ID

36928

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

Mots-clés

Versions (1)
  1. 21/06/2019 21/06/2019 -
Détendeur de droits

GlaxoSmithKline

Téléchargé le

21 juin 2019

DOI

Pour une demande vous connecter.

Licence

Creative Commons BY-NC 3.0
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GSK Biologicals' Hib-MenCY-TT Conjugate Vaccine vs ActHIB® & MenC Conjugate Licensed Vaccine (NCT00134719)

Anglais

Diary Card - Dose 1

1 Formulaires  
  1. StudyEvent: ODM
    1. Diary Card - Dose 1
Administrative Data
Description

Administrative Data

Subject Number
Description

Clinical Trial Subject Unique Identifier

Type de données

integer

Alias
UMLS CUI [1]
C2348585
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Hib-MenCY-TT vaccine
Description

Local Symptoms (at injection sites) - Hib-MenCY-TT group - Hib-MenCY-TT vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Infanrix® penta vaccine
Description

Local Symptoms (at injection sites) - Hib-MenCY-TT group - Infanrix® penta vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Prevenar® vaccine
Description

Local Symptoms (at injection sites) - Hib-MenCY-TT group - Prevenar® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Other Local Symptoms
Description

Local Symptoms (at injection sites) - Hib-MenCY-TT group - Other Local Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
UMLS CUI-4
C0205394
Description - please specify side(s) and site(s)
Description

Vaccination, Symptoms, Local, Description

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0678257
Intensity
Description

Vaccination, Symptoms, Local, Symptom intensity

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0518690
Start date
Description

Vaccination, Symptoms, Local, Start Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0808070
End date
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Check box if continuing
Description

Vaccination, Symptoms, Local, Continuous

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Medically attended Visit?
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Lic MenC group - ActHIB® vaccine
Description

Local Symptoms (at injection sites) - Lic MenC group - ActHIB® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Lic MenC group -Infanrix® penta vaccine
Description

Local Symptoms (at injection sites) - Lic MenC group -Infanrix® penta vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Lic MenC group -Prevenar® vaccine
Description

Local Symptoms (at injection sites) - Lic MenC group -Prevenar® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - Lic MenC group - Meningitec® vaccine
Description

Local Symptoms (at injection sites) - Lic MenC group - Meningitec® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injections sites) - Lic MenC Group - Other Local Symptoms
Description

Local Symptoms (at injections sites) - Lic MenC Group - Other Local Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
UMLS CUI-4
C0205394
Description - please specify side(s) and site(s)
Description

Vaccination, Symptoms, Local, Description

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0678257
Intensity
Description

Vaccination, Symptoms, Local, Symptom intensity

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0518690
Start date
Description

Vaccination, Symptoms, Local, Start Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0808070
End date
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Check box if continuing
Description

Vaccination, Symptoms, Local, Continuous

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Medically attended Visit?
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injections sites) - ActHIB group - ActHIB® vaccine
Description

Local Symptoms (at injections sites) - ActHIB group - ActHIB® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - ActHIB group - Infanrix® penta vaccine
Description

Local Symptoms (at injection sites) - ActHIB group - Infanrix® penta vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptoms (at injection sites) - ActHIB group - Prevenar® vaccine
Description

Local Symptoms (at injection sites) - ActHIB group - Prevenar® vaccine

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
Side
Description

Vaccination, Symptoms, Local, Side

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0441987
Site
Description

Vaccination, Symptoms, Local, Site

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0205145
Local Symptoms
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 0
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 1
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 2
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Day 3
Description

Vaccination, Symptoms, Local

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
Ongoing after day 3?
Description

Vaccination, Symptoms, Local, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Date of last day of symptoms
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Medically attended visit
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
Local Symptom (at injections sites) - ActHIB Group - Other Local Symptoms
Description

Local Symptom (at injections sites) - ActHIB Group - Other Local Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C1457887
UMLS CUI-3
C0205276
UMLS CUI-4
C0205394
Description - please specify side(s) and site(s)
Description

Vaccination, Symptoms, Local, Description

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0678257
Intensity
Description

Vaccination, Symptoms, Local, Symptom intensity

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0518690
Start date
Description

Vaccination, Symptoms, Local, Start Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0808070
End date
Description

Vaccination, Symptoms, Local, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0806020
Check box if continuing
Description

Vaccination, Symptoms, Local, Continuous

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0549178
Medically attended Visit?
Description

