Pre- existing conditions or signs and/ or symptoms present in the subject
Item
Are you aware of any pre- existing conditions or signs and/ or symptoms present in the subject prior to the start of the study?
boolean
C0521987 (UMLS CUI [1,1])
C0332152 (UMLS CUI [1,2])
C2347804 (UMLS CUI [1,3])
C0037088 (UMLS CUI [2,1])
C2347662 (UMLS CUI [2,2])
C0332152 (UMLS CUI [2,3])
C2347804 (UMLS CUI [2,4])
Has the following protocol required concomitant vaccine been administered?
Item
Has the following protocol required concomitant vaccine been administered?
boolean
C2347852 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
Date of concomitant vaccine administered
Item
Date of concomitant vaccine administered
date
C2347852 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
C0011008 (UMLS CUI [2])
Date of vaccination
Item
Date of vaccination
date
C0011008 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
Pre- Vaccination temperature
Item
Pre- Vaccination temperature
float
C0005903 (UMLS CUI [1,1])
C0042196 (UMLS CUI [1,2])
C0332152 (UMLS CUI [1,3])
Item
Vaccine administration route
text
C0013153 (UMLS CUI [1,1])
C0042210 (UMLS CUI [1,2])
Code List
Vaccine administration route
Item
Vaccine administration
text
C2368628 (UMLS CUI [1])
Code List
Vaccine administration
CL Item
DTPw- HBV/Hib Vaccine (S)
CL Item
DTPw- HBV/Hib Vaccine (S)
CL Item
Replacement vial (R)
CL Item
Wrong vial number (W)
CL Item
Not administered (N)
Item
Why not administered?
text
C2368628 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,3])
Code List
Why not administered?
CL Item
Serious adverse event (complete the Serious Adverse Event form) (SAE)
CL Item
Non- serious adverse event (complete the Non- serious Adverse Event section) (AEX)
CL Item
Other, please specify (e.g.: consent withdrawal, protocol violation,...) (OTH)
Replacement vial
Item
Replacement vial
text
C0184301 (UMLS CUI [1,1])
C0559956 (UMLS CUI [1,2])
Wrong vial number
Item
Wrong vial number
text
C0184301 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C3827420 (UMLS CUI [1,3])
Has the study vaccine been administered according to the Protocol
Item
Has the study vaccine been administered according to the Protocol?
boolean
C2368628 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Item
If study vaccine has not been administered according to the Protocol, check all that apply.
text
C2368628 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
If study vaccine has not been administered according to the Protocol, check all that apply.
Comments
Item
Comments
text
C0947611 (UMLS CUI [1])
If other reason for vaccine not administered, please specify.
Item
If other reason for vaccine not administered, please specify.
text
C2368628 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Item
If vaccine not administered, please tick who took the decision
text
C2368628 (UMLS CUI [1,1])
C1272696 (UMLS CUI [1,2])
C0679006 (UMLS CUI [1,3])
Code List
If vaccine not administered, please tick who took the decision
CL Item
Parents/ Guardians (P)
Item
Vaccine Administration
text
C2368628 (UMLS CUI [1])
Code List
Vaccine Administration
CL Item
DTPw-HBV/Hib Vaccine (S)
CL Item
Meningitec Vaccine (S)
CL Item
Replacement vial (R)
CL Item
Wrong vial number (W)
CL Item
Not administered (N)
Item
Why not administered?
text
C2368628 (UMLS CUI [1,1])
C0392360 (UMLS CUI [1,2])
C1272696 (UMLS CUI [1,3])
Code List
Why not administered?
CL Item
Serious adverse event (complete the Serious Adverse Event form) (SAE)
CL Item
Non- serious adverse event (complete the Non- serious Adverse Event section) (AEX)
CL Item
Other, please specify (e.g.: consent withdrawal, protocol violation,...) (OTH)
Item
Please tick, who made the decision
text
C0679006 (UMLS CUI [1])
Code List
Please tick, who made the decision
CL Item
Parents/ Guardians (P)
Replacement vial
Item
Replacement vial
text
C0184301 (UMLS CUI [1,1])
C0559956 (UMLS CUI [1,2])
Wrong vial number
Item
Wrong vial number
text
C0184301 (UMLS CUI [1,1])
C0600091 (UMLS CUI [1,2])
C3827420 (UMLS CUI [1,3])
Has the study vaccine been administered according to the Protocol
Item
Has the study vaccine been administered according to the Protocol?
boolean
C2368628 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
Item
If study vaccine has not been administered according to the Protocol, check all that apply.
text
C2368628 (UMLS CUI [1,1])
C2348563 (UMLS CUI [1,2])
C0205394 (UMLS CUI [1,3])
Code List
If study vaccine has not been administered according to the Protocol, check all that apply.
