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Report #2854192

Received Aug 14, 2025

Hospitalized
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Overview

Sex
Female
Age
76 yrs
State
TX
Recovered
Not recovered
Vaccinated
Mar 14, 2021
Onset
Jul 21, 2021
Days to onset
129
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1—LA

Symptoms (6)

ArthritisBlindnessBrain stem haemorrhageBrain stem strokePain in extremityPigmentation disorder

Symptom narrative

She had a brain bleed on her medulla oblongata, the brain stem; she had a massive stroke; After receiving her 2 Spikevax vaccines in her left arm, there is a black mark on her arm; There is not a day that goes by where her arm does not hurt, and today she can't use it / excruciating pain / arm hurts so bad / walking is painful; She would probably say it's just arthritis; went blind/in and out of blindness; This spontaneous case was reported by a consumer and describes the occurrence of BRAIN STEM HAEMORRHAGE (She had a brain bleed on her medulla oblongata, the brain stem), BRAIN STEM STROKE (she had a massive stroke) and BLINDNESS (went blind/in and out of blindness) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below. Previously administered products included for Product used for unknown indication: smallpox; for Drug use for unknown indication: penicillin (a long time ago as a young girl and hard shot.). Past adverse reactions to the above products included Mobility decreased with penicillin; and No adverse effect with smallpox. Concurrent medical conditions included Blood pressure high (hereditary). On 14-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 12-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-Jul-2021, the patient experienced BRAIN STEM HAEMORRHAGE (She had a brain bleed on her medulla oblongata, the brain stem) (seriousness criteria hospitalization and medically significant) and BRAIN STEM STROKE (she had a massive stroke) (seriousness criteria hospitalization and medically significant). On 21-Jul-2025, the patient experienced BLINDNESS (went blind/in and out of blindness) (seriousness criterion medically significant). On an unknown date, the patient experienced PIGMENTATION DISORDER (After receiving her 2 Spikevax vaccines in her left arm, there is a black mark on her arm), PAIN IN EXTREMITY (There is not a day that goes by where her arm does not hurt, and today she can't use it / excruciating pain / arm hurts so bad / walking is painful) and ARTHRITIS (She would probably say it's just arthritis). The patient was treated with Lidocaine hydrochloride (Lidocaine) at an unspecified dose and frequency. At the time of the report, BRAIN STEM HAEMORRHAGE (She had a brain bleed on her medulla oblongata, the brain stem) and BRAIN STEM STROKE (she had a massive stroke) had resolved, BLINDNESS (went blind/in and out of blindness), PIGMENTATION DISORDER (After receiving her 2 Spikevax vaccines in her left arm, there is a black mark on her arm) and PAIN IN EXTREMITY (There is not a day that goes by where her arm does not hurt, and today she can't use it / excruciating pain / arm hurts so bad / walking is painful) had not resolved and ARTHRITIS (She would probably say it's just arthritis) outcome was unknown. Concomitant medication was not reported. It was reported that patient did not receive any vaccines 4 weeks prior to her Spikevax Moderna COVID-19 vaccines. She was healthy and mother of 8 children all by natural birth. On 21-Jul-2021, she had a massive stroke. She had a brain bleed on her medulla oblongata, the brain stem. She went blind. And then they transported her. From that vantage, she also had a DNR and then the doctors gave her up, they told she not gonna make it. Patient had been suffering. The 2 injections were put in her left arm. She was dominant in her right arm, she was right-handed. She wanted her Moderna shot in her left arm in case she had some of the same effects of the penicillin vaccine. After receiving her 2 Spikevax vaccines in her left arm, there was a black mark on her arm near her smallpox vaccination and it was never gone away. Her left arm, she had been in pain. It was reported that, there was not a day that goes by where her arm did not hurt, and she can't use it. She was suffering. Patient suffers with her left arm every day, excruciating pain and then it will let up. She could tell the team they can see the black mark on her arm. Her arm hurts so bad, she could not hold it up, it was just hanging on her body and walking was painful. She went blind. She was going in and out of blindness. patient thought it was her glasses. She drove herself to the ophthalmologist and doesn't know how she got there without having a wreck. The doctor told her she was having a brain stroke. Caller was in and out of consciousness then. She went to hospital, and then took an ambulance. The doctor said they will give her something to probably get her there in time. After that, she was in the ICU. It was confirmed that resolved over time and she now still had the symptom of pain in her left arm and a black mark that was never there. It was where the vaccine was injected. There was only 1 black mark.; Reporter's Comments: Concurrent medical condition Blood pressure high is a contributor for the events. In view of the long non-suggestive onset latency the causality of the event blindness was assessed as not related to the vaccine. The benefit -risk relationship of product is not affected by this report.

Current illness

Blood pressure high (hereditary)