Vaccination, Symptoms, Local, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C1457887
UMLS CUI [1,3]
C0205276
UMLS CUI [1,4]
C0545082
UMLS CUI [1,5]
C1386497
General Symptoms
Description

General Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C0159028
General Symptoms
Description

Vaccination, General symptom

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
Day 0
Description

Vaccination, General symptom

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
Day 1
Description

Vaccination, General symptom

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
Day 2
Description

Vaccination, General symptom

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
Day 3
Description

Vaccination, General symptom

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
Ongoing after day 3?
Description

Vaccination, General symptom, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0549178
Date of last day of symptoms
Description

Vaccination, General symptom, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0806020
Medically attended visit
Description

Vaccination, General symptom, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0545082
UMLS CUI [1,4]
C1386497
Other General Symptoms
Description

Other General Symptoms

Alias
UMLS CUI-1
C0042196
UMLS CUI-2
C0159028
UMLS CUI-3
C0205394
Description - please specify side(s) and site(s)
Description

Vaccination, General symptom, Description

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0678257
Intensity
Description

Vaccination, General symptom, Symptom intensity

Type de données

text

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0518690
Start date
Description

Vaccination, General symptom, Start Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0808070
End date
Description

Vaccination, General symptom, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0806020
Check box if continuing
Description

Vaccination, General symptom, Continuous

Type de données

date

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0549178
Medically attended Visit?
Description

Vaccination, General symptom, Visit, Advice, Medical

Type de données

boolean

Alias
UMLS CUI [1,1]
C0042196
UMLS CUI [1,2]
C0159028
UMLS CUI [1,3]
C0545082
UMLS CUI [1,4]
C1386497
Medication
Description

Medication

Alias
UMLS CUI-1
C0013227
Trade/Generic name
Description

Pharmaceutical Preparations, Medication name

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2360065
Reason
Description

Pharmaceutical Preparations, Indication

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C3146298
Total Daily Dose
Description

Pharmaceutical Preparations, Daily Dose, Total

Type de données

text

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C2348070
UMLS CUI [1,3]
C0439810
Start date
Description

Pharmaceutical Preparations, Start Date

Type de données

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0808070
End date
Description

Pharmaceutical Preparations, End Date

Type de données

date

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0806020
Check box if continuing
Description

Pharmaceutical Preparations, Continuous

Type de données

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C0549178
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Similar models

