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This is VAERS ID 946141

History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 946141
VAERS Form:2
Age:83.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Blindness unilateral, Computerised tomogram, Thrombosis, Ultrasound eye, Visual acuity reduced, Neurological examination, Ophthalmological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: None
Diagnostic Lab Data: Cat Scans Ultrasound of the left eye, Ophthamologist evaluation. Neurologist examination
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine At 2 PM I went blind in my left eye. Went to emergency room at Hospital Was told I have Blood clot in my eye causing the blindness and Ophthamologist says it will probably be permanent


Changed on 5/7/2021

VAERS ID: 946141 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Blindness unilateral, Computerised tomogram, Thrombosis, Ultrasound eye, Visual acuity reduced, Neurological examination, Ophthalmological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: None None
Diagnostic Lab Data: Cat Scans Ultrasound of the left eye, Ophthamologist evaluation. Neurologist examination
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine At 2 PM I went blind in my left eye. Went to emergency room at Hospital Was told I have Blood clot in my eye causing the blindness and Ophthamologist says it will probably be permanent


Changed on 5/14/2021

VAERS ID: 946141 Before After
VAERS Form:2
Age:83.0
Sex:Female
Location:Indiana
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Blindness unilateral, Computerised tomogram, Thrombosis, Ultrasound eye, Visual acuity reduced, Neurological examination, Ophthalmological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies: None None
Diagnostic Lab Data: Cat Scans Ultrasound of the left eye, Ophthamologist evaluation. Neurologist examination
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine At 2 PM I went blind in my left eye. Went to emergency room at Hospital Was told I have Blood clot in my eye causing the blindness and Ophthamologist says it will probably be permanent

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=946141&WAYBACKHISTORY=ON


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