{"text_format":"1","workbook":"xlsx","n_sheets":7,"sheets":["記入要領","記入例","入力シート","ＦＡＸ送信用（このシートを印刷してください）","DATA_input","DATA_vaccine","DATA_message"],"not_rendered":{"charts":0,"images":10,"macros":1,"external_links":0,"defined_names":8,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"記入要領","index":0,"n_rows":270,"n_cols":3,"rows_kept":270,"cut":false,"hidden":false,"merged":[[88,0,88,2],[257,0,264,0],[257,2,264,2],[222,2,231,2],[169,0,179,0],[169,2,179,2],[180,0,190,0],[180,2,190,2],[191,0,197,0],[191,2,197,2],[198,0,209,0],[198,2,209,2],[210,0,221,0],[210,2,221,2],[222,0,231,0],[162,0,168,0],[265,2,269,2],[232,0,242,0],[232,2,242,2],[243,0,249,0],[243,2,249,2],[250,0,256,0],[250,2,256,2],[162,2,168,2],[98,0,99,0],[98,1,99,1],[100,0,109,0],[100,2,109,2],[110,0,123,0],[110,2,123,2],[124,0,137,0],[124,2,137,2],[138,0,149,0],[150,0,161,0],[150,2,161,2],[2,0,2,2],[3,0,3,2],[5,0,5,2],[27,0,27,2],[37,0,37,2],[4,0,4,2],[72,0,72,2],[78,0,78,2],[82,0,82,2],[85,0,85,2],[6,0,6,2],[7,0,7,2],[70,0,70,2],[51,0,51,2],[44,0,44,2],[64,0,64,2]]}
["（別紙様式１　記入要領）"]
[]
["※　この報告書は、厚生労働省のHPに掲載されている「予防接種後副反応報告書」の内容を電子化し、重要項目のチェック機能と自動入力機能を搭載した電子媒体報告書です。必ず2行目にある「チェック」ボタンを押して、ピンク色に変わったセルの内容を修正し、チェックが完了してから送付をお願いいたします。"]
["※　「クリア」ボタンを押すと、すべての入力項目が消去されますので、ご注意ください。"]
["※　送付先は厚生労働省健康局結核感染症課です。印刷した後、FAX（FAX番号：0120-510-355）で報告します。"]
["※　FAXを送る時は「FAX送信用（このシートを印刷してください）」シートを印刷して送ってください（入力シートは印刷して送らないでください）。"]
["※　電子媒体報告書に関するお問い合わせは、厚生労働省健康局結核感染症課にお願いいたします。"]
["※　この電子媒体報告書は、厚生労働科学研究費補助金 新型インフルエンザ等新興・再興感染症研究事業「予防接種後副反応サーベイランスの効果的な運用とその行政的な活用のあり方に関する研究」により作成いたしました。"]
[]
["予防接種法上の定期接種・任意接種の別"]
[]
["　　　　定期接種か任意接種かの別については、ワクチンの項の接種種別を選択すれば、自動的に記入されます。"]
[]
["患者（被接種者）"]
["　・氏名又はイニシャル"]
["　　　　定期接種後に症状を認めた場合にはその患者の氏名を、また、任意接種後に症状を認めた場合にはその患者のイニシャルを記入してください。"]
["　・性別"]
["　　　　患者の性別について、プルダウンで選択してください。"]
["　・接種時年齢"]
["　　　　患者の生年月日と接種日を入力して、チェックボタンを押せば自動で入力されます。"]
["　・住所"]
["　　　　患者の住所を市町村名まで記入してください。"]
["　・生年月日"]
["　　　　患者の生年月日を記入してください。"]
[]
["報告者"]
["　・氏名"]
["　　　　副反応報告書を作成した者の氏名（法人である場合は法人名）を記入してください。また、報告者と患者との関係について、プルダウンで選択してください。「その他」を選んだ場合には、具体的に記入してください。"]
["　・医療機関名"]
["　　　　副反応報告書を作成した者の所属（報告者が法人である場合には、開設。以下同じ。）する医療機関名を記入してください。"]
["　・電話番号"]
["　　　　副反応報告書を作成した者の所属する医療機関の電話番号を記入してください。"]
["　・住所"]
["　　　　副反応報告書を作成した者の所属する医療機関の所在地を記入してください。"]
[]
