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Report #2864034

Received Oct 7, 2025

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Overview

Sex
Female
Age
62 yrs
State
AR
Recovered
Not recovered
Vaccinated
Feb 24, 2021
Onset
Sep 1, 2021
Days to onset
189
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1023M20AIM / LA
COVID19COVID19 (COVID19 (MODERNA))MODERNA2045A21AIM / LA
COVID19COVID19 (COVID19 (MODERNA))MODERNA3939909IM / LA

Symptoms (4)

Condition aggravatedMacular degenerationMalaiseVision blurred

Symptom narrative

Sick for several days after each injection. Severe worsening of macular degeneration, resulting in blurry vision and difficulty communicating with my deaf daughter through sign language, first noticed in next eye exams and continuing to now.

Current illness

None

Medical history

Hypertension, hypothyroidism, hyperparathyroid, depression, obesity

Other medications

Metoprolol, losartan, synthroid, montelucast, cimetidine, bupropion,

Allergies

Aspirin, shellfish, sulfate, citronella, lisinopril

Lab data

A retina specialist now follows me every six months and I have seen several Drs.

Prior vaccinations

Angioedema after a non egg based flu vaccine in 2018-19.