Description:

Study ID: 102370 (primary study) Clinical Study ID: 102370 Study Title: A multicentre when given according to the 2-4-6 month schedule to healthy infants with booster dose at 12 to 15 months Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: NCT00134719 Sponsor: GlaxoSmithKline Collaborators: N/A Phase: Phase 2 Study Recruitment Status: Completed Generic Name: Haemophilus influenzae Type b, Meningococcal C and Y-Tetanus Toxoid Conjugate Vaccine Trade Name: BIO HIB-MENCY-TT; MenHibrix Study Indication: Haemophilus influenzae type b; Neisseria Meningitidis

Keywords:
Versions (1) ▾
  1. 6/21/19
Copyright Holder:
GlaxoSmithKline
Uploaded on:

June 21, 2019

DOI:
No DOI assigned. To request one please log in.
License:
Creative Commons BY-NC 3.0
Model comments:

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Itemgroup comments for:

Item comments for:

In order to download data models you must be logged in. Please log in or register for free.

GSK Biologicals' Hib-MenCY-TT Conjugate Vaccine vs ActHIB® & MenC Conjugate Licensed Vaccine (NCT00134719)

Visit 2

  1. StudyEvent: ODM
    1. Visit 2
Administrative Data
Check for Study Continuation
Did the subject return for visit 2?
Please tick the ONE most appropriate reason and skip the following pages of this visit.
Please tick who took the decision
Vaccine Administration - Hib-MenCY-TT Group
°C
Route
Vaccine Administration (only one box must be ticked by vaccine)
Side / site route
Has the study vaccine been administered according to the Protocol ?
If No, Side
If No, Site
If No, Route
Administration of Vaccine - Lic MenC group
°C
Route
Vaccine Administration (only one box must be ticked by vaccine)
Side / site route
Has the study vaccine been administered according to the Protocol ?
If No, Side
If No, Site
If No, Route
Administration of Vaccine - ActHIB group
°C
Route
Vaccine Administration (only one box must be ticked by vaccine)
Side / site route
Has the study vaccine been administered according to the Protocol ?
If No, Side
If No, Site
If No, Route
Vaccine Administration (continued)
Why not administered? Please tick the ONE most appropriate category for non administration
Why not administered? - Specifications
Please tick who took the decision