Englisch

Visit 2: Unsolicited Adverse Events

1 Formulare  
Administrative data
Beschreibung

Administrative data

Visit Number
Beschreibung

Visit Number

Datentyp

text

Date of Visit
Beschreibung

Date of Visit

Datentyp

date

Subject Number
Beschreibung

Subject Number

Datentyp

integer

Unsolicited Adverse Events
Beschreibung

Unsolicited Adverse Events

Has the subject experienced any serious or non-serious unsolicited adverse events within minimum 43 days post-vaccination?
Beschreibung

Has the subject experienced any serious or non-serious unsolicited adverse events within minimum 43 days post-vaccination?

Datentyp

text

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Ähnliche Modelle

Visit 2: Unsolicited Adverse Events

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Administrative data
Item
Visit Number
text
Visit Number
Code List
Visit Number
CL Item
Visit 2 (1)
Date of Visit
Item
Date of Visit
date
Subject Number
Item
Subject Number
integer
Item Group
Unsolicited Adverse Events
Item
Has the subject experienced any serious or non-serious unsolicited adverse events within minimum 43 days post-vaccination?
text
Has the subject experienced any serious or non-serious unsolicited adverse events within minimum 43 days post-vaccination?
Code List
Has the subject experienced any serious or non-serious unsolicited adverse events within minimum 43 days post-vaccination?
CL Item
Information not availble (1)
CL Item
No vaccine administered (2)
CL Item
No (3)
CL Item
Yes, fill in the Non-Serious Adverse Event pages or Serious Adverse Event Form (4)
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