Report #2867515

Received Oct 21, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 63 yrs
State: PA
Recovered: Not recovered
Vaccinated: Sep 18, 2025
Onset: Oct 5, 2025
Days to onset: 17
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	6	—	LA

Symptoms (2)

Retinal vein occlusionRetinogram

Symptom narrative

Central Retina Vein Occlusion

Current illness

None

Medical history

Controlled hypertension and controlled cholesterol levels

Other medications

Losartan 100mg daily, amlodipine 10mg daily, Chlorthalidone 12.5mg every other day, Crestor 20mg daily

Allergies

oxycodone causes hives

Lab data

Retinal Specialist Consultation with multiple retinal images taken