["接種場所"]
["　・医療機関名"]
["　　　　患者が予防接種を受けた医療機関名を記入してください。接種を受けた場所が、医療機関ではない場合には、その具体的な場所や名称を記入してください。"]
["・住所"]
["　　　　患者が予防接種を受けた医療機関の所在地を記入してください。"]
[]
["ワクチン"]
["・ワクチンの種類"]
["　　　　患者に接種したワクチンが定期接種か任意接種化をプルダウンで選択肢、ワクチンの種類をプルダウンで選択してください。"]
["　　　　同時接種をしたワクチンがある場合には、①に報告者が最も症状と関係があると考えるワクチンの種類を、②～④には、その他の同時接種をしたワクチンの種類を記入してください。なお、どのワクチンが症状と関係があるかどうか判断が付かない場合には、①～④に記入するワクチンの種類の順番は問いません。"]
["　　　　なお、同時接種をしたワクチンが８つ以上ある場合には、報告者意見欄に種類、ロット番号、製造販売業者名、接種回数を記入してください。"]
["　・各ワクチンのロット番号"]
["　　　　患者に接種したワクチンのロット番号を記入してください。"]
["　・各ワクチンの製造販売業者名"]
["　　　　患者に接種したワクチンの製造販売業者名（販売元ではない。）をプルダウンで選択してください。"]
["　・各ワクチンの接種回数"]
["　　　　患者が受けた予防接種の接種回数（期）をプルダウンで選択してください。なお、患者の受けた予防接種が任意接種だった場合には、可能な限り選択をお願いします。"]
[]
["接種の状況"]
["　・接種日"]
["　　　　患者が予防接種を受けた日時を記入してください。"]
["　・出生体重"]
["　　　　患者の出生時の体重を記入してください。患者が乳幼児で無い場合には、記入の必要はありません。"]
["　・接種前の体温"]
["　　　　患者の予診時の体温を記入してください。"]
["　・家族歴"]
["　　　　患者の血縁関係のある者において、症状と関係があると考えられる疾病がある（過去にあった）場合は、記入してください。"]
["　・予診票での留意点（基礎疾患、アレルギー、最近１カ月以内のワクチン接種や病気、服薬中の薬、過去の副作用歴、発育状況等）"]
["　　　　留意点の有無について、該当するものを選択してください。「有」を選択した場合には、その内容を具体的に記入してください。"]
["　　　　なお、「最近１ヵ月以内のワクチン接種」については、症状の発生から１ヵ月以内に接種したワクチン（「ワクチンの種類」欄に記載したワクチンを除く。）の種類、ロット番号、製造販売業者名、接種回数を記入してください。"]
["　　　　妊娠中の場合は、妊娠週数を記入してください。"]
[]
["症状の概要"]
["　・症状"]
["　　患者の受けた予防接種が定期接種だった場合"]
["　　　　該当する症状名について、67行目以下に記載した症状の中から該当する症状に○をつけてください。定期接種のワクチンの場合、予防接種法に基づいて報告義務のある症状が自動で選択されています。その中に含まれていない場合は、「その他の反応」に○をつけ、その下に記載しているa～wの該当するアルファベットに○印を記入してください。（複数の症状が該当する場合には、その全てに○印を記入してください。）なお、該当するものが無く、xを選択した場合には、症状名の欄に具体的に症状名を記入してください。"]
["　　患者の受けた予防接種が任意接種だった場合"]
["　　　　予防接種法に基づいて報告義務のある症状はありませんので、すべて「その他の反応」になります。まず「その他の反応」に○をつけ、その下に記載しているa～wの該当するアルファベットに○印を記入してください。（複数の症状が該当する場合には、その全てに○印を記入してください。）なお、該当するものが無く、xを選択した場合には、症状名の欄に具体的に症状名を記入してください。"]
["　・発生日時"]
["　　　　症状の発生した日時を記入してください。"]
["　・本剤との因果関係"]
["　　　　予防接種と症状との因果関係について、報告者が該当すると考えるものをプルダウンで選んでください。"]
["　・他要因（他疾患等）の可能性の有無"]
["　　　　今回の症状が予防接種ではなく、他疾患の可能性があるかどうかについて、報告者が該当すると考える方をプルダウンで選んでください。「有」を選択した場合には、その内容を具体的に記入してください。"]
["　・概要（症状・徴候・臨床経過・診断・検査等）：詳細は別表参照"]
["　　　　今回の症状の概要を詳しく記入してください。特に、別表に記載した代表的な臨床所見の有無及び代表的な検査の結果を記入してください。"]
["　・製造販売業者への情報提供"]
["　　　　今回接種したワクチンの製造販売業者等に情報提供を行ったかどうか、該当する番号に○印を記入してください。不明の場合は、記入しないでください。"]
[]
["症状の程度"]
["　　　　今回の症状の程度について、報告者が該当すると考えるものをプルダウンで選んでください。「重い」を選択した場合には、その程度について該当するものをプルダウンで選んでください。なお、「入院」を選択した場合には、入院した病院名、担当医の氏名、入院日及び退院日を記入してください。"]
