Vaccine Administration
Vaccine Administration
Administration side/site/route
Administration according to protocol
Non-administration
please tick ONE most appropriate category for non admonistration
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e.g., consent withdrawal, protocol violation
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If SAE, please specify SAE number
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If Non-SAE, please specify unsolicited AE number
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Please tick who took the decision
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Immediate Post-Vaccination Observation
If any AE occurred during the immediate post-vaccination time (30 min), please fill in the Solicited Adverse Events section, the Non-SAE section or a SAE section.
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If any prophylactic medication has been administered in anticipation of study vaccine reaction, please complete the Medication section and tick "Prophylactic" box.
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Any other vaccines administered during the study period must be recorded in the Concomitant Vaccination section.
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