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2XV-11697-08663

2 vaccinations 13 coded responses 21 check-ins 13 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
836 / ID
Registered
2021-02-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-26
    Registered in v-safe
  3. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: fatigue I believe is related to fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Fibromyalgia, Myalgia, Pre-existing disease — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Muscle tenderness and fatigue due to fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eczema, Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Very small Rash is eczema unrelated to vaccine not mentioned until today. Tiredness due to fibromyalgia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: No unusual aches/pains or fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort, Fibromyalgia, Pre-existing disease — Feeling: Good · Abdominal pain
    Free text: Abdominal discomfort not really pain. None more above Fibromyalgia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: Nothing new/unusual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-18
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have Hx of fibromyalgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia Rx: Anastrozole
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia Rx: Anastrozole
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-25
    Survey response — day 7, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia Rx:Anastrozole
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-01
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased fatigue and muscle pain from fibromyalgia and/or side effects from Arimidex
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-16
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Pfizer-BioNTech
22021-03-18Pfizer-BioNTech

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): fatigue I believe is related to fibromyalgia

2021-02-27

Systemic reaction (other): Muscle tenderness and fatigue due to fibromyalgia

2021-02-28

Systemic reaction (other): Very small Rash is eczema unrelated to vaccine not mentioned until today. Tiredness due to fibromyalgia.

2021-03-01

Systemic reaction (other): No unusual aches/pains or fatigue

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Abdominal discomfort not really pain. None more above Fibromyalgia.

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Nothing new/unusual

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Fibromyalgia

2021-03-21

Systemic reaction (other): I have fibromyalgia

2021-03-22

Systemic reaction (other): I have Hx of fibromyalgia

2021-03-23

Systemic reaction (other): Fibromyalgia Rx: Anastrozole

2021-03-24

Systemic reaction (other): Fibromyalgia Rx: Anastrozole

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Fibromyalgia Rx:Anastrozole

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Increased fatigue and muscle pain from fibromyalgia and/or side effects from Arimidex

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAbdominal discomfort ✓ ✓ ✓
SROEczema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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