Item
Has the subject experienced any of the following signs/ symptoms at the administration site during the solicited period?
text
C0037088 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
C0013153 (UMLS CUI [1,3])
C0042210 (UMLS CUI [1,4])
Code List
Has the subject experienced any of the following signs/ symptoms at the administration site during the solicited period?
CL Item
Information not available (U)
CL Item
No vaccine administered (NA)
CL Item
Yes, please tick No/ Yes for each symptom. If yes is ticked, please complete all items. (Y)
Redness
Item
Redness
boolean
C0332575 (UMLS CUI [1])
Size of redness Day 0
Item
If redness, enter size at Day 0
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 1
Item
If redness, enter size at Day 1
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 2
Item
If redness, enter size at Day 2
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 3
Item
If redness, enter size at Day 3
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Redness ongoing after day 3?
Item
Redness ongoing after day 3?
boolean
C0332575 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of redness
Item
Date of last day of redness
date
C0332575 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Redness - medically attended visit?
Item
Redness - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
Item
Redness - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Redness - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Swelling
Item
Swelling
boolean
C0038999 (UMLS CUI [1])
Size of swelling Day 0
Item
If swelling, enter size at Day 0
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 1
Item
If swelling, enter size at Day 1
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 2
Item
If swelling, enter size at Day 2
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 3
Item
If swelling, enter size at Day 3
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Swelling ongoing after day 3?
Item
Swelling ongoing after day 3?
boolean
C0038999 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of swelling
Item
Date of last day of swelling
date
C0038999 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Swelling - medically attended visit?
Item
Swelling - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
Item
Swelling - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Swelling - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Pain
Item
Pain
boolean
C0030193 (UMLS CUI [1])
Item
If pain, enter Intensity at Day 0
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 0
Item
If pain, enter Intensity at Day 1
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 1
Item
If pain, enter Intensity at Day 2
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 2
Item
If pain, enter Intensity at Day 3
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 3
Pain ongoing after day 3?
Item
Pain ongoing after day 3?
boolean
C0030193 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of pain
Item
Date of last day of pain
date
C0030193 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Pain - medically attended visit?
Item
Pain - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
Item
Pain - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Pain - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Has the subject experienced any of the following signs/ symptoms at the adminiatration site during the solicited period?
text
C0042210 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
Code List
Has the subject experienced any of the following signs/ symptoms at the adminiatration site during the solicited period?
CL Item
Information not available (U)
CL Item
No vaccine administered (NA)
Redness
Item
Redness
boolean
C0332575 (UMLS CUI [1])
Size of redness Day 0
Item
If redness, enter size at Day 0
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 1
Item
If redness, enter size at Day 1
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 2
Item
If redness, enter size at Day 2
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 3
Item
If redness, enter size at Day 3
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Redness ongoing after day 3?
Item
Redness ongoing after day 3?
boolean
C0332575 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of redness
Item
Date of last day of redness
date
C0332575 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Redness - medically attended visit?
Item
Redness - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
Item
Redness - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Redness - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Swelling
Item
Swelling
boolean
C0038999 (UMLS CUI [1])
Size of swelling Day 0
Item
If swelling, enter size at Day 0
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 1
Item
If swelling, enter size at Day 1
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 2
Item
If swelling, enter size at Day 2
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 3
Item
If swelling, enter size at Day 3
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Swelling ongoing after day 3?
Item
Swelling ongoing after day 3?
boolean
C0038999 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of swelling
Item
Date of last day of swelling
date
C0038999 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Swelling - medically attended visit?
Item
Swelling - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
Item
Swelling - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Swelling - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Pain
Item
Pain
boolean
C0030193 (UMLS CUI [1])
Item
If pain, enter Intensity at Day 0
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 0
Item
If pain, enter Intensity at Day 1
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 1
Item
If pain, enter Intensity at Day 2
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 2
Item
If pain, enter Intensity at Day 3
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 3
Pain ongoing after day 3?
Item
Pain ongoing after day 3?
boolean
C0030193 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of pain
Item
Date of last day of pain
date
C0030193 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Pain - medically attended visit?