[]
["症状の転帰"]
["　　　　今回の症状の転帰について、報告時点で判明している場合には、転帰日を記入するとともに、その内容について、該当するものをプルダウンで選んでください。"]
[]
["報告者意見"]
["　　　　今回の症状の診断、因果関係の評価又は関連があると考えられるその他の事象について、記入してください。"]
[]
["報告回数"]
["　　　　今回の症状を厚生労働省に報告する回数について、該当するものをプルダウンで選択してください。"]
[]
[]
["別表　各症状の概要"]
["症　状","疾病概要・臨床所見・検査所見","症状発生"]
[null,null,"までの時間"]
["アナフィラキシー","疾病概要：","４時間"]
[null,"　　即時型（I型）アレルギー反応を主たる発生機序とし、通常、抗原に曝露してから30分以内（場合によっては数時間後）に突然に発症し、急速な症状の進行を伴う過敏反応である。"]
[null,"代表的な臨床所見（複数臓器の症状を伴う）："]
[null,"　□　皮膚又は粘膜症状"]
[null,"　□　循環器症状"]
[null,"　□　呼吸器症状　　　　　　　　　　　　　　　　　等"]
[]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：アナフィラキシー"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0803003.pdf"]
["ＡＤＥＭ","疾病概要：","２８日"]
[null,"　　自己免疫的な機序により、急性に脳・脊髄・視神経を含む中枢神経系に散在性に脱髄と炎症を来す疾患である。"]
[null,"代表的な臨床所見（通常は単相性の臨床像）："]
[null,"　□　中枢神経症状（例；意識障害、痙攣、小脳失調）"]
[null,"　□　脊髄症状（例；対麻痺、病的反射）"]
[null,"　□　末梢神経症状（例；脳神経症状）　　　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　病理検査；中枢神経系の脱随巣、細胞浸潤"]
[null,"　□　血液検査；白血球増多、赤沈亢進"]
[null,"　□　髄液検査；リンパ球優位の細胞数増多"]
[null,"　□　画像検査；MRIによる散在性の白質病変　　　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：急性散在性脳脊髄炎"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm1104009.pdf"]
["脳炎・脳症","疾病概要：","２８日"]
[null,"　　急激な脳の機能不全によって生じる症候群であり、一般に脳実質の炎症所見を伴うものを脳炎、伴わないものを脳症と定義する。"]
[null,"代表的な臨床所見："]
[null,"　□　遷延する意識障害"]
[null,"　□　脳圧亢進症状"]
[null,"　□　その他中枢神経症状"]
[null,"（例；痙攣、大脳局在症状、髄膜刺激症候）　　　等"]
[null,"代表的な検査："]
[null,"　□　病理検査　　　　　□　画像検査"]
[null,"　□　血液検査　　　　　□　脳波検査"]
[null,"　□　髄液検査　　　　　　　　　　　　　　　　 　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：小児の急性脳症"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm1104007.pdf"]
["けいれん","疾病概要：","７日"]
[null,"　　全身または一部の筋肉に生じる発作性の不随意運動である。その内容は多様であり、発生機序については不明な点が多い。","（麻しん、風しんは、２１日）"]
[null,"代表的な臨床所見："]
[null,"　□　意識消失"]
[null,"　□　痙攣（全身性、緊張性、間代性、強直間代性、弛緩性）"]
[null,"　　　　　　　　　　　　　　　　　　　　　　　　　等"]
[null,"代表的な検査："]
[null,"　□　検温　　　　　　　□　画像検査"]
[null,"　□　血液検査　　　　　□　脳波　　　　　　　 　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：痙攣・てんかん"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0905004.pdf"]
["ギラン・バレー症候群","疾病概要：","２８日"]
[null,"　　感染等に続発して免疫異常を生じることにより起こる末梢神経系の炎症性脱髄性疾患である。"]
[null,"代表的な臨床所見（通常は単相性の臨床像）："]
[null,"　□　両側性の筋力低下"]
[null,"　□　腱反射の減弱"]
