision loss. Eye doctors in most states saw patients for emergencies or urgent treatments during the shutdown and closed their offices to routine care. Maaz A. Khan1, Bryan L. C. Loh1, Gopija Nanthagopan1, Arun James Thirunavukarasu1, Aaron P. L. Fleming1, Suraya Yusuf1, Xiu Sheng Tan1, Shravan V. Gowrishankar1, Mrudula Utukuri1, Gabriella C. A. Gilks1, Marie-Julie Anna Maria Cnudde1, Sajan Rajani1, Lionel Dufour1, Reema Pujari1, Rynda Nitiahpapand1, Paolo Scollo1, Rupert Bourne1, Geoffrey Chan1, Sharon Springdal1, Daniel Kelly1, Amy Page1, Cambridge Eye Research Centre, Department of Ophthalmology, Addenbrookes Hospital, Cambridge University Hospital NHS, Cambridge, UK, Rathin Pujari,Geoffrey Chan,Ian Tapply,Maaz A. Khan,Bryan L. C. Loh,Gopija Nanthagopan,Arun James Thirunavukarasu,Aaron P. L. Fleming,Suraya Yusuf,Xiu Sheng Tan,Shravan V. Gowrishankar,Mrudula Utukuri,Gabriella C. A. Gilks,Marie-Julie Anna Maria Cnudde,Sajan Rajani,Lionel Dufour,Reema Pujari,Rynda Nitiahpapand,Paolo Scollo,Rupert Bourne,Geoffrey Chan,Sharon Springdal,Daniel Kelly,Amy Page&Rupert R. Bourne, Centre for Ophthalmology and Visual Science, The University of Western Australia, Perth, WA, Australia, School of Medicine, Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, UK, You can also search for this author in She also couldn't find anyone to drive her, she adds, and didn't want to take public transportation. Now there is growing concern that COVID-19 could damage the eyes of those who get sick. Pre-pandemic, many glaucoma units were already managing a backlog of outpatients, associated with heightened anxiety around aspects of glaucoma care [4]. REUTERS/Marko Djurica "These claims are false, dangerous and deeply irresponsible." Kozarsky insists the new practice environment is even better for patients and staff now than it was before the pandemic. If the shingles virus infects the nerves of the eye, the AAO says it can lead to: Swelling of the optic nerve behind the eye, Corneal breakdown requiring a cornea transplant, SEE RELATED: Shingles in the eye (ocular shingles). Unable to load your collection due to an error, Unable to load your delegates due to an error. FOIA J Fr Ophtalmol. It requires prompt treatment to relieve the pressure, sometimes with surgery, to restore the eye's normal fluid movement. TTS is extremely unlikely and occurs in about 3 in every 1 million adults. 2022;269(1):49-54. doi:10.1007/s00415-021-10647-x, Maleki A, Look-Why S, Manhapra A, Foster CS. Cornea. NAFLD: Can Obesity Increase The Risk Of Non-Alcoholic Fatty Liver Disease? However, population-based adverse event reporting systems show that vaccination-associated retinal conditions are exceedingly rare, making it difficult to ascertain the causative nature of COVID-19 vaccination on subsequent retinal pathologies[9]. 2022;70(2):679-683. doi:10.4103/ijo.IJO_2374_21, Leber HM, SantAna L, Konichi da Silva NR, et al. Indian J Ophthalmol. Race, Poverty Tied to Coronavirus Disparities, Dental and Doctors Offices Still Struggling With Coronavirus Job Loss, Utah Governor Says He Plans to Sign Abortion Clinic Ban, Utah Lawmakers Advance Abortion Clinic Ban Over Protests, BetterHelp Shared Users' Sensitive Health Data, FTC Says, Italy Closes Investigation Alleging COVID Lockdown Failures. It is true that many patients with COVID-19 do develop the eye condition known as pink eyes or conjunctivitis. 2000-2023 AAV Media, LLC. 2021;29(4):741-742. doi:10.1080/09273948.2021.1949478, Pan L, Zhang Y, Cui Y, Wu X. Characteristics of endothelial corneal transplant rejection following immunisation with SARS-CoV-2 messenger RNA vaccine. Delayed care due to the COVID-19 pandemic threatened to leave ophthalmology patients in the dark. This is a serious condition in which pressure in the eyes suddenly rises due to fluid buildup. Retina: Retinal microvascular changes have been noted on ocular imaging in people with COVID-19. Vaccination is vital for protecting against serious illness, hospitalization, or death due to COVID-19. Data of patients with positive PCR result for COVID 19 infection and concurrent findings of acute angle-closure glaucoma were analysed retrospectively. Keywords: A recent multicenter study linked the Pfizer coronavirus (COVID-19) vaccine to uveitis, a form of eye infection that affects the middle layer of tissue in the eye wall that can cause eye redness, pain and blurred vision. Results: The common characteristic of all cases was positive PCR test for COVID 19 infection . One of the painful reminders of the COVID shutdown was that "this is a chronic disease, and a chronic disease needs constant management and care.". doi: 10.1002/14651858.CD012270.pub2. An official website of the United States government. Where available, these early vaccinations will protect optical staff and their patients by slowing or stopping viral transmission within their practice. Data was gathered and analyzed by the University of Missouri Extension Center for Applied Research and Engagement Systems (CARES). In the US, the Centers for Disease Control and Prevention said people with a history of vaccine allergies can get the Covid-19 vaccine. 