Item
Pain - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
Item
Pain - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Pain - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Has the subject experienced any of the following signs/ symptoms at the adminiatration site during the solicited period?
text
C0042210 (UMLS CUI [1,1])
C0037088 (UMLS CUI [1,2])
Code List
Has the subject experienced any of the following signs/ symptoms at the adminiatration site during the solicited period?
CL Item
Information not available (U)
CL Item
No vaccine administered (NA)
Redness
Item
Redness
boolean
C0332575 (UMLS CUI [1])
Size of redness Day 0
Item
If redness, enter size at Day 0
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 1
Item
If redness, enter size at Day 1
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 2
Item
If redness, enter size at Day 2
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of redness Day 3
Item
If redness, enter size at Day 3
integer
C0332575 (UMLS CUI [1,1])
C0456389 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Redness ongoing after day 3?
Item
Redness ongoing after day 3?
boolean
C0332575 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of redness
Item
Date of last day of redness
date
C0332575 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Redness - medically attended visit?
Item
Redness - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
Item
Redness - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0332575 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Redness - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Swelling
Item
Swelling
boolean
C0038999 (UMLS CUI [1])
Size of swelling Day 0
Item
If swelling, enter size at Day 0
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 1
Item
If swelling, enter size at Day 1
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 2
Item
If swelling, enter size at Day 2
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Size of swelling Day 3
Item
If swelling, enter size at Day 3
integer
C0456389 (UMLS CUI [1,1])
C0038999 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Swelling ongoing after day 3?
Item
Swelling ongoing after day 3?
boolean
C0038999 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of swelling
Item
Date of last day of swelling
date
C0038999 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Swelling - medically attended visit?
Item
Swelling - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
Item
Swelling - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0038999 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Swelling - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Pain
Item
Pain
boolean
C0030193 (UMLS CUI [1])
Item
Intensity of pain Day 0
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
Intensity of pain Day 0
Item
If pain, enter Intensity at Day 1
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 1
Item
If pain, enter Intensity at Day
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day
Item
If pain, enter Intensity at Day 3
integer
C1320357 (UMLS CUI [1,1])
C0011008 (UMLS CUI [1,2])
Code List
If pain, enter Intensity at Day 3
Pain ongoing after day 3?
Item
Pain ongoing after day 3?
boolean
C0030193 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of pain
Item
Date of last day of pain
date
C0030193 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Pain - medically attended visit?
Item
Pain - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
Item
Pain - specify medically attended visit
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0030193 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Pain - specify medically attended visit
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Has the subject experienced any of the following signs/symptoms during the solicited period?
text
C0037088 (UMLS CUI [1])
Code List
Has the subject experienced any of the following signs/symptoms during the solicited period?
CL Item
Information not available (U)
CL Item
No vaccine administered (NA)
CL Item
Yes, please tick No/ Yes for each symptom. If Yes is ticked, please complete all items. (Y)
Item
General Symptoms
text
C0159028 (UMLS CUI [1])
Code List
General Symptoms
CL Item
Irritability/ Fussiness (IR)
CL Item
Loss of appetite (LO)
Item
Anatomic site Temperature taken
text
C0005903 (UMLS CUI [1,1])
C1515974 (UMLS CUI [1,2])
Code List
Anatomic site Temperature taken
Fever - Body temperature Day 0
Item
Fever - Body temperature Day 0
float
C0039476 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Fever - Body temperature Day 0 not taken
integer
C0437722 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Fever - Body temperature Day 0 not taken
Fever - Body temperature Day 1
Item
Fever - Body temperature Day 1
float
C0039476 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Fever - Body temperature Day 1 not taken
integer
C0437722 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Fever - Body temperature Day 1 not taken
Fever - Body temperature Day 2
Item
Fever - Body temperature Day 2
float
C0039476 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Fever - Body temperature Day 2 not taken
integer
C0437722 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Fever - Body temperature Day 2 not taken
Fever - Body temperature Day 3
Item
Fever - Body temperature Day 3
float
C0039476 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Item
Fever - Body temperature Day 3 not taken
integer
C0437722 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Fever - Body temperature Day 3 not taken
Is fever ongoing after day 3?
Item
Is fever ongoing after day 3?
boolean
C0015967 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of fever.
Item
Date of last day of fever.
date
C0015967 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Fever - Causality?
Item
Fever - Causality?
boolean
C0015967 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Fever - medically attended visit?