[null,"　□　感覚障害　　　　　　　　　　　　　　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　髄液検査：蛋白細胞解離"]
[null,"　□　電気生理検査：末梢神経伝導速度の遅延　　　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：ギラン・バレー症候群"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0905002.pdf"]
["血小板減少性紫斑病","疾病概要：","２８日"]
[null,"　　発生機序を問わず、血小板が減少したために皮膚及び粘膜に紫斑を呈した状態の総称である。"]
[null,"代表的な臨床所見："]
[null,"　□　紫斑"]
[null,"　□　その他の出血傾向（例；鼻出血、口腔内出血）　　等"]
[null,"代表的な検査所見："]
[null,"　□　血液検査：血小板の減少　　　　　　　　　　 　等"]
["肝機能障害","疾病概要：","２８日"]
[null,"　　発生機序を問わず、肝機能に異常を来した状態の総称である。"]
[null,"代表的な臨床所見："]
[null,"　□　全身症状（例；例発熱、倦怠感、黄疸）"]
[null,"　□　腹部・消化器症状（例；嘔気・嘔吐、肝腫大）"]
[null,"　□　皮膚層状（例；皮疹、掻痒感）　　　　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　血液検査：AST、ALTの変動　　　　　　　　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：薬物性肝障害"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0804002.pdf"]
["血管炎","疾病概要：","２８日"]
[null,"　　非特異性の炎症性変化で、繊維性肥厚や瘢痕化のために血管の閉塞や拡張性変化を生じ、多彩な病態を呈する疾患である。"]
[null,"代表的な臨床所見（複数臓器の症状を伴う）："]
[null,"　□　全身症状（例；発熱、体重減少、全身倦怠感）"]
[null,"　□　大・中型血管の臓器症状"]
[null,"　　（例；血圧異常、咬筋跛行、視力障害、急性腹症）"]
[null,"　□　小型血管の臓器症状"]
[null,"　　（例；皮疹、多発性単神経炎、糸球体腎炎）　　　等"]
[null,"代表的な検査："]
[null,"　□　病理検査　　　　　□　血管造影"]
[null,"□　血液検査　　　　　　　　　　　　　　　　　　等"]
["喘息発作","疾病概要：","２４時間"]
[null,"　　種々の刺激に対して気管、気管支の反応性が亢進していることを特徴とする疾患である。"]
[null,"代表的な臨床所見："]
[null,"　□　呼吸症状"]
[null,"　　（例；呼吸困難、喘鳴、起座呼吸、チアノーゼ）　等"]
[null,"代表的な検査所見："]
[null,"　　急性期には通常の検査で行うべき項目はなく、治療が優先される。"]
["間質性肺炎","疾病概要：","２８日"]
[null,"肺の支持組織の炎症性病変を示す疾患群である。"]
[null,"代表的な臨床所見："]
[null,"　□　全身症状（例；発熱）"]
[null,"　□　呼吸症状（例；咳嗽、呼吸困難）　　　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　血液検査：白血球数の増加、低酸素血症"]
[null,"　□　培養検査（血液、喀痰）"]
[null,"　□　画像検査（単純X線、CT）：びまん性の陰影　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：間質性肺炎"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0611002.pdf"]
["皮膚粘膜眼症候群","疾病概要：","２８日"]
[null,"　　原因の多くは医薬品と考えられ、全身症状とともに皮膚粘膜移行部に皮疹を呈する疾患である。"]
[null,"代表的な臨床所見："]
[null,"　□　全身症状（例；発熱）"]
[null,"　□　皮膚症状（例；多形滲出性紅斑、口唇のびらん）"]
[null,"　□　眼症状（例；結膜充血、眼脂）　　　　　　　　等"]
[null,"代表的な検査："]
[null,"　□　病理検査"]
[null,"　□　血液検査　　　　　　　　　　　　　　　　　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：スティーブンス・ジョンソン症候群"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm0611005_01.pdf"]
["ネフローゼ症候群","疾病概要：","２８日"]
