Well, in this case, it kind of is. It applies its one effect and that's it. In this instance, if it were to be applied again, the effect would be random again, and if you get something that has already occurred, then the effect gets worse, if possible. You can't get more blind or lose more than all your hair, but you can get an even longer tongue or grow a second vestigial tail. Heck, if you get a 100, you roll twice, so it's like getting the disease twice.