ID

23900

Description

Study part: Tracking Documentation Reason for non-participation. A phase 2 study to assess safety, reactogenicity and immunogenicity of a booster dose of an investigational vaccination regimen and GSK Biologicals Hib-MenC vaccine (co-administered with Infanrix penta) compared to a booster dose of Menjugate (co-administered with Infanrix hexa).Patient Level Data: Study Listed on ClinicalStudyDataRequest.com. Study ID: 100381, Clinical Study ID: 100381

Keywords

Versions (1)
  1. 7/17/17 7/17/17 -
Copyright Holder

GlaxoSmithKline

Uploaded on

July 17, 2017

DOI

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License

Creative Commons BY-NC 3.0
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Tracking Documentation Reason for non-participation Hib-MenCY-TT-004 BST 003 Neisseria Meningitidis-Haemophilus influenzae type b Vaccine 100381

English

Tracking Documentation Reason for non-participation

1 forms  
Tracking Documentation Reason for non-participation
Description

Tracking Documentation Reason for non-participation

Alias
UMLS CUI-1
C2348568
Center
Description

Center

Data type

text

Alias
UMLS CUI [1,1]
C1301943
UMLS CUI [1,2]
C0600091
Previous Subject Number
Description

Subject Number

Data type

integer

Alias
UMLS CUI [1]
C2348585
Date of Birth
Description

Date of Birth

Data type

date

Alias
UMLS CUI [1]
C0421451
Date of Contact
Description

Date of Contact

Data type

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0332158
Reason for non participation
Description

Reason

Data type

text

Alias
UMLS CUI [1]
C0392360
If subject not eligible, please specify criteria that are not fullfilled:
Description

eligibility criteria

Data type

text

Alias
UMLS CUI [1]
C1516637
IF AE or SAE, please specify
Description

adverse event

Data type

text

Alias
UMLS CUI [1]
C0877248
If other, please specify
Description

Other

Data type

text

Alias
UMLS CUI [1]
C0205394
If subject died, mention date
Description

Date of death

Data type

date

Alias
UMLS CUI [1]
C1148348
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Similar models

Tracking Documentation Reason for non-participation

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Tracking Documentation Reason for non-participation
C2348568 (UMLS CUI-1)
Center
Item
Center
text
C1301943 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Subject Number
Item
Previous Subject Number
integer
C2348585 (UMLS CUI [1])
Date of Birth
Item
Date of Birth
date
C0421451 (UMLS CUI [1])
Date of Contact
Item
Date of Contact
date
C0011008 (UMLS CUI [1,1])
C0332158 (UMLS CUI [1,2])
Item
Reason for non participation
text
C0392360 (UMLS CUI [1])
Reason
Code List
Reason for non participation
CL Item
Subject not eligible (Subject not eligible)
CL Item
Subject lost to follow-up or not reached (Subject lost to follow-up or not reached)
CL Item
Subject eligible but not willing to participate due to adverse events, or serious adverse event (Subject eligible but not willing to participate due to adverse events, or serious adverse event)
CL Item
Subject eligible but not willing to participate due to other reason (Subject eligible but not willing to participate due to other reason)
CL Item
Subject died (Subject died)
eligibility criteria
Item
If subject not eligible, please specify criteria that are not fullfilled:
text
C1516637 (UMLS CUI [1])
adverse event
Item
IF AE or SAE, please specify
text
C0877248 (UMLS CUI [1])
Other
Item
If other, please specify
text
C0205394 (UMLS CUI [1])
Date of death
Item
If subject died, mention date
date
C1148348 (UMLS CUI [1])
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