XZA-30489-13229
5 vaccinations
17 coded responses
54 check-ins
17 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 240 / VA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
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2021-02-02
Registered in v-safe
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Cholecystectomy, Diarrhoea, Fatigue, Fibromyalgia, Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-07
Survey response — 7 day, dose 1MedDRA: Fibromyalgia, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-13
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2021-02-20
Dose 2 — Pfizer-BioNTech
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2021-02-20
Survey response — 0 day, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Fibromyalgia, Injection site pain, Medical counselling, Pre-existing disease, Self-medication — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-21
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
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2021-04-03
Survey response — 42 day, dose 2MedDRA: Arthralgia, Arthritis, Condition aggravated, Emergency care, Fibromyalgia, Gait inability, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
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2021-04-03
Report sent to call center — 42 day, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-22
- 2021-06-09
- 2021-06-15
- 2021-06-23
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2021-06-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-08-21
Survey response — 6 month, dose 2MedDRA: Eyelid pain, Eyelid ptosis, Office visit, Seborrhoeic dermatitis — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2024-11 · check-in answers available
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2021-08-21
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
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2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Insomnia, Unevaluable event — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
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2021-10-05
Survey response — 7 day, dose 3MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2021-10-12
- 2021-10-19
- 2021-10-26
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2021-11-02
Survey response — 35 day, dose 3MedDRA: Pruritus, Seborrhoeic dermatitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
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2021-11-02
Report sent to call center — 35 day, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-05
- 2021-11-09
- 2021-12-28
- 2022-03-29
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2022-04-05
Dose 4 — Pfizer-BioNTech
- 2022-04-16
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
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2022-09-28
Dose 5 — Pfizer-BioNTech
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2022-09-29
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Pfizer-BioNTech | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-21 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-03 | Successful 2021-06-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-08-21 | Unsuccessful | |
| 2021-11-02 | Unsuccessful |
Free text
Release 3
Systemic reaction (other): I have fibromyalgia so I am attributing all body aches and weakness (with the exception of injection site which is now virtually pain-free) to fibro and a way too-small wheelchair for the hours at the vaccination clinic, not the shot.
Systemic reaction (other): I attribute my aches to fibromyalgia, my fatigue to a restless night and being cooped up at home, and the diarrhea to surgery a few years ago for gallblader removal. Many foods don't agree with my lowertract since then.e
Systemic reaction (other): Fibromyalgia pain, not Covid-19 pain. Good days and bad days are the norm for me.
Systemic reaction (other): Chronic pain from fibromyalgia.
Systemic reaction (other): Pains due to fibromyalgia.
Release 4
Systemic reaction (other): No, thank you.
Systemic reaction (other): Wheelchair use while at clinic could be exacerbating my fibromyalgia chronic pain.
Healthcare visit (other): Called the on-call doc and was told to take Tylenol or Aleve. I'd already been taking Tylenol every six hours all night with little to no relief. He said it just means it's working. (?) Pain at injection site is the worst of my pains -- nounusual for me even with some flu shots. relief.
Systemic reaction (other): Much better than yesterday, thank you!
Systemic reaction (other): Same ol' fibromyalgia aches. That's all.
Release 6
Symptoms: Searing pain upon awakening today in right knee. Unable to walk without walker. Went to ER. Sudden flare of arthritis or fibromyalgia in a new place. No clot.
Release 9
Symptoms: 1. Diagnosed w/ seborrheic dermatitis; 2. Droopy left eyelid w/ slight pain. Am being treated by dermatologist and will see an opthalmologist.
Healthcare visit (other): In-person appointment.
Systemic reaction (other): I do not attribute my pains to the Pfizer booster. I have fibromyalgia. Mild to moderate pain is normal for me.
Systemic reaction (other): No.
Release 10
Systemic reaction (other): Up all night with symptoms of a 24-hour bug. Most uncomfortable but, seemingly, not related to the Pfizer booster. Feeling much better.
Systemic reaction (other): Normal for me.
Symptoms: Severe itching on back and shoulders. Was diagnosed as seborrheic dermatitis but perhaps I was misdiagnosed. Will get a second opinion.
Release 12
Systemic reaction (other): Aches and fatique could be attributed to a very tiring day yesterday, not due, necessarily to the third booster.
Free-text releases are not linked to a specific 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 |
|---|---|---|---|---|
| HCVO | Injection site pain | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Self-medication | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Eyelid pain | ✓ | · | ✓ |
| SD | Eyelid ptosis | ✓ | · | ✓ |
| SD | Fibromyalgia | ✓ | ✓ | ✓ |
| SD | Gait inability | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Seborrhoeic dermatitis | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Cholecystectomy | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release