Report of Physical Examination
Please complete this section for: any local swelling with diameter >50mm, any noticeable diffuse injection site swelling (diameter not measurable), any noticeable increased circumference of the injected limb.
date
Was the examination performed by a member of study personnel during the large swelling reaction period?
boolean
Date when the swelling was first considered to be a large swelling reaction
date
If occurring within 24 hrs after vaccination, please specify how long after vaccination
integer
measurement of the greatest diameter
integer
please specify in section "clinical case description"
text
Circumference of swollen limb (at the site of maximum swelling)
integer
Circumference of the opposite limb (at the same level)
integer
Associated signs
Please report t°; if the t° has been taken more than once a day, please report the highest value.
integer
Route
text
Redness
boolean
Redness - largest diameter
integer
Induration
boolean
Induration - largest diameter
integer
at administration site
boolean
Pain intensity
text
Functional impairment
boolean
Functional impairment intensity
text
If hospitalisation is required, please also complete a Serious Adverse Event Form
Clinical Case Description
Includes a description of the joint involved and specific associated symptoms. Please mention also eventual diagnostic(s) procedures and therapeutic interventions.
text
Last date when the swelling was still considered to be a large swelling reaction
date
Outcome of the large swelling reaction
text
Follow-up information
text
e.g., allergy, infection, trauma, underlying conditions
boolean
If Yes, please specify below
text