RCD-29750-69204
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 56-60
- ZIP prefix
- 917 / CA
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Janssen/Johnson & Johnson
-
2021-08-04
Registered in v-safe
-
2021-10-07
Survey response — 6 month, dose 1MedDRA: Cardiac failure congestive, Central sleep apnoea syndrome, Extrasystoles, Palpitations, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2021-10-07
Report sent to call center — 6 month, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-07 | Unsuccessful |
Free text
Release 10
Symptoms: Heart palpitation 3 days after shot. Last few days. Ice chest for few days. Deleoping to ectopic syndrome. Now central sleep apnea. Never have them before. Did not hospital visit due to insurance costly co pay and not sure it is covid's. CHF too now. cut off by CDC
Healthcare visit (other): Only now heart relevant on news very later. If release early , would heart. Now i am damaged. Just wait to died.
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 | Unevaluable event | · | · | ✓ |
| SD | Cardiac failure congestive | · | · | ✓ |
| SD | Central sleep apnoea syndrome | · | · | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release