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GSK Study: Evaluation of safety and efficacy of VarilrixTM and of Combined Measles-Mumps-Rubella-Varicella Vaccine NCT00226499 - Rash, Parotid swelling, Febrile convulsion

1 forms  
Rash / Exanthem
Description

Rash / Exanthem

Alias
UMLS CUI-1
C0015230
Has any rash/exanthem event occurred during 42 days post-vaccination ?
Description

Do not report here Varicella or Zoster but report in the Varicella or Zoster Case section. If yes, please complete the following table.

Data type

boolean

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0042196
Rash / Exanthem
Description

Rash / Exanthem

Alias
UMLS CUI-1
C0015230
Rash No.
Description

Rash number

Data type

integer

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0449788
Description
Description

Description of rash

Data type

text

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0678257
Description (Localisation)
Description

Localisation of rash

Data type

integer

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C1515974
Localisation of rash
Description

Only answer if you chose "localized".

Data type

integer

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0475264
Please specify 'other location'.
Description

Other location specify

Data type

text

Alias
UMLS CUI [1,1]
C1515974
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Category
Description

Category of rash

Data type

integer

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0683312
Please specify 'other category'.
Description

specify other category

Data type

text

Alias
UMLS CUI [1,1]
C0683312
UMLS CUI [1,2]
C0205394
UMLS CUI [1,3]
C1521902
Date started
Description

Start Date of rash

Data type

date

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0808070
Date stopped
Description

End Date of rash

Data type

date

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0806020
Intensity
Description

Intensity of rash

Data type

integer

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0518690
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Description

Relationship to investigational products

Data type

boolean

Alias
UMLS CUI [1,1]
C0015230
UMLS CUI [1,2]
C0085978
UMLS CUI [1,3]
C0042210
Outcome
Description

Outcome

Data type

integer

Alias
UMLS CUI [1]
C1547647
Medically attended visit?
Description

Medically attended visit

Data type

boolean

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C1518404
If yes please specify type of visit.
Description

Specify type of visit

Data type

text

Alias
UMLS CUI [1,1]
C0281907
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1521902
Parotid / Salivary gland swelling events
Description

Parotid / Salivary gland swelling events

Alias
UMLS CUI-1
C0240925
UMLS CUI-3
C0240668
Has any parotid / salivary gland swelling event occurred during 42 days post-vaccination ?
Description

If yes, please complete the following table.

Data type

boolean

Alias
UMLS CUI [1,1]
C0240925
UMLS CUI [1,2]
C0042196
UMLS CUI [2,1]
C0240668
UMLS CUI [2,2]
C0042196
Parotid / Salivary gland swelling events
Description

Parotid / Salivary gland swelling events

Alias
UMLS CUI-1
C0240925
UMLS CUI-2
C0240668
Parotid swelling No.
Description

Parotid Swelling number

Data type

integer

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0449788
Description
Description

Description of parotid swelling

Data type

text

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0678257
Date started
Description

Start date of parotid swelling

Data type

date

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0808070
Date stopped
Description

End date of parotid swelling

Data type

text

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0806020
Intensity
Description

Intensity of parotid swelling

Data type

integer

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0518690
Has a saliva sample been taken for mumps virus detection, strain identification and for viral culture?
Description

Saliva sample

Data type

boolean

Alias
UMLS CUI [1]
C0438730
Date saliva sample was taken
Description

Only answer if you choose 'yes' in previous question.

Data type

date

Alias
UMLS CUI [1,1]
C0438730
UMLS CUI [1,2]
C0011008
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Description

Relationship to investigational products

Data type

boolean

Alias
UMLS CUI [1,1]
C0240668
UMLS CUI [1,2]
C0085978
UMLS CUI [1,3]
C0042210
Outcome
Description

Outcome

Data type

integer

Alias
UMLS CUI [1]
C1547647
Medically attended visit?
Description

Medically attended visit

Data type

boolean

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C1518404
If yes, please specify type of visit.
Description

Specify type of visit

Data type

text

Alias
UMLS CUI [1,1]
C0281907
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1521902
Febrile convulsions - Suspected signs of meningism events
Description

Febrile convulsions - Suspected signs of meningism events

Alias
UMLS CUI-1
C0009952
UMLS CUI-3
C0025287
Have any febrile convulsion or any suspected signs of meningism occurred during 42 days post-vaccination ?
Description

Febrile convulsions - Suspected signs of meningism events

Data type

boolean

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0042196
UMLS CUI [2,1]
C0025287
UMLS CUI [2,2]
C0042196
Febrile convulsions - Suspected signs of meningism events
Description

Febrile convulsions - Suspected signs of meningism events

Alias
UMLS CUI-1
C0009952
UMLS CUI-2
C0025287
Febrile Convulsion No.
Description

Febrile convulsion number

Data type

integer

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0449788
Description
Description

Description of febrile convulsion

Data type

text

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0678257
Date started
Description

Start date of febrile convulsion

Data type

date

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0808070
Date stopped
Description

End date of febrile convulsion

Data type

date

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0806020
Intensity
Description

Intensity of febrile convulsion

Data type

text

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0518690
Was a neurological examination performed?
Description

Neurological examination

Data type

boolean

Alias
UMLS CUI [1]
C0027853
If yes, was a lumbar puncture performed?
Description

Only answer if you answered previous question with 'yes'.

