Local Symptoms - Redness (at injection site) DTPw-HBV Kft Vaccine
Day
integer
Side
text
Site
text
please measure the greatest diameter
integer
Ongoing after Day 3?
boolean
If Yes, record date of last day of symptoms
date
Medicalyl attended visit?
boolean
Local Symptoms - Swelling (at injection site)
Day
integer
Side
text
Site
text
please measure the greatest diameter
integer
Ongoing after Day 3?
boolean
If Yes, record date of last day of symptoms
date
Medically attended visit?
boolean
Local Symptoms - Pain (at injection site)
Day
integer
Side
text
Site
text
Intensity
integer
Ongoing after day 3?
boolean
If Yes, record date of last day of symptoms
date
Medically attended visit?
boolean
Other Local Symptoms
please specify side(s) and site(s)
text
Intensity
text
Start date
date
End date
date
Ongoing?
boolean
Medically attended visit?
boolean
Local Symptoms - Redness (at injection site) HiberixTM Vaccine
Day
text
Side
text
Site
text
please measure the greatest diameter
integer
Ongoing after Day 3?
boolean
If Yes, record date of last day of symptoms
date
Medically attended visit?
boolean
Local Symptoms - Swelling (at injection site) HiberixTM Vaccine
Day
text
Side
text
Site
text
please measure the greatest diameter
integer
Ongoing after Day 3?
boolean
If Yes, record date of last day of symptoms
date
Medically attended visit?
boolean
Local Symptoms - Pain (at injection site) HiberixTM Vaccine
Day
integer
Side
text
Site
text
Intensity
text
Ongoing after day 3?
boolean
If Yes, record date of last day of symptoms
date
Medically attended visit?
boolean
Other Local Symptoms
please specify side(s) and site(s)
text
Intensity
text
Start date
date
End date
date
Ongoing?
boolean
Medically attended visit?
boolean