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YZU-10923-38609

4 vaccinations 16 coded responses 45 check-ins 16 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
322 / FL
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms reported are usual and more likely related to fibromyalgia. No significance increase noted.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-23
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Dose 2 — Pfizer-BioNTech
  11. 2021-02-06
    Survey response — day 0, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fibromyalgia — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Condition aggravated, Fibromyalgia, Headache, Hypertension, Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia so symptoms of fatigue an muscle pain are not unusual, but today's fatigue is more intense and seems unusual. I also have faint headache, which is uncommon. The past two evenings my temperature has been slightly elevated at 98.0 and 98.3, but the morning temperatures have been more normal, 97.6 and 97.0. Today my blood pressure, which averages 130/70 soared to 157/91 - the highest pressures seem this year.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure increased, Fatigue, Fibromyalgia, Headache, Myalgia, Pre-existing disease, Self-medication — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: I have fibromyalgia so muscle aches and fatigue are nothing unusual, but do seem quite intense the past two days. The elevated blood pressure reported yesterday returned to usual levels yesterday evening and this morning. Headache is mild and responded well to two Extra-strength Tylenol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Fibromyalgia, Headache, Pain, Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Body aches and fatigue may be, at least partially, due to fibromyalgia, but have been more severe the past three days. Headache has been mild and well-controlled with Extra Strength Tylenol.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Fibromyalgia, Headache, Myalgia — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Muscle ache and fatigue are markedly better to and may be attributed to Fibromyalgia. I slept better last night and tthe mold headache is gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms are not unusual and likely associated with fibromyalgia.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Free text: Today's ymptoms are likely associated with fibromyalgia rather than side effects of the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-30
    Dose 3 — Pfizer-BioNTech
  27. 2021-09-30
    Health check-in — day 0, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  28. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  29. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  30. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-10-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-10-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthritis, Musculoskeletal disorder, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Arthritis along the backs of my hands, which is normally very mild or not painful has become severe to the point that I can barely use my right hand for some things.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2021-10-07
    Health check-in — day 7, dose 3
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  35. 2021-10-14
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-10-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-10-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-03-31
    Dose 4 — Pfizer-BioNTech
  42. 2022-04-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-15
    Survey response — day 14, dose 4
    MedDRA: Back pain, Malaise, Malignant melanoma, Pain, Pain in extremity, Post procedural complication, Skin neoplasm excision, Sleep disorder, Spinal operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Leg and back pain that seriously disrupts sleep after unsuccessful back surgery. Thin melanoma on back that was surgically removed 4/14/22. About 10 days of severe malaise and body ache after receiving the vaccine. No other COVID symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-15
    Report sent to call center — day 14, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-04-19
  46. 2022-04-21
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-04-28
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-30
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  51. 2022-09-29
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2023-03-31
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Pfizer-BioNTech
22021-02-06Pfizer-BioNTech
32021-09-30Pfizer-BioNTech No
42022-03-31Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-15 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Symptoms reported are usual and more likely related to fibromyalgia. No significance increase noted.

2021-01-18

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed since receiving the vaccine.

2021-01-19

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed since receiving the vaccine.

2021-01-21

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.

2021-01-22

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.

Release 3 — day 0, dose 2

2021-02-06

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Symptoms are usual and likely associated with fibromyalgia. They have not changed significantly since receiving the vaccine.

2021-02-08

Systemic reaction (other): I have fibromyalgia so symptoms of fatigue an muscle pain are not unusual, but today's fatigue is more intense and seems unusual. I also have faint headache, which is uncommon. The past two evenings my temperature has been slightly elevated at 98.0 and 98.3, but the morning temperatures have been more normal, 97.6 and 97.0. Today my blood pressure, which averages 130/70 soared to 157/91 - the highest pressures seem this year.

2021-02-09

Systemic reaction (other): I have fibromyalgia so muscle aches and fatigue are nothing unusual, but do seem quite intense the past two days. The elevated blood pressure reported yesterday returned to usual levels yesterday evening and this morning. Headache is mild and responded well to two Extra-strength Tylenol.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Body aches and fatigue may be, at least partially, due to fibromyalgia, but have been more severe the past three days. Headache has been mild and well-controlled with Extra Strength Tylenol.

2021-02-11

Systemic reaction (other): Muscle ache and fatigue are markedly better to and may be attributed to Fibromyalgia. I slept better last night and tthe mold headache is gone.

2021-02-12

Systemic reaction (other): Symptoms are not unusual and likely associated with fibromyalgia.

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Today's ymptoms are likely associated with fibromyalgia rather than side effects of the vaccine.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Arthritis along the backs of my hands, which is normally very mild or not painful has become severe to the point that I can barely use my right hand for some things.

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Leg and back pain that seriously disrupts sleep after unsuccessful back surgery. Thin melanoma on back that was surgically removed 4/14/22. About 10 days of severe malaise and body ache after receiving the vaccine. No other COVID 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
SDBack pain · · ✓
SDMalaise · · ✓
SDMalignant melanoma · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPost procedural complication · · ✓
SDSkin neoplasm excision · · ✓
SDSleep disorder · · ✓
SDSpinal operation · · ✓
SROAdverse reaction ✓ ✓ ✓
SROArthritis · · ✓
SROBlood pressure increased ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROMusculoskeletal disorder · · ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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