ID

43938

Description

Visit 2 Demographics form Study ID: 208127/125 Clinical Study ID: 208127/125 (Ext-HAB-038 Month 90) Study Title: A double-blind, randomized study to evaluate the immunogenicity and reactogenicity of two different lots of GlaxoSmithKline Biologicals' combined hepatitis A / hepatitis B vaccine in healthy children between 6 and 15 years of age. Patient Level Data: Study Listed on ClinicalStudyDataRequest.com Clinicaltrials.gov Identifier: N/A Sponsor:GlaxoSmithKline Collaborators: N/A Phase: Phase 3 Study Recruitment Status: Completed Generic Name: Hepatitis A (Inactivated), Hepatitis B (Recombinant) Vaccine Trade Name: Twinrix Study Indication: Hepatitis A; Hepatitis B

Keywords

Versions (2)
  1. 7/30/17 7/30/17 -
  2. 9/20/21 9/20/21 -
Copyright Holder

GlaxoSmithKline

Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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Visit 2 Demographics Biologicals HepA/HepB vaccine 208127/125

English

Visit 2 Demographics Biologicals HepA/HepB vaccine 208127/125

1 forms  
Header
Description

Header

Alias
UMLS CUI-1
C1320722
Protocol
Description

Protocol

Data type

text

Alias
UMLS CUI [1]
C1507394
Activity
Description

Activity

Data type

text

Alias
UMLS CUI [1]
C1512346
Date of activity
Description

day/month/year

Data type

date

Alias
UMLS CUI [1]
C1320303
Subject number
Description

Subject number

Data type

text

Alias
UMLS CUI [1]
C2348585
Demographics
Description

Demographics

Alias
UMLS CUI-1
C1704791
Subject initials :
Description

Subject initials

Data type

text

Alias
UMLS CUI [1]
C2986440
Date of birth :
Description

day/month/year

Data type

date

Alias
UMLS CUI [1]
C0421451
Male sex
Description

Male sex

Data type

boolean

Alias
UMLS CUI [1]
C1706180
Female sex
Description

Female sex

Data type

boolean

Alias
UMLS CUI [1]
C0086287
White race
Description

White race

Data type

boolean

Alias
UMLS CUI [1]
C0007457
Black race
Description

Black race

Data type

boolean

Alias
UMLS CUI [1]
C0005680
Oriental race
Description

Oriental race

Data type

boolean

Alias
UMLS CUI [1]
C0425362
Other race
Description

Other race

Data type

boolean

Alias
UMLS CUI [1]
C0034510
Specify race
Description

Specify race

Data type

text

Alias
UMLS CUI [1,1]
C1521902
UMLS CUI [1,2]
C0034510
Height :
Description

Height

Data type

integer

Measurement units
  • cm
Alias
UMLS CUI [1]
C0005890
cm
Weight :
Description

Weight

Data type

float

Measurement units
  • kg
Alias
UMLS CUI [1]
C0005910
kg
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Similar models

Visit 2 Demographics Biologicals HepA/HepB vaccine 208127/125

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Header
C1320722 (UMLS CUI-1)
Protocol
Item
Protocol
text
C1507394 (UMLS CUI [1])
Activity
Item
Activity
text
C1512346 (UMLS CUI [1])
Date of activity
Item
Date of activity
date
C1320303 (UMLS CUI [1])
Subject number
Item
Subject number
text
C2348585 (UMLS CUI [1])
Item Group
C1704791 (UMLS CUI-1)
Subject initials
Item
Subject initials :
text
C2986440 (UMLS CUI [1])
Date of birth
Item
Date of birth :
date
C0421451 (UMLS CUI [1])
Male sex
Item
Male sex
boolean
C1706180 (UMLS CUI [1])
Female sex
Item
Female sex
boolean
C0086287 (UMLS CUI [1])
White race
Item
White race
boolean
C0007457 (UMLS CUI [1])
Black race
Item
Black race
boolean
C0005680 (UMLS CUI [1])
Oriental race
Item
Oriental race
boolean
C0425362 (UMLS CUI [1])
Other race
Item
Other race
boolean
C0034510 (UMLS CUI [1])
Specify race
Item
Specify race
text
C1521902 (UMLS CUI [1,1])
C0034510 (UMLS CUI [1,2])
Height
Item
Height :
integer
C0005890 (UMLS CUI [1])
Weight
Item
Weight :
float
C0005910 (UMLS CUI [1])
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