Attachment_2_-Sample_Submission_Spreadsheet.pdf
PDF 12 KB Posted
- Attached to
- Anonymous Pre and Post Influenza Vaccine Sera Panels Federal contract opportunity
- Solicitation number
- 2014-N-15807
About this file
An example of the required information and formatting template for spreadsheet accompanying serum shipments
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| AMENDMENT_00001_-_RFP_15807.docx | DOCX document | |
| Attachment_3_-_Summary_of_Shipment_and_Contents.docx | DOCX document | |
| Attachment_1_-Human_Sera_Collection_Guidelines.pdf |
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Text version
Patient ID number
Specimen ID number
Sample Type
(pre/post ) [ie, S1, S2)
Date of
Specimen
Collection
Type of Vaccine Specimen
Collection Site
Patient's Date of birth
Patient's Age
(years and/or months)
Patient's Sex
(Male / Female)
Recent Travel?
(If yes, place and dates)
Comments
02-001 2014000001 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 18 FEMALE NO
02-002 2014000002 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 30 FEMALE NO
02-003 2014000003 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 25 FEMALE NO
02-004 2014000004 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 40 FEMALE NO
02-005 2014000005 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 42 FEMALE NO
02-006 2014000006 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 25 FEMALE NO
02-007 2014000007 S1 9/18/2013 FLUZONE Atlanta, GA MM/DD/YY 33 FEMALE NO
File details come from the government source that posted it. Updated .