[null,"　　尿中に多量の血清タンパク成分を喪失する時にみられる共通の病態をいう臨床的概念である。"]
[null,"代表的な臨床所見："]
[null,"　□　浮腫　　　　　　　　　　　　　　　　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　病理検査　　　　　□　尿検査；蛋白尿"]
[null,"　□　血液検査；低アルブミン血症　　　　　　　　　等"]
[null,"参考資料"]
[null,"重篤副作用疾患別対応マニュアル：ネフローゼ症候群"]
[null,"http://www.info.pmda.go.jp/juutoku/file/jfm1003007.pdf"]
["全身播種性ＢＣＧ感染症","疾病概要：","１年"]
[null,"　　BCGが全身に播種した状態である。"]
[null,"代表的な臨床所見："]
[null,"　□　全身症状（例；発熱、咳嗽）"]
[null,"　□　リンパ節腫脹"]
[null,"□　病変部の臓器症状（肺、骨、皮膚等）　　　　　等"]
[null,"代表的な検査所見："]
[null,"　□　菌の証明（喀痰、胃液、胸水、髄液）"]
[null,"　□　血液検査：炎症所見"]
[null,"□　画像検査：リンパ節腫大、空洞病変、粟粒陰影"]
[null,"　　　　　　　　　　　　　　　　　　　　等"]
["ＢＣＧ骨炎・骨髄炎・骨膜炎","疾病概要：","２年"]
[null,"　　BCGによる骨炎、骨髄炎、骨膜炎である。"]
[null,"代表的な臨床所見："]
[null,"　□　局所症状（例；病変部の腫脹、疼痛、腫瘤等）　等"]
[null,"代表的な検査所見："]
[null,"　□　菌の証明"]
[null,"　□　画像：骨の透亮像、膿瘍形成　　　　　　　　　等"]
["皮膚結核様病変","疾病概要：","３ヶ月"]
[null,"　　真性（正）皮膚結核や結核疹等結核菌によって皮膚に起こる病変の総称である。"]
[null,"代表的な臨床所見："]
[null,"　□　皮疹（全身性、限局性）"]
[null,"代表的な検査所見："]
[null,"　□　菌の証明"]
[null,"　□　病理検査：類上皮肉芽腫、Langhans巨細胞　　等"]
["化膿性リンパ節炎（ＢＣＧ）","疾病概要：","４ヶ月"]
[null,"　　病原微生物のリンパ流への侵入により、リンパ節に炎症を起こし、化膿した状態である。"]
[null,"代表的な臨床所見："]
[null,"　□　全身症状（例；発熱、倦怠感）"]
[null,"□　局所症状（例；リンパ節での膿瘍、瘻孔の形成）"]
[null,"代表的な検査所見："]
[null,"　□　菌の証明"]
[null,"　□　血液検査"]
["血管迷走神経反射","疾病概要：","３０分"]
["（失神を伴うものに限る）","　　自律神経のバランスが崩れ、血圧の低下、徐脈が生じる病態であり、脳血流が低下して失神に至ることがある。"]
[null,"代表的な臨床所見："]
[null,"　□　失神　　　　　　　□　悪心"]
[null,"　□　発汗　　　　　　　□　血圧の低下　　　　　　等"]

{"sheet":"記入例","index":1,"n_rows":110,"n_cols":38,"rows_kept":110,"cut":false,"hidden":false,"merged":[[0,8,0,11],[0,12,0,36],[1,8,1,36],[2,9,2,36],[3,8,3,30],[3,31,3,36],[4,8,4,11],[4,12,4,16],[4,17,4,25],[4,26,4,30],[4,31,4,36],[6,8,10,11],[6,12,8,14],[6,15,6,16],[6,17,6,25],[6,26,6,27],[9,12,9,14],[9,15,9,17],[9,18,9,20],[9,21,9,24],[9,25,9,31],[9,32,9,33],[6,28,6,36],[7,15,7,16],[7,17,7,25],[7,26,7,27],[7,28,7,36],[8,15,8,36],[10,31,10,36],[12,8,15,11],[12,12,13,14],[12,15,12,36],[13,15,13,22],[13,23,13,25],[13,26,13,28],[13,29,13,34],[14,12,14,14],[14,15,14,25],[10,12,10,14],[10,15,10,17],[10,18,10,20],[10,21,10,23],[10,24,10,27],[10,28,10,30],[14,26,14,28],[14,29,14,30],[14,32,14,33],[14,35,14,36],[15,12,15,14],[15,15,15,17],[15,18,15,20],[15,21,15,23],[15,24,15,27],[15,28,15,30],[15,31,15,36],[17,8,18,11],[17,12,17,14],[17,15,17,36],[18,12,18,14],[