2021;113:116-118. doi:10.1016/j.ijid.2021.09.075, Fowler N, Mendez Martinez NR, Pallares BV, Maldonado RS. PMID: 35323144; PMCID: PMC9093224. Foot B, MacEwen C. Surveillance of sight loss due to delay in ophthalmic treatment or review: frequency, cause and outcome. doi:10.1136/bjophthalmol-2021-319338, Abousy M, Bohm K, Prescott C, Bonsack JM, Rowhani-Farid A, Eghrari AO. Its worth noting, though, that at least one isolated incident of an eye-related side effect has been reported a health care worker in the United States who experienced eye puffiness after getting a COVID-19 shot. Although we are not frontline health care providers, we all see patients face to face at the slit lamp and in surgery, so we have all been at substantial risk until we get vaccinated, Culbertson said. A case of arteritic anterior ischemic optic neuropathy (AAION)[22] and a case of non-arteritic anterior ischemic optic neuropathy (NA-AION)[23] were reported after the second and first mRNA vaccine doses, respectively. ; These vaccines are given as a shot in the muscle of the upper arm or in the . Jayaram H, Strouthidis NG, Gazzard G. The COVID-19 pandemic will redefine the future delivery of glaucoma care. Google Scholar. ISSN 1476-5454 (online) Steroids can reduce some types of irritation, swelling, and redness by decreasing inflammation that's mediated by your immune system. doi:10.1136/bcr-2021-245792, Khan TA, Sidhu N, Khan L, et al. It also causes watering of the eyes and blurry vision in some cases. Impaired confidence in the glaucoma team may not only cause unnecessary concern but cause issues with compliance that could contribute to disease progression. Hyponatremia may cause an angle-closure attack in patients with shallow anterior chamber angles.Therefore, one should be aware of the possibility of angle-closure glaucoma in patients who develop hyponatremia due to COVID 19 disease. Researchers reviewed the conditions of only 216 pediatric patients. [17]. "It is safe for people to receive immune checkpoint inhibitors and COVID-19 vaccines," said Adam . Global OTC Farmacia. Article 9 June 2021. Rare side effects include short-term seizures and low platelet count. WEDNESDAY, March 1, 2023 (HealthDay News) -- Glaucoma-related adverse events are common among children in the five years after undergoing lensectomy, according to a study published online Feb. 16 in The common characteristic of all cases was positive PCR test for COVID 19 infection taken from the nasopharyngeal swab 4 or 5 days ago. Cornea. 2021;24:101200. doi:10.1016/j.ajoc.2021.101200, Lee S, Sankhala KK, Bose S, Gallemore RP. Introduction: To report three cases that developed acute angle-closure glaucoma on the background of hyponatremia due to COVID 19 infection. Are contact lenses a good choice for kids? Three million people in the United States and 80 million people worldwide have glaucoma. POEM items Q7 and Q8 pertains to patients perception of their treatment team, whilst Q2 represents the way glaucoma is treated. Their serum sodium levels were lower than 135 mmol / L. At the initial ophthalmic examination, all cases had diffuse corneal edema with shallow anterior chambers and mid-dilated non-reacting pupils.The choroid was evaluated as normal by ocular ultrasonography. Common side effects of the flu vaccine include: Soreness, redness or swelling at the injection spot. Despite the efficacy of COVID-19 vaccines, vaccine hesitancy remains high with a global vaccine acceptance rate ranging from 54% to 86%. Bookshelf Once she went back to see her specialist in mid-July, he confirmed what she'd suspected: Her vision had decreased. The immune response induced by the vaccine is considered a pathophysiological mechanism of ocular adverse reaction following the COVID-19 vaccination. Reactivation of Vogt-Koyanagi-Harada disease under control for more than 6years, following anti-SARS-CoV-2 vaccination. The most common symptoms of COVID-19 infection include coughing, shortness of breath, and fever. Very rarely, a blood-clotting condition called TTS can occur in the weeks following a Johnson & Johnson vaccination. Methods: Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine. Individuals without access to the internet or who are unable to schedule their appointment online can call toll free 2-1-1 or (877) 211-6277 for assistance. doi: 10.1097/IOP.0000000000002161. Pain, redness and/or swelling in the arm where you got the injection. COVID-19 Incidence per 100,000 Population Age Group (Years) National Estimate of COVID-19 Incidence per 100,000 Population, by Age Group - Data through Nov 16, 2020 *Data sources: CDC COVID-19 case reports from jurisdictions. 