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
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Pfizer-BioNTech
- 2021-01-05
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2021-01-06
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: MalaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-12
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2021-01-19
Survey response — day 14, dose 1MedDRA: Dysgeusia, Fibromyalgia, Pain — Feeling: GoodFree 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
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2021-01-26
Survey response — day 21, dose 1MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Be unable to workFree text: Increase in fibromyalgia flare and went on my medicine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease, Sleep disorder — Feeling: Good · Site: PainFree text: Increase in fibromyalgia flare. Pain when trying to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia — Feeling: Good · Site: PainFree 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
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Restless legs syndrome — Feeling: Fair · NauseaFree text: Fibro pain & restless leg when trying to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-10
Survey response — day 14, dose 2MedDRA: Fibromyalgia, Headache, Nausea — Feeling: FairFree text: Nausea for a day. Fibromyalgia pain. Some headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
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2021-02-25
Survey response — day 28, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: More fibromyalgia symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-04-28
- 2021-07-28
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2021-10-01
Dose 3 — Pfizer-BioNTech
- 2022-10-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Malaise
Release 2 — day 14, dose 1
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
Symptoms: Increase in fibromyalgia flare and went on my medicine.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Increase in fibromyalgia flare. Pain when trying to sleep.
Systemic reaction (other): Slight increase in fibromyalgia pain but had already started back on Cymbalta after 1st inj.
Systemic reaction (other): Fibro pain & restless leg when trying to sleep
Release 4 — day 14, dose 2
Symptoms: Nausea for a day. Fibromyalgia pain. Some headaches.
Release 4 — day 28, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release