18,15,18,17],[18,18,18,20],[18,21,18,23],[18,24,18,27],[18,28,18,30],[22,8,27,11],[22,13,22,14],[22,15,22,19],[22,20,22,24],[22,25,22,28],[22,29,22,33],[18,31,18,36],[20,8,21,11],[20,13,20,14],[20,15,20,19],[20,20,20,24],[20,25,20,28],[20,29,20,33],[20,34,20,36],[21,13,21,14],[21,15,21,19],[22,34,22,36],[23,13,23,14],[23,15,23,19],[23,20,23,24],[23,25,23,28],[23,29,23,33],[23,34,23,36],[21,20,21,24],[21,25,21,28],[21,29,21,33],[21,34,21,36],[25,13,25,14],[25,15,25,19],[25,20,25,24],[25,25,25,28],[25,29,25,33],[25,34,25,36],[24,13,24,14],[24,15,24,19],[24,20,24,24],[24,25,24,28],[24,29,24,33],[24,34,24,36],[27,13,27,14],[27,15,27,19],[27,20,27,24],[27,25,27,28],[27,29,27,33],[27,34,27,36],[26,13,26,14],[26,15,26,19],[26,20,26,24],[26,25,26,28],[26,29,26,33],[26,34,26,36],[29,34,29,35],[30,12,30,14],[30,15,30,18],[30,20,30,21],[30,22,30,36],[31,12,31,23],[31,25,31,36],[29,8,35,11],[29,12,29,14],[29,15,29,19],[29,20,29,21],[29,22,29,24],[29,25,29,33],[32,12,35,12],[32,13,32,24],[32,25,32,36],[33,13,33,24],[33,25,33,36],[34,13,34,24],[34,25,34,36],[35,13,35,24],[35,25,35,36],[37,8,44,11],[37,12,37,14],[37,15,37,36],[38,12,38,14],[38,15,38,19],[40,12,40,23],[40,25,40,36],[41,12,41,14],[41,15,41,35],[42,12,42,36],[43,12,43,36],[38,20,38,21],[38,22,38,24],[38,25,38,30],[38,31,38,36],[39,12,39,23],[39,25,39,36],[49,13,49,14],[49,15,49,24],[49,25,49,36],[50,13,50,14],[50,15,50,24],[50,25,50,36],[44,12,44,24],[44,25,44,36],[47,8,54,11],[47,12,47,16],[47,18,47,24],[47,25,47,36],[48,12,54,12],[48,13,48,14],[48,15,48,24],[48,25,48,36],[53,13,53,14],[53,15,53,24],[53,25,53,36],[54,13,54,14],[54,15,54,24],[54,25,54,36],[51,13,51,14],[51,15,51,24],[51,25,51,36],[52,13,52,14],[52,15,52,24],[52,25,52,36],[57,29,57,30],[57,31,57,36],[58,13,58,14],[58,15,58,20],[58,21,58,22],[58,23,58,28],[58,29,58,30],[58,31,58,36],[56,8,59,11],[56,12,56,17],[56,18,56,24],[57,12,59,12],[57,13,57,14],[57,15,57,20],[57,21,57,22],[57,23,57,28],[59,13,59,16],[59,17,59,35],[61,8,61,11],[61,12,61,36],[63,8,63,11],[63,12,63,24],[63,25,63,36],[65,8,108,11],[65,12,65,13],[65,14,65,26],[66,12,66,13],[66,14,66,26],[70,12,70,13],[70,14,70,26],[71,12,71,13],[71,14,71,26],[72,12,72,13],[72,14,72,26],[67,12,67,13],[67,14,67,26],[68,12,68,13],[68,14,68,26],