|
| Vaccinated: | 2020-12-19 |
| Onset: | 2020-12-21 |
| Days after vaccination: | 2 |
| Submitted: |
0000-00-00 |
| Entered: |
2020-12-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EL0140 / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Axillary pain,
Eye inflammation,
Eye swelling,
Fatigue,
Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Corneal disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type:
Write-up: Pfizer-BioNTech COVID-19 Vaccine Swollen & inflamed (right) eye, right (axilla) tenderness, & fatigue. |
|
| VAERS ID: |
919396 (history)
|
| Form: |
Version 2.0 |
| Age: |
57.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-18 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-04 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Private Purchased by: ?
Symptoms: Bacterial test,
Eye inflammation,
Eye irritation,
Eye pain,
Lacrimation increased,
Photophobia,
Vision blurred,
Visual impairment
SMQs:, Anticholinergic syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lisinopril, simvastatin, zyrtec. Had an avastin shot in my right eye 12/18/2020
Current Illness:
Preexisting Conditions: Diabetes, diabetic retinopathy and macular edema do
Allergies: Penicillin, cephalosporin
Diagnostic Lab Data: Sunday 12/20 Retinologist did collect cultures prior to treating me with antibiotics.
CDC Split Type:
Write-up: Took covid shot Thursday 12/17. On Friday 12/18 had avastin shot to right eye. That afternoon had EXTREME inflammation, irritation, tearing, pain and light sensitivity. Vision became "whited out". Saw Dr. sunday 12/20, received two antibiotic shot and steroid shot all to right eye. Prescribed Levaquin po and antibiotic and steroid eye drops. Followed up with retinologist again today 1/4/21, symptoms fairly resolved but vision is still blurry. Hoping to completely regain my sight. |
|
| VAERS ID: |
924100 (history)
|
| Form: |
Version 2.0 |
| Age: |
48.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 2020-12-16 |
| Onset: | 2020-12-17 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-06 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / SYR |
Administered by: Work Purchased by: ?
Symptoms: Eye inflammation,
Eye pain,
Visual impairment
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Chemotherapy TC Chemo Tylenol Claritin (used after chemo) Reglan (used after chemo) **Other medications but is in a chemo session doesn''t have access
Current Illness: Breast Cancer
Preexisting Conditions: Breast Cancer
Allergies: IV dye latex Dicloxacilliam
Diagnostic Lab Data: eye exam
CDC Split Type: vsafe
Write-up: The next day my left eye was painful, like little ice picks going in, it was inflamed. It was difficult to see . I had Lasik about a year ago and I called my eye Doctor because I was nervous and I went to see him and he told me it looked like a allergic reaction. He put me on steroid drops. When I woke up Saturday morning my eye was fine, so I stopped taking the medicine. |
|
| VAERS ID: |
939144 (history)
|
| Form: |
Version 2.0 |
| Age: |
64.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2021-01-07 |
| Onset: | 2021-01-08 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-12 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / SYR |
Administered by: Other Purchased by: ?
Symptoms: Eye inflammation,
Injection site erythema,
Injection site induration,
Injection site pruritus,
Injection site warmth,
Pain in extremity,
Periorbital swelling,
Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Corneal disorders (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: synthroid and cytomel
Current Illness:
Preexisting Conditions: hypothyroidism after thyroidectomy and ulcerative colitis (not active)
Allergies: sulfamides, zyrtec, latex
Diagnostic Lab Data:
CDC Split Type:
Write-up: left arm: pain, swelling, redness, warmth, itching: after 5 days: still a bump at injection site (but smaller than in previous days), still warmth (but less than in previous days), redness has become pinkness in a smaller area, also less itching, minor pain at touch puffy eyelids and inflammation but this may have been blepharitis which I have had in the past |
|
| VAERS ID: |
945218 (history)
|
| Form: |
Version 2.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 2021-01-10 |
| Onset: | 2021-01-14 |
| Days after vaccination: | 4 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-14 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
RA / - |
Administered by: Other Purchased by: ?
Symptoms: Dry eye,
Eye discharge,
Eye inflammation,
Eye irritation,
Eye swelling,
Lacrimation increased
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Corneal disorders (broad), Conjunctival disorders (narrow), Lacrimal disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:
Write-up: 18 hours after receiving vaccine woke up with eyes extra watery/ discharge/ dryness around eyes 4 days after receiving vaccine (1/14) woke up with intense eye left eye irritation, swollen, discharge, extra watery, inflamed |
|
| VAERS ID: |
946792 (history)
|
| Form: |
Version 2.0 |
| Age: |
54.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 2021-01-04 |
| Onset: | 2021-01-12 |
| Days after vaccination: | 8 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-15 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
037K20A / 1 |
RA / IM |
Administered by: Private Purchased by: ?
Symptoms: Eye inflammation,
Herpes zoster,
Ophthalmic herpes zoster,
Rash
SMQs:, Anaphylactic reaction (broad), Corneal disorders (broad), Ocular infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sensitive to Codeine - Upset stomach. Nausea when taken.
