Solicited Adverse Events - Local Symptoms
Fill in entire item group once per vaccine The 10Pn-PD-DiT vaccine is administered at Visits 1 (all cohorts), 2 (all cohorts except the 2+1 schedule HIV-neg. cohort), 3 (all cohorts) and 5 (all cohorts except the EPI/3+0 schedule HIV-neg. cohort). The DTPw-HBV/Hib vaccine is administered at Visits 1, 2, 3 and 8 (all cohorts).
integer
Redness, Swelling, Pain
text
Fill in entire item group once per symptom
integer
If yes, give either Size on Days 0-3 for Redness and Swelling or Pain Intensity on Days 0-3 for Pain. In case of large swelling reaction at the injected limb, please fill in ALSO the Large Swelling Reaction forms.
boolean
for Redness and Swelling
integer
for Redness and Swelling
integer
for Redness and Swelling
integer
for Redness and Swelling
integer
Intensity: 0 / 1 / 2 / 3
integer
Intensity: 0 / 1 / 2 / 3
integer
Intensity: 0 / 1 / 2 / 3
integer
Intensity: 0 / 1 / 2 / 3
integer
if yes, give last day of symptoms in next item
boolean
Last Day of Symptoms
date
Solicited Adverse Events - General Symptoms
Fever, Irritability/Fussiness, Drowsiness, Loss of appetite; Diarrhoea, Vomiting (those two are only applicable after Visit 2 and 3, and only if the Rotavirus Vaccine has been administered)
text
Fill in entire item group once per symptom Diarrhoea and Vomiting are only applicable if HRV has been administered (Visit 2 and 3)
integer
If yes: For fever, selected route of measurement, answer whether fever has been measured on Days 0-3, and height of fever. For Irritability/Fussiness, Drowsiness and Loss of appetite, record symptom intensity on Days 0-3. For Vomiting and Diarrhoea (if appropriate), record number of vomiting/stool episodes per day on Days 0-3. Definition of fever: Axillary, Oral, Tympanic (oral conversion) >= 37.5 °C Rectal and Tympanic (rectal conversion) >= 38 °C
boolean
Fever, Site of measurement
text
Temperature taken on Day 0?
boolean
if taken, please specify
float
Temperature taken on Day 1?
boolean
if taken, please specify
float
Temperature taken on Day 2?
boolean
if taken, please specify
float
Temperature taken on Day 3?
boolean
if taken, please specify
float
For Irritability/Fussiness: 0 = Behavior as usual 1 = Crying more than usual / no effect on normal activity 2 = Crying more than usual / interferes with normal activity 3 = Crying that cannot be comforted / prevents normal activity For Drowsiness: 0 = Behavior as usual 1 = Drowsiness easily tolerated 2 = Drowsiness that interferes with normal activity 3 = Drowsiness that prevents normal activity For Loss of appetite: 0 = Appetite as usual 1 = Eating less than usual / no effect on normal activity 2 = Eating less than usual / interferes with normal activity 3 = Not eating at all
integer
For Irritability/Fussiness: 0 = Behavior as usual 1 = Crying more than usual / no effect on normal activity 2 = Crying more than usual / interferes with normal activity 3 = Crying that cannot be comforted / prevents normal activity For Drowsiness: 0 = Behavior as usual 1 = Drowsiness easily tolerated 2 = Drowsiness that interferes with normal activity 3 = Drowsiness that prevents normal activity For Loss of appetite: 0 = Appetite as usual 1 = Eating less than usual / no effect on normal activity 2 = Eating less than usual / interferes with normal activity 3 = Not eating at all
integer
For Irritability/Fussiness: 0 = Behavior as usual 1 = Crying more than usual / no effect on normal activity 2 = Crying more than usual / interferes with normal activity 3 = Crying that cannot be comforted / prevents normal activity For Drowsiness: 0 = Behavior as usual 1 = Drowsiness easily tolerated 2 = Drowsiness that interferes with normal activity 3 = Drowsiness that prevents normal activity For Loss of appetite: 0 = Appetite as usual 1 = Eating less than usual / no effect on normal activity 2 = Eating less than usual / interferes with normal activity 3 = Not eating at all
integer
For Irritability/Fussiness: 0 = Behavior as usual 1 = Crying more than usual / no effect on normal activity 2 = Crying more than usual / interferes with normal activity 3 = Crying that cannot be comforted / prevents normal activity For Drowsiness: 0 = Behavior as usual 1 = Drowsiness easily tolerated 2 = Drowsiness that interferes with normal activity 3 = Drowsiness that prevents normal activity For Loss of appetite: 0 = Appetite as usual 1 = Eating less than usual / no effect on normal activity 2 = Eating less than usual / interferes with normal activity 3 = Not eating at all
integer
For Diarrhoae and Vomiting, record number of episodes per day
integer
For Diarrhoae and Vomiting, record number of episodes per day
integer
For Diarrhoae and Vomiting, record number of episodes per day
integer
For Diarrhoae and Vomiting, record number of episodes per day
integer
if yes, give last day of symptoms in next item
boolean
Last Day of Symptoms
date
NO: The adverse event is not causally related to administration of the study vaccine(s). There are other, more likely causes and administration of the study vaccine(s) is not suspected to have contributed to the adverse event. YES: There is a reasonable possibility that the vaccine contributed to the adverse event.
boolean
Unsolicited Adverse Events
within one month (minimum 30 days)
text