[69,12,69,13],[69,14,69,26],[76,12,76,13],[76,14,76,26],[77,12,77,13],[77,14,77,26],[78,12,78,13],[78,14,78,26],[73,12,73,13],[73,14,73,26],[74,12,74,13],[74,14,74,26],[75,12,75,13],[75,14,75,26],[82,12,82,13],[82,14,82,26],[83,12,83,13],[83,14,83,26],[84,12,84,13],[84,15,84,26],[79,12,79,13],[79,14,79,26],[80,12,80,13],[80,14,80,26],[81,12,81,13],[81,14,81,26],[88,12,88,13],[88,15,88,26],[89,12,89,13],[89,15,89,26],[90,12,90,13],[90,15,90,26],[85,12,85,13],[85,15,85,26],[86,12,86,13],[86,15,86,26],[87,12,87,13],[87,15,87,26],[94,12,94,13],[94,15,94,26],[95,12,95,13],[95,15,95,26],[96,12,96,13],[96,15,96,26],[91,12,91,13],[91,15,91,26],[92,12,92,13],[92,15,92,26],[93,12,93,13],[93,15,93,26],[100,12,100,13],[100,15,100,26],[101,12,101,13],[101,15,101,26],[102,12,102,13],[102,15,102,26],[97,12,97,13],[97,15,97,26],[98,12,98,13],[98,15,98,26],[99,12,99,13],[99,15,99,26],[106,12,106,13],[106,15,106,26],[107,12,107,13],[107,15,107,26],[108,12,108,13],[108,15,108,17],[108,18,108,26],[103,12,103,13],[103,15,103,26],[104,12,104,13],[104,15,104,26],[105,12,105,13],[105,15,105,26]]}
[null,null,null,null,null,null,null,null,"（別紙様式１）",null,null,null,"「編集を有効にする」「コンテンツの有効化」が表示された場合は、それらを有効にしてから入力を開始してください。　"]
[null,null,null,null,null,null,null,null,"予防接種後副反応報告書"]
[null,null,null,null,null,null,null,null,null,"の部分を入力してください　文字が青い項目は必須項目です　　入力後は必ず「チェック」ボタンを押してチェックが完了してから送付をお願いします"]
[null,null,null,null,null,null,null,null,"予防接種法上の定期接種・任意接種の別　（定期接種・任意接種・両方）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定期接種・任意接種"]
[null,null,null,null,null,null,null,null,"厚労省管理用",null,null,null,"管　理　番　号",null,null,null,null,null,null,null,null,null,null,null,null,null,"日　　　付"]
[null,null,null,null,null,null,null,null,"区市町村に特別区を選択する場合は都道府県は東京都を選択してください"]
[null,null,null,null,null,null,null,null,"患者\n（被接種者）",null,null,null,"氏名又は\nイニシャル",null,null,"セイ",null,"カンセン",null,null,null,null,null,null,null,null,"メイ",null,"タロウ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"姓",null,"感染",null,null,null,null,null,null,null,null,"名",null,"太郎"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（定期接種の場合は姓・名・セイ・メイを入力してください　任意接種の場合は姓・名欄にイニシャル１文字を入力してください）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,null,"１　男性",null,null,"生年月日",null,null,"2013-01-01",null,null,null,"接種時年齢（0歳児は月必須）",null,null,null,null,null,null,0,null,"歳",4,"月"]