Diagnostic Lab Data: Visual exam by medical provider. Eye exam. 01/14/2021
CDC Split Type:
Write-up: At day 7 after receiving the vaccine, a rash developed on my entire body. Including the Hutchinson''s sign found on the right side of nose, eye and ear. Immediately began treatment for shingles of 1 gram Valacyclovir prescribed by Urgent Care . Referred then for vision examine which found an eye complication including inflammation and zoster lesions on the right eye. Treatment of Zirgan 0.15% ophthamlic gel started. Rash around left eye began 01/15/2021. |
|
| VAERS ID: |
951577 (history)
|
| Form: |
Version 2.0 |
| Age: |
50.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2021-01-08 |
| Onset: | 2021-01-08 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
- / IM |
Administered by: Private Purchased by: ?
Symptoms: Asthenopia,
Blepharospasm,
Discomfort,
Eye inflammation,
Facial pain,
Headache,
Ocular discomfort
SMQs:, Dystonia (broad), Glaucoma (broad), Corneal disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Gabapentin 600mg 3/day Synthroid 50mcg qd Amitriptyline 10mg qd at bedtime Trazadone 50mg prn Biotin Vitamins Turmeric Vitamins Complex B- Vitamins
Current Illness: None
Preexisting Conditions: Right Chronic Neck and Shoulder pain. Right Shoulder surgery 11/2017
Allergies: None
Diagnostic Lab Data: Went to Neurologist on the 01/12/2021 at 10:30am. Eye did not present sx''sat time of appt. Dr. Recommended a MRI of head and Optic nerve area. which is scheduled for the 01/22/2021at 7am. thr
CDC Split Type:
Write-up: While sitting on my couch, I felt a slight headache above my right eye and then felt pressure behind my right eye then immediately felt like heaviness over my right right eye, like a tugging and spasms. Right eye inflammation with persistent mild facial pain mostly pressure like rather than pain. I took phot and sent it to my Neurologist. he requested that I see him ASAP. |
|
| VAERS ID: |
953538 (history)
|
| Form: |
Version 2.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / - |
Administered by: Other Purchased by: ?
Symptoms: Arthralgia,
Chills,
Eye inflammation,
Eye swelling,
Headache,
Inflammation,
Myalgia,
Somnolence
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: MXPFIZER INC2021025929
Write-up: the inflammation is getting close to the cheekbones; woke up with inflammation in one eye/After that experienced inflammation in the other eye; woke up with inflammation in one eye/After that experienced inflammation in the other eye; fell asleep; headache; myalgia; arthralgia; chills; This is a spontaneous report from a contactable physician (patient) through Medical Information Team. A 31-years-old female patient received first dose of BNT162B2, via an unspecified route of administration on an unspecified date at SINGLE DOSE for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced the inflammation is getting close to the cheekbones (medically significant) on an unspecified date with outcome of unknown, fell sleep (non-serious) on an unspecified date with outcome of unknown, woke up with inflammation in one eye/after that experienced inflammation in the other eye (non-serious) on an unspecified date with outcome of unknown, headache (non-serious) on an unspecified date with outcome of unknown, myalgia (non-serious) on an unspecified date with outcome of unknown, arthralgia (non-serious) on an unspecified date with outcome of unknown, chills (non-serious) on an unspecified date with outcome of unknown. Verbatim reported as: A physician reports adverse events related to the COVID-19 vaccine that was applied at noon (date not provided). Stated that at 1pm fell asleep and woke up with inflammation in one eye, after that the physician experienced headache, myalgia and arthralgia. After that experienced inflammation in the other eye and stated that the inflammation is getting close to the cheekbones. Also presented chills, without fever. Information of lot/batch number will be requested.; Sender''s Comments: Based on the information provided, the possible contribution of suspect BNT162B2 to the events inflammation and eye swelling cannot be excluded. The detailed clinical course would be helpful for further assessment. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate. |
|
| VAERS ID: |
971708 (history)
|
| Form: |
Version 2.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 2020-12-30 |
| Onset: | 2021-01-04 |
| Days after vaccination: | 5 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-25 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / SYR |
Administered by: Unknown Purchased by: ?
Symptoms: Eye inflammation,
Noninfective gingivitis
SMQs:, Gingival disorders (narrow), Corneal disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: gluten
Diagnostic Lab Data:
CDC Split Type:
Write-up: severely inflamed gums for one week, inflamed eyes and nostrils |
|
| VAERS ID: |
974872 (history)
|
| Form: |
Version 2.0 |
| Age: |
47.0 |
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 2020-12-17 |
| Onset: | 2020-12-20 |
| Days after vaccination: | 3 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
LA / - |
Administered by: Private Purchased by: ?
Symptoms: Corneal degeneration,
Episcleritis,
Eye inflammation,
Eye pain,
Ocular hyperaemia
SMQs:, Anaphylactic reaction (broad), Glaucoma (broad), Corneal disorders (narrow), Scleral disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type: vsafe
Write-up: My left eye turned red. I went to the doctor on 12/21, 12/23 it was not better. I woke up in tears because it was so painful. I went to the doctor again, they said it looked like inflammation of the iris. On 12/26 is saw an eye doctor that said it was episquaritis. I had a follow up appointment on 01/11 with the eye doctor he found out I have nodular degeneration. I had a follow up on 01/25 and was referred to a cornea specialists. This all started post vaccine. I have not history of eye problems. |
|