2021;69(10):2865-2866. doi:10.4103/ijo.IJO_1477_21, Sonawane NJ, Yadav D, Kota AR, Singh HV. Vision Problems Part of COVID's . The coronavirus disease 2019 (COVID-19) pandemic is an ongoing global health crisis that is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). By Amy Norton, HealthDay News. And even with the new surge in coronavirus cases rippling through the South and West, most eye doctors do not plan to shutter their offices again, glaucoma specialist Williams says. Neufeld says it's difficult to know exactly how delaying treatment impacts longer-term outcomes in eye care: "But in the case of cancers in or around the eyes, it is pretty clear that the longer you wait, the larger the growth and the more advanced the disease becomes" and the more involved the treatment is going to be. Bethesda, MD 20894, Web Policies ISSN 0950-222X (print), The impacts of COVID-19 on glaucoma patient outcomes as assessed by POEM,, Addenbrookes Glaucoma COVID response consortium, Mental health and social support among glaucoma patients enrolled in the NIH All of Us COVID-19 Participant Experience (COPE) survey, Audit of outcomes following attendance at the City West drive-through IOP glaucoma clinic during the COVID-19 pandemic. The patient was a 64-year-old woman who was hospitalized for COVID-19 on Jan 31. Ocular Manifestations after Receiving COVID-19 Vaccine: A Systematic Review. The current COVID-19 pandemic has drastically altered the landscape in which glaucoma care must be delivered. A leading cause of blindness in the world, glaucoma is incredibly common. 2006 Dec;16(12):764-7. He, as have most of his colleagues across the country, has resumed operating. In the United States, there are several vaccines that are effective at protecting people from getting seriously ill, being hospitalized, and dying from COVID-19. Another change is access to outpatient clinics and surgeries such as those in ophthalmology, which has become . She previously lost one eye and suffers from wet macular degeneration a particularly severe from of the disease in the other. For the shingles vaccine, common side effects are: Soreness, redness and swelling at the injection site. Int J Infect Dis. Many of the concerns stem from perceived harms of receiving the vaccination. The vaccines are not safe, because they were developed so fast. Survey results showed that the largest change in terms of percentage of patients who agree or strongly agree occurred in item Q2, Q4, Q7 and Q8, which all showed at least a 1015% decrease in agreement from pre COVID questionnaire (Fig. "But it can certainly lead to permanent vision damage or even blindness.". Symptoms of COVID-19 Infection and Glaucoma. This site needs JavaScript to work properly. "In ophthalmology, the decision to skip or delay treatment rarely results in a life-or-death type of scenario," says Dr. Kenneth Neufeld, an ophthalmologist and oculoplastic surgeon at the Thomas Eye Group in the Atlanta area. Published online December 30, 2020:NEJMoa2035389. 2021;11(1):21. doi:10.1186/s12348-021-00251-5, Chen X, Wang B, Li X. Acute-onset Vogt-Koyanagi-Harada like uveitis following Covid-19 inactivated virus vaccination. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The Pfizer-BioNTech vaccine was the first COVID-19 shot to be authorized for use in the European Union. Those problems included: But the study was limited. "We've upped our game." Epub 2021 Dec 16. 2021;397(10269):99-111. doi:10.1016/S0140-6736(20)32661-1, Andrews N, Stowe J, Kirsebom F, et al. Br J Ophthalmol. Please enable it to take advantage of the complete set of features! "We've figured out how to safely practice medicine in the era of COVID. All rights reserved. Bottom line. . J Neurol. Multiple case reports have documented anterior uveitis following both the first and second doses of COVID-19 vaccines[8][9]. Provided by the Springer Nature SharedIt content-sharing initiative, Irish Journal of Medical Science (1971 -) (2022), Eye (Eye) What You Should Know as a Glaucoma Patient during COVID-19. Ng XL, Betzler BK, Ng S, Chee SP, Rajamani L, Singhal A, Rousselot A, Pavesio CE, Gupta V, de Smet MD, Agrawal R. The Eye of the Storm: COVID-19 Vaccination and the Eye. Vaccines (Basel). 