Adverse Event Reporting

VAERS ID 946141
Gender Female
Age 83
StateCode IN
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations
Vaccinated 2021-01-14
Onset 2021-01-14
Condition Permanent Disability
Symptoms
  • Computerised tomogram
  • Neurological examination
  • Ophthalmological examination
  • Thrombosis
  • Blindness unilateral
  • Ultrasound eye
  • Visual acuity reduced

Current Illness

None

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

None

Laboratory Data

Cat Scans Ultrasound of the left eye, Ophthamologist evaluation.
Neurologist examination

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