Febrile Convulsions AE Form

Administrative data
Descrizione

Administrative data

Subject Number
Descrizione

Subject Number

Tipo di dati

integer

Febrile Convulsions - Suspected Signs of Meningitis
Descrizione

Febrile Convulsions - Suspected Signs of Meningitis

Event Number
Descrizione

Please report any febrile convulsion and any suspected signs of meningitis occurring during the study period

Tipo di dati

integer

Description
Descrizione

Description

Tipo di dati

text

Further Details (For GSK)
Descrizione

Further Details (For GSK)

Event Number
Descrizione

Event Number

Tipo di dati

text

Date started
Descrizione

Date started

Tipo di dati

date

Date stopped
Descrizione

Date stopped

Tipo di dati

date

Intensity
Descrizione

Intensity

Tipo di dati

text

Was a neurological examination performed?
Descrizione

Was a neurological examination performed?

Tipo di dati

boolean

If Yes, was a lumbar puncture performed?
Descrizione

If Yes, was a lumbar puncture performed?

Tipo di dati

boolean

If Yes, date of exam
Descrizione

If Yes, date of exam

Tipo di dati

date

Relationship to investigational products
Descrizione

Relationship to investigational products

Tipo di dati

boolean

Outcome
Descrizione

Outcome

Tipo di dati

text

Similar models

Febrile Convulsions AE Form

Name
genere
Description | Question | Decode (Coded Value)
Tipo di dati
Alias
Item Group
Administrative data
Subject Number
Item
Subject Number
integer
Item Group
Febrile Convulsions - Suspected Signs of Meningitis
Item
Event Number
integer
Code List
Event Number
CL Item
FC. 1 (1)
CL Item
FC. 2 (2)
Description
Item
Description
text
Item Group
Further Details (For GSK)
Item
Event Number
text
Code List
Event Number
CL Item
FC. 1 (1)
CL Item
FC. 2 (2)
Date started
Item
Date started
date
Date stopped
Item
Date stopped
date
Item
Intensity
text
Code List
Intensity
CL Item
Mild (1)
CL Item
Moderate (2)
CL Item
Severe (3)
Was a neurological examination performed?
Item
Was a neurological examination performed?
boolean
If Yes, was a lumbar puncture performed?
Item
If Yes, was a lumbar puncture performed?
boolean
If Yes, date of exam
Item
If Yes, date of exam
date
Relationship to investigational products
Item
Relationship to investigational products
boolean
Item
Outcome
text
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)