LOINC Panel Details

Panel: 55140-8 - VAERS Pnl

• 55140-8 - VAERS Pnl (Seq: 1088, Type: N/A) None
  • 45394-4 - Patient Last name (Seq: 1, Type: N/A) None
  • 45392-8 - Patient First name (Seq: 2, Type: N/A) None
  • 52461-1 - Patient middle name (Seq: 3, Type: N/A) None
  • 42077-8 - Phone # (Seq: 4, Type: N/A) None
  • 52526-1 - Attending physician name (Seq: 5, Type: N/A) None
  • 21112-8 - Birth date (Seq: 6, Type: N/A) {mm/dd/yyyy}
  • 30525-0 - Age (Seq: 7, Type: N/A) a
  • 46098-0 - Sex (Seq: 8, Type: Question, expects user entry) None
  • 30947-6 - Date form completed (Seq: 9, Type: N/A) {mm/dd/yyyy}
  • 30948-4 - Vaccination AE (Seq: 10, Type: N/A) None
  • 30949-2 - Vaccination AE outcome VAERS (Seq: 11, Type: N/A) None
  • 30950-0 - # days hospitalized due to vacc AE (Seq: 12, Type: N/A) d
  • 30951-8 - Patient recovered VAERS (Seq: 13, Type: N/A) None
  • 30952-6 - Date+time of vaccination (Seq: 14, Type: N/A) None
  • 30953-4 - Date+time onset of vaccine AE (Seq: 15, Type: N/A) None
  • 30954-2 - Relevant Dx tests/lab data (Seq: 16, Type: N/A) None
  • 30955-9 - Vaccines same date as vaccine causing AE (Seq: 17, Type: N/A) None
    • 30956-7 - Type Vaccine (Seq: 1, Type: N/A) None
    • 30957-5 - Manufacturer name Vaccine (Seq: 2, Type: N/A) None
    • 30959-1 - Lot # Vaccine (Seq: 3, Type: N/A) None
    • 30958-3 - Route Vaccine.administered (Seq: 4, Type: N/A) None
    • 31034-2 - Vaccination body site (Seq: 5, Type: N/A) None
    • 30960-9 - # previous doses (Seq: 6, Type: N/A) {#}
  • 30961-7 - Other vaccines given within 4W (Seq: 18, Type: N/A) None
    • 30956-7 - Type Vaccine (Seq: 1, Type: N/A) None
    • 30957-5 - Manufacturer name Vaccine (Seq: 2, Type: N/A) None
    • 30959-1 - Lot # Vaccine (Seq: 3, Type: N/A) None
    • 30958-3 - Route Vaccine.administered (Seq: 4, Type: N/A) None
    • 31034-2 - Vaccination body site (Seq: 5, Type: N/A) None
    • 30960-9 - # previous doses (Seq: 6, Type: N/A) {#}
  • 30962-5 - Vaccinated at VAERS (Seq: 19, Type: N/A) None
  • 30963-3 - Funds vaccine purchased with VAERS (Seq: 20, Type: N/A) None
  • 30964-1 - Other medications (Seq: 21, Type: N/A) None
  • 30965-8 - Illness at time of vaccination (Seq: 22, Type: N/A) None
  • 30966-6 - Pre-existing conditions (Seq: 23, Type: N/A) None
  • 30967-4 - AE previously reported VAERS (Seq: 24, Type: N/A) None
  • 30968-2 - AE p vaccine in patient (Seq: 25, Type: N/A) None
    • 30971-6 - AE VAERS (Seq: 1, Type: N/A) None
    • 30972-4 - Age at onset of AE (Seq: 2, Type: N/A) a
    • 30973-2 - Dose # (Seq: 3, Type: N/A) None
  • 30969-0 - AE p vaccine Brother (Seq: 26, Type: N/A) None
    • 30971-6 - AE VAERS (Seq: 1, Type: N/A) None
    • 30972-4 - Age at onset of AE (Seq: 2, Type: N/A) a
    • 30973-2 - Dose # (Seq: 3, Type: N/A) None
  • 30970-8 - AE p vaccine Sister (Seq: 27, Type: N/A) None
    • 30971-6 - AE VAERS (Seq: 1, Type: N/A) None
    • 30972-4 - Age at onset of AE (Seq: 2, Type: N/A) a
    • 30973-2 - Dose # (Seq: 3, Type: N/A) None
  • 30974-0 - # brothers and sisters (Seq: 28, Type: N/A) {#}
  • 30975-7 - Creator report # VAERS (Seq: 29, Type: N/A) None
  • 30976-5 - Date received (Seq: 30, Type: N/A) None
  • 30977-3 - 15 day report VAERS (Seq: 31, Type: N/A) None
  • 30978-1 - Type VAERS (Seq: 32, Type: N/A) None