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45Q-12311-99334

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
462 / IN
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Malaise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-12
    Health check-in — day 7, dose 1
    Feeling: Good · Chills, Abdominal pain
    Adult check-in
  9. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Dysgeusia, Fibromyalgia, Pain — Feeling: Good
    Free text: I have fibromyalgia and I have had an increase in pain when sleeping. Also, I have had a bad taste in my mouth some days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-26
    Survey response — day 21, dose 1
    MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Be unable to work
    Free text: Increase in fibromyalgia flare and went on my medicine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Pre-existing disease, Sleep disorder — Feeling: Good · Site: Pain
    Free text: Increase in fibromyalgia flare. Pain when trying to sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Good · Site: Pain
    Free text: Slight increase in fibromyalgia pain but had already started back on Cymbalta after 1st inj.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Restless legs syndrome — Feeling: Fair · Nausea
    Free text: Fibro pain & restless leg when trying to sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-02-10
    Survey response — day 14, dose 2
    MedDRA: Fibromyalgia, Headache, Nausea — Feeling: Fair
    Free text: Nausea for a day. Fibromyalgia pain. Some headaches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-25
    Survey response — day 28, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: More fibromyalgia symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-01
    Dose 3 — Pfizer-BioNTech
  26. 2022-10-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-10-01Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Malaise

Release 2 — day 14, dose 1

2021-01-19

Symptoms: I have fibromyalgia and I have had an increase in pain when sleeping. Also, I have had a bad taste in my mouth some days.

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Increase in fibromyalgia flare and went on my medicine.

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Increase in fibromyalgia flare. Pain when trying to sleep.

2021-01-31

Systemic reaction (other): Slight increase in fibromyalgia pain but had already started back on Cymbalta after 1st inj.

2021-02-02

Systemic reaction (other): Fibro pain & restless leg when trying to sleep

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Nausea for a day. Fibromyalgia pain. Some headaches.

Release 4 — day 28, dose 2

2021-02-25

Symptoms: More fibromyalgia symptoms.

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
SDCondition aggravated ✓ ✓ ✓
SDDysgeusia ✓ ✓ ✓
SDFibromyalgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORestless legs syndrome ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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