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This is VAERS ID 1440757

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440757
VAERS Form:2
Age:39.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-05-14
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0182 / 2 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Scar, Uveitis, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Tirosint 112 mcg, Vitamin D3 1000 IU
Current Illness:
Preexisting Conditions: Psoriasis, Hashimoto''s Thyroiditis, movement disorder of unknown cause
Allergies:
Diagnostic Lab Data: I saw an optometrist on 6/5/21 to rule out the possibility of a retinal detachment. Then I saw ophthalmologist and retina specialist on 6/15/21 to seek further consultation of the cause of all of the many new black dots and black squiggly lines that started appearing in my vision on 6/4/21. Dr. said I had a lot of debris in the middle part of my eye (but NOT in the vitreous cavity). He also noted that I have scarring in my left eye. I suspect that it may be vaccine-induced uveitis, due to the fact that I already have at least two other autoimmune diseases, the proximity of appearance of this problem to my 2nd vaccination dose, and the nature of the debris in my eye.
CDC 'Split Type':

Write-up: On 6/4/21 I noticed the appearance of many black dots and black squiggly lines in both of my eyes, with the left eye being worse. I have never experienced this problem previously. I continue to experience this, and it appears that the number of black lines and dots may be increasing or remaining constant.

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