Item
Fever - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0015967 (UMLS CUI [1,3])
Item
Fever - specify medically attended visit.
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0015967 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Fever - specify medically attended visit.
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Irritability/ Fussiness - Intensity Day 0
integer
C0022107 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Irritability/ Fussiness - Intensity Day 0
Item
Irritability/ Fussiness - Intensity Day 1
integer
C0022107 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Irritability/ Fussiness - Intensity Day 1
Item
Irritability/ Fussiness - Intensity Day 2
integer
C0022107 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Irritability/ Fussiness - Intensity Day 2
Item
Irritability/ Fussiness - Intensity Day 3
integer
C0022107 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Irritability/ Fussiness - Intensity Day 3
Is irritability/ fussiness ongoing after day 3?
Item
Is irritability/ fussiness ongoing after day 3?
boolean
C0022107 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of irritability/ fussiness.
Item
Date of last day of irritability/ fussiness.
date
C0022107 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Irritability/ Fussiness- Causality?
Item
Irritability/ Fussiness- Causality?
boolean
C0022107 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Irritability/ Fussiness- medically attended visit?
Item
Irritability/Fussiness - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0022107 (UMLS CUI [1,3])
Item
Irritability/ Fussiness- specify medically attended visit.
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0022107 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Irritability/ Fussiness- specify medically attended visit.
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Drowsiness - Intensity Day 0
integer
C0013144 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Drowsiness - Intensity Day 0
Item
Drowsiness - Intensity Day 1
integer
C0013144 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Drowsiness - Intensity Day 1
Item
Drowsiness - Intensity Day 2
integer
C0013144 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Drowsiness - Intensity Day 2
Item
Drowsiness - Intensity Day 3
integer
C0013144 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Drowsiness - Intensity Day 3
Is drowsiness ongoing after day 3?
Item
Is drowsiness ongoing after day 3?
boolean
C0013144 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
Date of last day of drowsiness.
Item
Date of last day of drowsiness.
date
C0013144 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Drowsiness - Causality?
Item
Drowsiness - Causality?
boolean
C0013144 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Drowsiness - medically attended visit?
Item
Drowsiness - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0013144 (UMLS CUI [1,3])
Item
Drowsiness - specify medically attended visit.
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C0013144 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Drowsiness - specify medically attended visit.
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
Item
Loss of appetite - Intensity Day 0
integer
C1971624 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Loss of appetite - Intensity Day 0
Item
Loss of appetite - Intensity Day 1
integer
C1971624 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Loss of appetite - Intensity Day 1
Item
Loss of appetite - Intensity Day 2
integer
C1971624 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Loss of appetite - Intensity Day 2
Item
Loss of appetite - Intensity Day 3
integer
C1971624 (UMLS CUI [1,1])
C0518690 (UMLS CUI [1,2])
C0011008 (UMLS CUI [1,3])
Code List
Loss of appetite - Intensity Day 3
Is loss of appetite ongoing after day 3?
Item
Is loss of appetite ongoing after day 3?
boolean
C1971624 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
If loss of appetite is ongoing after day 3, record date of last day of symptoms.
Item
Date of last day of loss of appetite.
date
C1971624 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Loss of appetite - Causality?
Item
Loss of appetite - Causality?
boolean
C1971624 (UMLS CUI [1,1])
C0015127 (UMLS CUI [1,2])
Loss of appetite - medically attended visit?
Item
Loss of appetite - medically attended visit?
boolean
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1971624 (UMLS CUI [1,3])
Item
Loss of appetite - specify medically attended visit.
text
C0545082 (UMLS CUI [1,1])
C1386497 (UMLS CUI [1,2])
C1971624 (UMLS CUI [1,3])
C2348235 (UMLS CUI [1,4])
Code List
Loss of appetite - specify medically attended visit.
CL Item
Hospitalization (HO)
CL Item
Emergency Room (ER)
CL Item
Medical Personnel (MD)
In case of intensity 3: Was the crying continuous
Item
In case of intensity 3: Was the crying continuous (i.e. episodic, not interrupted within the time period of 3 hours by e.g. naps)?
boolean
C0518690 (UMLS CUI [1])
C2721683 (UMLS CUI [2])
In case of intensity 3: was the crying unaltered >=3 hours?
Item
In case of intensity 3: was the crying unaltered >=3 hours?
boolean
C0518690 (UMLS CUI [1,1])
C0438697 (UMLS CUI [1,2])
C0449238 (UMLS CUI [1,3])