VACCINE ADMINISTRATION
As specified in the protocol, the temperature of the subject should be taken by the oral route.
float
Axillary temperature
boolean
Oral temperature
boolean
Rectal temperature
boolean
If Yes, complete the table below.
boolean
Study vaccine has not been administered
text
Vaccine
text
Please specify side :
text
Date administered
date
Time
time
Vaccine protocol
boolean
study vaccine has not been administered according to the protocol
text
study vaccine has not been administered according to the protocol
text
POST VACCINATION OBSERVATION
If Yes, please fill in the Adverse Experience Section and detail the exact time of onset.
boolean
If Yes, please complete the Medication Section
boolean