2022;45(6):597-602. doi:10.1016/j.jfo.2022.01.006, Malerbi FK, Schoeps VA, T F Matos K. Paracentral acute middle maculopathy in Susac syndrome after dual exposure to SARS-CoV-2 antigen. This is especially worrying as even before the crisis, glaucoma units were already struggling with a backlog of patients, with some delays resulting in loss of vision [3]. Now when you get sick, the same thing happens and actually a lot of the symptoms from illnesses that we get like influenza and COVID, are actually caused not by . It should be noted that there are no peer-reviewed cases of adverse COVID-19 vaccination effects in glaucoma patients. Researchers confirm coronavirus can infect the eye. These large percentage changes show increasing uncertainty amongst patients about how their glaucoma is managed during the crisis. Ocular adverse events following COVID-19 vaccines, although exceedingly rare, have also been documented[8][9]. 2021;44(8):e445-e447. Disease courses ranged from complete resolution with return to BCVA to permanent vision loss, depending on the severity of disease. Despite the efficacy of COVID-19 vaccines, vaccine hesitancy remains high with a global vaccine acceptance rate ranging from 54% to 86%[6]. In extremely rare cases, the MMR vaccine can cause deafness, long-term seizures, coma or brain damage. Suspected patients should be referred to the ophthalmology department. And it was a Chinese ophthalmologist who, in December 2019, warned the world about what came to be known as COVID-19; the disease wound up causing his death. If the shingles virus infects the nerves of the eye, the AAO says it can lead to: Swelling of the optic nerve behind the eye, Corneal breakdown requiring a cornea transplant. Then in May, Myra's right eye started to feel "somewhat gummy," and she noticed her night vision was almost gone. Vision Problems Part of COVIDs Collateral Damage, Opthalmology is among the medical specialties hit hardest by restrictions and fears tied to the coronavirus pandemic. The measles vaccine is the best option for preventing the disease and, therefore, preventing measles-related vision problems. Common side effects from the chickenpox vaccine include sore arm and mild rash where the shot was injected, temporary joint pain and stiffness, and fever. Currently, there's no evidence that any of the available COVID-19 vaccines cause widespread vision-related side effects. Panuveitis[14], choroiditis[15], and central serous chorioretinopathy[16] impacting the choroid were also reported reactions associated with COVID-19 vaccination. Speaking at a JIS Think Tank on Tuesday (February 28), Dr. Jordon noted that glaucoma can severely hamper an . Visual acuity: Is 20/20 perfect vision? This will reduce the chance of any virus, including cold and flu bugs, from coming into contact with the eyes. CAS Antibiotics and corticosteroid treatment were used to resolve symptoms and visual acuity improved to near baseline levels[35][36]. In guidelines published by the College of Optometrists in the United Kingdom, the organization states, Optical staff would be treated as frontline health and social care workers, listed as the second-highest priority group in the vaccination programme.. Backed by in-depth research and accompanied by news and analysis, the site features comprehensive rankings drawn from an examination of nearly 3,000 counties and county-equivalents on 89 metrics across 10 categories, informing residents, health care leaders and officials about local policies and practices that drive better health outcomes for all. A number of biopharmaceutical companies have applied for U.S. Food and Drug Administration (FDA) emergency use authorization for a new COVID-19 vaccine and a limited number of vaccines will be available before the end of the year. Across most medical specialties, doctors have noted a sharp drop in care during the pandemic, as nonessential visits and procedures were curbed and people feared a medical appointment could lead to coronavirus infection. Some research has shown that optic neuritis is a rare complication from the vaccine for the measles-rubella (MR) vaccine. The 56-year-old, who does not want her full name published for privacy reasons, has glaucoma in both eyes. The patient-reported outcome and experience measure (POEM) is a validated eight-item questionnaire for use in glaucoma [1, 2]. 2000-2023 AAV Media, LLC. It is an inflammatory condition that affects the episcleral tissue between the conjunctiva and the sclera, or white part of the eye. Acute macular neuroretinopathy[39][40][41], central retinal artery occlusion40[42], central retinal vein occlusion[43][44], central serous chorioretinopathy[45], paracentral acute middle maculopathy[46], and retinal hemorrhage[47] have all been reported in the peer-reviewed literature following COVID-19 vaccination. But about a week later, she experienced pain and vision loss in one eye, and then in her other eye a few days afterward. In extremely rare cases, the MMR vaccine can cause deafness, long-term seizures, coma or brain damage.

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