Non-serious adverse events

Administrative data
Beschrijving

Administrative data

Alias
UMLS CUI-1
C1320722
Subject number
Beschrijving

Subject number

Datatype

text

Alias
UMLS CUI [1]
C2348585
Workbook number
Beschrijving

Workbook number

Datatype

integer

Alias
UMLS CUI [1]
C2986015
Date of non-serious adverse event
Beschrijving

Date of non-serious adverse event

Datatype

date

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0011008
Case number
Beschrijving

Case number

Datatype

integer

Alias
UMLS CUI [1,1]
C1698493
UMLS CUI [1,2]
C0600091
NON-SERIOUS ADVERSE EVENTS
Beschrijving

NON-SERIOUS ADVERSE EVENTS

Alias
UMLS CUI-1
C1518404
Has any non-serious adverse event leading to a non-administration of the vaccine or a visit/contact not done or a withdrawn?
Beschrijving

If you tick yes, please complete the following items.

Datatype

boolean

Alias
UMLS CUI [1]
C1518404
UMLS CUI [2,1]
C1298908
UMLS CUI [2,2]
C2368628
UMLS CUI [3,1]
C0545082
UMLS CUI [3,2]
C1272696
AE Number
Beschrijving

AE Number

Alias
UMLS CUI-1
C1518404
UMLS CUI-2
C0237753
AE Number
Beschrijving

AE Number

Datatype

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0237753
Description of AE
Beschrijving

Description of AE

Datatype

text

Alias
UMLS CUI [1,1]
C0678257
UMLS CUI [1,2]
C1518404
Site/Location of Adverse event
Beschrijving

Site/Location of Adverse event

Datatype

integer

Alias
UMLS CUI [1,1]
C0877248
UMLS CUI [1,2]
C0450429
Date Started
Beschrijving

Date Started

Datatype

date

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C1518404
Date started: during immediate post-vaccination period (30 minutes)
Beschrijving

Date started: post-vaccination periode

Datatype

boolean

Alias
UMLS CUI [1,1]
C0808070
UMLS CUI [1,2]
C1518404
UMLS CUI [1,3]
C0231291
Date Stopped
Beschrijving

Date Stopped

Datatype

date

Alias
UMLS CUI [1,1]
C0806020
UMLS CUI [1,2]
C1518404
Maximum Intensity
Beschrijving

Maximum Intensity

Datatype

integer

Alias
UMLS CUI [1,1]
C0518690
UMLS CUI [1,2]
C1518404
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
Beschrijving

Relationship to investigational products

Datatype

text

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C0085978
UMLS CUI [1,3]
C0304229
Outcome of AE
Beschrijving

Outcome of AE

Datatype

integer

Alias
UMLS CUI [1,1]
C1518404
UMLS CUI [1,2]
C1624730
Medically attended visit
Beschrijving

If yes please specify type in following item.

Datatype

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
Type of medically attended visit
Beschrijving

Type of medically attended visit

Datatype

text

Alias
UMLS CUI [1,1]
C0545082
UMLS CUI [1,2]
C1386497
UMLS CUI [1,3]
C0332307
Comment for GSK
Beschrijving

Comment for GSK

Datatype

text

Alias
UMLS CUI [1,1]
C0947611
UMLS CUI [1,2]
C0008961

Similar models

Non-serious adverse events

Name
Type
Description | Question | Decode (Coded Value)
Datatype
Alias
Item Group
Administrative data
C1320722 (UMLS CUI-1)
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item
Workbook number
integer
C2986015 (UMLS CUI [1])
Code List
Workbook number
CL Item
workbook 1 (1)
CL Item
workbook 2 (2)
CL Item
workbook 3 (3)
Date of non-serious adverse event
Item
Date of non-serious adverse event
date
C1518404 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Case number
Item
Case number
integer
C1698493 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
Item Group
NON-SERIOUS ADVERSE EVENTS
C1518404 (UMLS CUI-1)
Non-serious adverse event leading to non-administration of vaccine, visit/contact not done
Item
Has any non-serious adverse event leading to a non-administration of the vaccine or a visit/contact not done or a withdrawn?
boolean
C1518404 (UMLS CUI [1])
C1298908 (UMLS CUI [2,1])
C2368628 (UMLS CUI [2,2])
C0545082 (UMLS CUI [3,1])
C1272696 (UMLS CUI [3,2])
Item Group
AE Number
C1518404 (UMLS CUI-1)
C0237753 (UMLS CUI-2)
Item
AE Number
integer
C1518404 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Code List
AE Number
CL Item
1 (1)
CL Item
2 (2)
CL Item
3 (3)
CL Item
4 (4)
Description of AE
Item
Description of AE
text
C0678257 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Item
Site/Location of Adverse event
integer
C0877248 (UMLS CUI [1,1])
C0450429 (UMLS CUI [1,2])
Code List
Site/Location of Adverse event
CL Item
10Pn-PD-DiT vaccine / HBV Vaccine administration site (1)
CL Item
10Pn-PD-DiT vaccine / HAV Vaccine administration site (2)
CL Item
DTPa-IPV/Hib vaccine / Infanrix Hexa administration site (3)
CL Item
Non-administration site (4)
Date Started
Item
Date Started
date
C0808070 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Date started: post-vaccination periode
Item
Date started: during immediate post-vaccination period (30 minutes)
boolean
C0808070 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
C0231291 (UMLS CUI [1,3])
Date Stopped
Item
Date Stopped
date
C0806020 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Item
Maximum Intensity
integer
C0518690 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Code List
Maximum Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Item
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
text
C1518404 (UMLS CUI [1,1])
C0085978 (UMLS CUI [1,2])
C0304229 (UMLS CUI [1,3])
Code List
Relationship to investigational products: Is there a reasonable possibility that the AE may have been caused by the investigational product?
CL Item
Yes (Y)
CL Item
No (N)
Item
Outcome of AE
integer
C1518404 (UMLS CUI [1,1])
C1624730 (UMLS CUI [1,2])
Code List
Outcome of AE
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)
Item
Medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
Code List
Medically attended visit
CL Item
Yes (Y)
CL Item
No (N)
Item
Type of medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332307 (UMLS CUI [1,3])
Code List
Type of medically attended visit
CL Item
Hospitalisation (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Comment for GSK
Item
Comment for GSK
text
C0947611 (UMLS CUI [1,1])
C0008961 (UMLS CUI [1,2])