4JN-29794-06609
2 vaccinations
3 coded responses
17 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 608 / IL
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-22
Dose 1 — Pfizer-BioNTech
-
2021-05-23
Registered in v-safe
-
2021-05-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
-
2021-05-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
-
2021-06-12
Dose 2 — Pfizer-BioNTech
- 2021-06-12
-
2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-06-15
-
2021-06-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-06-28
Survey response — day 14, dose 2MedDRA: Arthralgia, Bone pain, Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I experienced a neuralgic flare-up and severe Osteoarthritic joint and bone pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-28
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-02
-
2021-07-02
Call successfulCompleted over the phone
- 2021-07-03
- 2021-07-10
-
2021-07-18
Survey response — day 35, dose 2MedDRA: Blister, Pemphigoid — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On 07/17/2021 I began experiencing symptoms of Bullous Pemphigoid on my right wrist - although it has not been professionally diagnosed. Specifically, A large fluid filled blister has developed on my right wrist since my 2nd Pfizer injection.MedDRA releases: 2024-11 · check-in free text available
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2021-07-18
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-24
Survey response — day 42, dose 2MedDRA: Blister, Blister rupture, Office visit, Wound — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: One week ago a medium size blister appeared on my right wrist. It subsequently bursted after I ran warm water on it. Pus drained from it flowing directly into my sink.My doctor examined it, applied ointment onto the open wound and bandaged it.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-24
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-24
-
2021-08-03
Call successfulDoes not wish to fill out VAERS report
- 2022-01-15
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-22 | Pfizer-BioNTech | |
| 2 | 2021-06-12 | Pfizer-BioNTech |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 9 — day 14, dose 2
Symptoms: I experienced a neuralgic flare-up and severe Osteoarthritic joint and bone pain.
Release 9 — day 35, dose 2
Symptoms: On 07/17/2021 I began experiencing symptoms of Bullous Pemphigoid on my right wrist - although it has not been professionally diagnosed. Specifically, A large fluid filled blister has developed on my right wrist since my 2nd Pfizer injection.
Release 9 — day 42, dose 2
Symptoms: One week ago a medium size blister appeared on my right wrist. It subsequently bursted after I ran warm water on it. Pus drained from it flowing directly into my sink.My doctor examined it, applied ointment onto the open wound and bandaged it.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | · | ✓ |
| SD | Blister rupture | ✓ | · | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pemphigoid | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Wound | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release