National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1061637

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1061637
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2020-12-17
Onset:2021-01-03
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH98993121 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Eye pain, Neuralgia, Ophthalmic herpes zoster, Pruritus, Rash vesicular, Scab, Eyelid pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: Mixed connective tissue disease
Allergies: No Known Allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1/1/21- Severe right side eye pain 1/3/21 - Appearance of vesicular rash with sever pain above right eyelid 1/3/21 - Diagnosed with Zoster Ophthalmicus of Right Eye at urgent care and initiated on Valacyclovir 1000 mg PO TID x 10 days 1/4/21 - Ganciclovir eye drops added to treatment course 1/10/21- Rash crusted and resolved but with severe neuropathic pain and itch 1/12/21 - Second dose of COVID vaccine received


Changed on 5/7/2021

VAERS ID: 1061637 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2020-12-17
Onset:2021-01-03
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH98993121 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Eye pain, Neuralgia, Ophthalmic herpes zoster, Pruritus, Rash vesicular, Scab, Eyelid pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: Mixed connective tissue disease
Allergies: No Known Allergies Allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1/1/21- Severe right side eye pain 1/3/21 - Appearance of vesicular rash with sever pain above right eyelid 1/3/21 - Diagnosed with Zoster Ophthalmicus of Right Eye at urgent care and initiated on Valacyclovir 1000 mg PO TID x 10 days 1/4/21 - Ganciclovir eye drops added to treatment course 1/10/21- Rash crusted and resolved but with severe neuropathic pain and itch 1/12/21 - Second dose of COVID vaccine received


Changed on 5/14/2021

VAERS ID: 1061637 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:California
Vaccinated:2020-12-17
Onset:2021-01-03
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH98993121 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Eye pain, Neuralgia, Ophthalmic herpes zoster, Pruritus, Rash vesicular, Scab, Eyelid pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: Mixed connective tissue disease
Allergies: No Known Allergies Allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 1/1/21- Severe right side eye pain 1/3/21 - Appearance of vesicular rash with sever pain above right eyelid 1/3/21 - Diagnosed with Zoster Ophthalmicus of Right Eye at urgent care and initiated on Valacyclovir 1000 mg PO TID x 10 days 1/4/21 - Ganciclovir eye drops added to treatment course 1/10/21- Rash crusted and resolved but with severe neuropathic pain and itch 1/12/21 - Second dose of COVID vaccine received

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1061637&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166