2U4-20567-40022
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 480 / MI
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tired and headache, but that's normal with Fibromyalgia Nothing to attribute to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: This form is stupid. You ask 'any other' but you can't enter any "other" unless you select one of the list!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia — Feeling: GoodFree text: Still have usual fibromyalgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: Who can say if it's my normal headache?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Dose 2 — Pfizer-BioNTech
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Think reaction along with existing Fibromyalgia is as expected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-18
-
2021-09-16
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Survey response — day 14, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fibromyalgia or ME/CFS has gotten worse.Don't think vaccine related.3rd dose did kick my butt for 2 days, but improved quickly after.I'm on disability for reasons unrelated to covid.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-12-16
- 2022-03-17
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2022-04-07
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Survey response — day 7, dose 4MedDRA: Asthenia, Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shot had me weak and tired for four days. I have Fibromyalgia so stuff hurts all the time anyway.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
- 2022-10-06
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-16 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Tired and headache, but that's normal with Fibromyalgia Nothing to attribute to the vaccine
Systemic reaction (other): This form is stupid. You ask 'any other' but you can't enter any "other" unless you select one of the list!
Systemic reaction (other): Still have usual fibromyalgia
Release 3 — day 7, dose 1
Systemic reaction (other): Who can say if it's my normal headache?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Think reaction along with existing Fibromyalgia is as expected.
Release 9 — day 14, dose 3
Symptoms: Fibromyalgia or ME/CFS has gotten worse.Don't think vaccine related.3rd dose did kick my butt for 2 days, but improved quickly after.I'm on disability for reasons unrelated to covid.
Release 11 — day 7, dose 4
Systemic reaction (other): Shot had me weak and tired for four days. I have Fibromyalgia so stuff hurts all the time anyway.
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 | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release