Data type

boolean

Alias
UMLS CUI [1]
C0553794
Date of exam
Description

Only answer if neurological examination was performed.

Data type

date

Alias
UMLS CUI [1,1]
C0027853
UMLS CUI [1,2]
C0011008
If yes, was a sample sent to GSK BIO?
Description

spinal fluid sample

Data type

boolean

Alias
UMLS CUI [1,1]
C1973491
UMLS CUI [1,2]
C0420724
Level of diagnostic certainty
Description

Level 1 of diagnostic certainty: witnessed sudden loss of consciousness AND generalized, tonic, clonic, tonic-clonic, or atonic motor manifestations Level 2 of diagnostic certainty: history of unconsciousness AND generalized, tonic, clonic, tonic-clonic, or atonic motor manifestations Level 3 of diagnostic certainty: history of unconsciousness AND other generalized motor manifestations Level 4 of diagnostic certainty: reported generalized convulsive seizure with insufficient evidence to meet the case definitions for Level 1, 2 or 3 of diagnostic certainty above Level 5 of diagnostic certainty: Not a case of generalized convulsive seizure

Data type

integer

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0332146
Is there a reasonable possibility that the AE may have been caused by the investigational product?
Description

Relationship to investigational products

Data type

boolean

Alias
UMLS CUI [1,1]
C0009952
UMLS CUI [1,2]
C0085978
UMLS CUI [1,3]
C0042210
Outcome
Description

Outcome

Data type

integer

Alias
UMLS CUI [1]
C1547647
Medically attended visit?
Description

Medically attended visit

Data type

boolean

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C1518404
If yes please specify type of visit.
Description

Specify type of visit

Data type

text

Alias
UMLS CUI [1,1]
C0281907
UMLS CUI [1,2]
C0332307
UMLS CUI [1,3]
C1521902
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Similar models

GSK Study: Evaluation of safety and efficacy of VarilrixTM and of Combined Measles-Mumps-Rubella-Varicella Vaccine NCT00226499 - Rash, Parotid swelling, Febrile convulsion

