We'd like to hear what your experience has taught you, including a few things you feel might help others with Fibromyalgia.
Please use the space below to tell us your story. Here are some ideas you may want to include:
How did getting a diagnosis impact your life?
What made you seek treatment?
What have you found most helpful in managing your Fibromyalgia condition?
What are the most important things you do to manage your Fibromyalgia condition?
Please limit your story to 3000 characters or less. (Approximately 500 words.)
Your Tips
Please list up to 3 tips you’d like to share with others
Your Contact Information
We are happy to consider your story and/or tips. In case your submission is selected for inclusion on this site, we will need your name, city, state, phone number, as well as your e-mail address so that we may notify you. By submitting your information, you agree that it will be governed by the Consent and Release statement below.
Consent and Release:
Rights. I grant my consent to use my name, biographical data and relevant medical history by Pfizer Inc in any Permitted Use identified below. Pfizer may at its/their sole discretion make any and all changes in, additions to, and deletions from the story and/or tips in "Share Your Story and Tips." Such alterations include, but are not limited to cuts, edits, additions, changes, rearrangement, adaptation of the story and/or tips to different formats, and other changes, additions and deletions necessary to make the "patient testimonial" commercially viable. With reference to the alterations referred to above, I hereby waive any and all claims I may now or hereafter have to the rights of integrity, disclosure and withdrawal and any other rights that may be known as or referred to as "moral rights."
Pfizer Inc includes itself and any respective subsidiaries, divisions and affiliated companies and all are referred to as "Pfizer Inc."
Permitted Use . I understand and agree that the Rights may be used on, in or in connection with any published materials. I understand that materials containing the Rights may be used, amended, transferred, displayed, broadcast, reproduced and/or distributed publicly or otherwise any such written patient testimonial, for any purposes whatsoever, including, but not limited to, educational, promotional or commercial purposes.
Release. I release Pfizer Inc from any liability for any Permitted Use of the Rights. I also release Pfizer Inc for any use of the Rights by third parties who intercept the materials or gain access to them over the Internet or other electronic media without Pfizer Inc’s permission, and for any claim of alteration, optical illusion or faulty mechanical reproduction, distortion or illusion in sound reproduction. I understand that the selection and editing of the portions of the interviews to be used for any purpose shall be in the sole discretion of Pfizer Inc.
Miscellaneous. I have accepted this release by checking the box below, indicating my binding consent and approval to the Permitted Uses of the Rights as set forth in this instrument. I understand that this release does not obligate Pfizer Inc to use the Rights on or in connection with any materials.
This agreement contains the full terms of release intended by the parties and may not be changed except in writing signed by both parties to this agreement.
Pfizer understands your personal and health information is private. The information you provide will only be used by Pfizer and parties acting on its behalf to send you the materials you requested and other helpful information and updates on Fibromyalgia and a prescription treatment option, as well as related treatments, products, offers and services.
