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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

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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
    Back to the top of the page

    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])
    Back to the top of the page 

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