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Rash / Exanthem
C0015230 (UMLS CUI-1)
rash post-vaccination
Item
Has any rash/exanthem event occurred during 42 days post-vaccination ?
boolean
C0015230 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
Item Group
Rash / Exanthem
C0015230 (UMLS CUI-1)
Rash number
Item
Rash No.
integer
C0015230 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Description of rash
Item
Description
text
C0015230 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Item
Description (Localisation)
integer
C0678257 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Localisation of rash
Code List
Description (Localisation)
CL Item
Generalized (1)
CL Item
Localized (2)
Item
Localisation of rash
integer
C0015230 (UMLS CUI [1,1])
C0475264 (UMLS CUI [1,2])
Localisation rash
Code List
Localisation of rash
CL Item
Administration site (1)
CL Item
Other location : specify (2)
Other location specify
Item
Please specify 'other location'.
text
C1515974 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Item
Category
integer
C0015230 (UMLS CUI [1,1])
C0683312 (UMLS CUI [1,2])
Category of rash
Code List
Category
CL Item
Measles / rubella-rash (1)
CL Item
Other (2)
specify other category
Item
Please specify 'other category'.
text
C0683312 (UMLS CUI [1,1])
C0205394 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Start Date of rash
Item
Date started
date
C0015230 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
End Date of rash
Item
Date stopped
date
C0015230 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Intensity
integer
C0015230 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
Intensity of rash
Code List
Intensity
CL Item
1-50 lesions (1)
CL Item
51-100 lesions (2)
CL Item
101-500 lesions (3)
CL Item
>500 lesions (4)
Relationship to investigational products
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0015230 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
C0042210 (UMLS CUI [1,3])
Item
Outcome
integer
C1547647 (UMLS CUI [1])
Outcome
Code List
Outcome
CL Item
Recovered / resolved (1)
CL Item
Recovering / resolving (2)
CL Item
Not recovered / not resolved (3)
CL Item
Recovered with sequelae / resolved with sequelae (4)
Medically attended visit
Item
Medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1518404 (UMLS CUI [1,3])
Item
If yes please specify type of visit.
text
C0281907 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Specify type of visit
Code List
If yes please specify type of visit.
CL Item
Hospitalisation  (HO)
CL Item
Emergency Room  (ER)
CL Item
Medical Personnel (MD)
Item Group
Parotid / Salivary gland swelling events
C0240925 (UMLS CUI-1)
C0240668 (UMLS CUI-3)
Parotid / Salivary gland swelling events
Item
Has any parotid / salivary gland swelling event occurred during 42 days post-vaccination ?
boolean
C0240925 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
C0240668 (UMLS CUI [2,1])
C0042196 (UMLS CUI [2,2])
Item Group
Parotid / Salivary gland swelling events
C0240925 (UMLS CUI-1)
C0240668 (UMLS CUI-2)
Parotid Swelling number
Item
Parotid swelling No.
integer
C0240668 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Description of parotid swelling
Item
Description
text
C0240668 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Start date of parotid swelling
Item
Date started
date
C0240668 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
End date of parotid swelling
Item
Date stopped
text
C0240668 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Intensity
integer
C0240668 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
Intensity of parotid swelling
Code List
Intensity
CL Item
Swelling without difficulties to move the jaw. (1)
CL Item
Swelling with difficulties to move the jaw. (2)
CL Item
Swelling and additional general symptoms. (3)
Saliva sample
Item
Has a saliva sample been taken for mumps virus detection, strain identification and for viral culture?
boolean
C0438730 (UMLS CUI [1])
Date of saliva sample
Item
Date saliva sample was taken
date
C0438730 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Relationship to investigational products
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0240668 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
C0042210 (UMLS CUI [1,3])
Item
Outcome
integer
C1547647 (UMLS CUI [1])
Outcome
Code List
Outcome
CL Item
Recovered / resolved  (1)
CL Item
Recovering / resolving  (2)
CL Item
Not recovered / not resolved  (3)
CL Item
Recovered with sequelae / resolved with sequelae (4)
Medically attended visit
Item
Medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1518404 (UMLS CUI [1,3])
Item
If yes, please specify type of visit.
text
C0281907 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Specify type of visit
Code List
If yes, please specify type of visit.
CL Item
Hospitalisation  (HO)
CL Item
Emergency Room  (ER)
CL Item
Medical Personnel (MD)
Item Group
Febrile convulsions - Suspected signs of meningism events
C0009952 (UMLS CUI-1)
C0025287 (UMLS CUI-3)
Febrile convulsions - Suspected signs of meningism events
Item
Have any febrile convulsion or any suspected signs of meningism occurred during 42 days post-vaccination ?
boolean
C0009952 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
C0025287 (UMLS CUI [2,1])
C0042196 (UMLS CUI [2,2])
Item Group
Febrile convulsions - Suspected signs of meningism events
C0009952 (UMLS CUI-1)
C0025287 (UMLS CUI-2)
Febrile convulsion number
Item
Febrile Convulsion No.
integer
C0009952 (UMLS CUI [1,1])
C0449788 (UMLS CUI [1,2])
Description of febrile convulsion
Item
Description
text
C0009952 (UMLS CUI [1,1])
C0678257 (UMLS CUI [1,2])
Start date of febrile convulsion
Item
Date started
date
C0009952 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
End date of febrile convulsion
Item
Date stopped
date
C0009952 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Item
Intensity
text
C0009952 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
Intensity of febrile convulsion
Code List
Intensity
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Neurological examination
Item
Was a neurological examination performed?
boolean
C0027853 (UMLS CUI [1])
lumbar puncture
Item
If yes, was a lumbar puncture performed?
boolean
C0553794 (UMLS CUI [1])
Date of neurological examination
Item
Date of exam
date
C0027853 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
spinal fluid sample
Item
If yes, was a sample sent to GSK BIO?
boolean
C1973491 (UMLS CUI [1,1])
C0420724 (UMLS CUI [1,2])
Item
Level of diagnostic certainty
integer
C0009952 (UMLS CUI [1,1])
C0332146 (UMLS CUI [1,2])
Diagnostic certainty
Code List
Level of diagnostic certainty
CL Item
Level 1 (1)
CL Item
Level 2 (2)
CL Item
Level 3 (3)
CL Item
Level 4 (4)
CL Item
Level 5 (5)
Relationship to investigational products
Item
Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0009952 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
C0042210 (UMLS CUI [1,3])
Item
Outcome
integer
C1547647 (UMLS CUI [1])
Outcome
Code List
Outcome
CL Item
Recovered / resolved  (1)
CL Item
Recovering / resolving  (2)
CL Item
Not recovered / not resolved  (3)
CL Item
Recovered with sequelae / resolved with sequelae (4)
Medically attended visit
Item
Medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1518404 (UMLS CUI [1,3])
Item
If yes please specify type of visit.
text
C0281907 (UMLS CUI [1,1])
C0332307 (UMLS CUI [1,2])
C1521902 (UMLS CUI [1,3])
Specify type of visit
Code List
If yes please specify type of visit.
CL Item
Hospitalisation  (HO)
CL Item
Emergency Room  (ER)
CL Item
Medical Personnel (MD)
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