Diary Card - Dose 1

1 Formulaires
  1. StudyEvent: ODM
    1. Diary Card - Dose 1
Name
Type
Description | Question | Decode (Coded Value)
Type de données
Alias
Item Group
Administrative Data
Clinical Trial Subject Unique Identifier
Item
Subject Number
integer
C2348585 (UMLS CUI [1])
Item Group
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Hib-MenCY-TT vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Infanrix® penta vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Prevenar® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Hib-MenCY-TT group - Other Local Symptoms
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Vaccination, Symptoms, Local, Description
Item
Description - please specify side(s) and site(s)
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0678257 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Symptom intensity
Item
Intensity
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0518690 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Start Date
Item
Start date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
End date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Continuous
Item
Check box if continuing
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended Visit?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Lic MenC group - ActHIB® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Lic MenC group -Infanrix® penta vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Lic MenC group -Prevenar® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - Lic MenC group - Meningitec® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injections sites) - Lic MenC Group - Other Local Symptoms
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Vaccination, Symptoms, Local, Description
Item
Description - please specify side(s) and site(s)
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0678257 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Symptom intensity
Item
Intensity
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0518690 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Start Date
Item
Start date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
End date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Continuous
Item
Check box if continuing
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended Visit?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injections sites) - ActHIB group - ActHIB® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - ActHIB group - Infanrix® penta vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptoms (at injection sites) - ActHIB group - Prevenar® vaccine
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
Item
Side
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0441987 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Side
CL Item
Upper left  (1)
CL Item
Lower left  (2)
CL Item
Upper right  (3)
CL Item
Lower right (4)
Item
Site
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0205145 (UMLS CUI [1,4])
Hib-MenCY-TT vaccine
Code List
Site
CL Item
Arm (1)
CL Item
Thigh (2)
CL Item
Buttock (3)
Item
Local Symptoms
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Adverse Event, Symptoms, Local
Code List
Local Symptoms
CL Item
Redness, give size (mm) (1)
CL Item
Swelling, give size (mm) (2)
CL Item
Pain, give intensity (3)
Vaccination, Symptoms, Local
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
Vaccination, Symptoms, Local, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
Local Symptom (at injections sites) - ActHIB Group - Other Local Symptoms
C0042196 (UMLS CUI-1)
C1457887 (UMLS CUI-2)
C0205276 (UMLS CUI-3)
C0205394 (UMLS CUI-4)
Vaccination, Symptoms, Local, Description
Item
Description - please specify side(s) and site(s)
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0678257 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Symptom intensity
Item
Intensity
text
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0518690 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Start Date
Item
Start date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0808070 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, End Date
Item
End date
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0806020 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Continuous
Item
Check box if continuing
date
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0549178 (UMLS CUI [1,4])
Vaccination, Symptoms, Local, Visit, Advice, Medical
Item
Medically attended Visit?
boolean
C0042196 (UMLS CUI [1,1])
C1457887 (UMLS CUI [1,2])
C0205276 (UMLS CUI [1,3])
C0545082 (UMLS CUI [1,4])
C1386497 (UMLS CUI [1,5])
Item Group
General Symptoms
C0042196 (UMLS CUI-1)
C0159028 (UMLS CUI-2)
Item
General Symptoms
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
Adverse Event, General symptom
Code List
General Symptoms
CL Item
Temperature (give °C) (1)
CL Item
Temperature route of measurement (Axillary (preferably), Oral, Tympanic oral, Tympanic rectal, Rectal) (2)
CL Item
Irritability / Fussiness (give intensity) (3)
CL Item
Drowsiness (give intensity) (4)
CL Item
Loss of appetite (give intensity) (5)
Vaccination, General symptom
Item
Day 0
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
Vaccination, General symptom
Item
Day 1
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
Vaccination, General symptom
Item
Day 2
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
Vaccination, General symptom
Item
Day 3
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
Vaccination, General symptom, Continuous
Item
Ongoing after day 3?
boolean
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,3])
Vaccination, General symptom, End Date
Item
Date of last day of symptoms
date
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Vaccination, General symptom, Visit, Advice, Medical
Item
Medically attended visit
boolean
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
C1386497 (UMLS CUI [1,4])
Item Group
Other General Symptoms
C0042196 (UMLS CUI-1)
C0159028 (UMLS CUI-2)
C0205394 (UMLS CUI-3)
Vaccination, General symptom, Description
Item
Description - please specify side(s) and site(s)
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0678257 (UMLS CUI [1,3])
Vaccination, General symptom, Symptom intensity
Item
Intensity
text
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0518690 (UMLS CUI [1,3])
Vaccination, General symptom, Start Date
Item
Start date
date
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0808070 (UMLS CUI [1,3])
Vaccination, General symptom, End Date
Item
End date
date
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0806020 (UMLS CUI [1,3])
Vaccination, General symptom, Continuous
Item
Check box if continuing
date
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0549178 (UMLS CUI [1,3])
Vaccination, General symptom, Visit, Advice, Medical
Item
Medically attended Visit?
boolean
C0042196 (UMLS CUI [1,1])
C0159028 (UMLS CUI [1,2])
C0545082 (UMLS CUI [1,3])
C1386497 (UMLS CUI [1,4])
Item Group
Medication
C0013227 (UMLS CUI-1)
Pharmaceutical Preparations, Medication name
Item
Trade/Generic name
text
C0013227 (UMLS CUI [1,1])
C2360065 (UMLS CUI [1,2])
Pharmaceutical Preparations, Indication
Item
Reason
text
C0013227 (UMLS CUI [1,1])
C3146298 (UMLS CUI [1,2])
Pharmaceutical Preparations, Daily Dose, Total
Item
Total Daily Dose
text
C0013227 (UMLS CUI [1,1])
C2348070 (UMLS CUI [1,2])
C0439810 (UMLS CUI [1,3])
Pharmaceutical Preparations, Start Date
Item
Start date
date
C0013227 (UMLS CUI [1,1])
C0808070 (UMLS CUI [1,2])
Pharmaceutical Preparations, End Date
Item
End date
date
C0013227 (UMLS CUI [1,1])
C0806020 (UMLS CUI [1,2])
Pharmaceutical Preparations, Continuous
Item
Check box if continuing
boolean
C0013227 (UMLS CUI [1,1])
C0549178 (UMLS CUI [1,2])
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