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Visit 1: Temperature Form

1 Formulär  
Post-Dose Temperature
Beskrivning

Post-Dose Temperature

Please record below all temperatures within 15 days post-vaccination
Beskrivning

If fever occurs after the solicited period, please complete the Non-SAE form; Complete Medication form for any antibiotics or antipyretics taken

Datatyp

text

Route
Beskrivning

Route

Datatyp

text

Temperature Log
Beskrivning

Temperature Log

Episode Number
Beskrivning

Episode Number

Datatyp

text

Temperature
Beskrivning

Temperature

Datatyp

float

Måttenheter
  • °C
°C
not taken
Beskrivning

not taken

Datatyp

text

If fever, Causality
Beskrivning

If fever, Causality

Datatyp

boolean

Medical advice
Beskrivning

Medical advice

Datatyp

boolean

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Similar models

Visit 1: Temperature Form

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
Post-Dose Temperature
Item
Please record below all temperatures within 15 days post-vaccination
text
Please record below all temperatures within 15 days post-vaccination
Code List
Please record below all temperatures within 15 days post-vaccination
CL Item
Fever (Axillary ≥ 37.5 °C; Rectal ≥ 38 °C) (1)
Item
Route
text
Route
Code List
Route
CL Item
Axillary (A)
CL Item
Rectal (R)
Item Group
Temperature Log
Item
Episode Number
text
Episode Number
Code List
Episode Number
CL Item
Day 0 (1)
CL Item
Day 1 (2)
CL Item
Day 2 (3)
CL Item
Day 3 (4)
CL Item
Day 4 (5)
CL Item
Day 5 (6)
CL Item
Day 6 (7)
CL Item
Day 7 (8)
CL Item
Day 8 (9)
CL Item
Day 9 (10)
CL Item
Day 10 (11)
CL Item
Day 11 (12)
CL Item
Day 12 (13)
CL Item
Day 13 (14)
CL Item
Day 14 (15)
Temperature
Item
Temperature
float
Item
not taken
text
not taken
Code List
not taken
CL Item
confirm (1)
If fever, Causality
Item
If fever, Causality
boolean
Medical advice
Item
Medical advice
boolean
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