[null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,"都道府県",null,null,"北海道",null,null,"区市町村",null,null,"●●",null,null,null,"区（東京都）"]
[null,null,null,null,null,null,null,null,"医療機関名を入力してください　"]
[null,null,null,null,null,null,null,null,"報告者",null,null,null,"氏名",null,null,"厚労　次郎"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"関係（接種者・主治医・その他）",null,null,null,null,null,null,null,"１　接種者",null,null,"（その他：",null,null,null,null,null,null,null,null,"）",0]
[null,null,null,null,null,null,null,null,null,null,null,null,"医療機関名",null,null,null,null,null,null,null,null,null,null,null,null,null,"電話番号",null,null,"012",null,"―","345",null,"―","5789"]
[null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,"都道府県",null,null,"東京都",null,null,"区市町村",null,null,"○○",null,null,null,"区（東京都）",null,null,"××１－２－３"]
[]
[null,null,null,null,null,null,null,null,"接種場所",null,null,null,"医療機関名",null,null,"△△クリニック"]
[null,null,null,null,null,null,null,null,null,null,null,null,"住所",null,null,"都道府県",null,null,"東京都",null,null,"区市町村",null,null,"××",null,null,null,"市",null,null,"Ａ町B1-1"]
[null,null,null,null,null,null,null,null,"ワクチン(5)を上から詰めて入力してください"]
[null,null,null,null,null,null,null,null,"ワクチン",null,null,null,null,"接種種別",null,"ワクチンの種類",null,null,null,null,"ロット番号",null,null,null,null,"製造販売業者名",null,null,null,"接種回数",null,null,null,null,"厚労省No"]
[null,null,null,null,null,null,null,null,null,null,null,null,1,"定期",null,"DPT-IPV",null,null,null,null,"123",null,null,null,null,"Ａ社",null,null,null,"1期 初回 1回目"]
[null,null,null,null,null,null,null,null,"※上詰めで入力してください。\n※ワクチンを変更すると関連情報が全てクリアされます。\n※ワクチンがプルダウンから見つからない場合は、最新Ver.を厚生労働省から取得してください。本報告書はVer1.1です。",null,null,null,2,"定期",null,"Hib",null,null,null,null,"456",null,null,null,null,"Ｂ社",null,null,null,"2回目"]
[null,null,null,null,null,null,null,null,null,null,null,null,3,"定期",null,"PCV7",null,null,null,null,"789",null,null,null,null,"Ｃ社",null,null,null,"2回目"]
[null,null,null,null,null,null,null,null,null,null,null,null,4,"―選択"]
[null,null,null,null,null,null,null,null,null,null,null,null,5,"任意",null,"B型肝炎",null,null,null,null,"1-1",null,null,null,null,"Ｄ社",null,null,null,"2回目"]
[null,null,null,null,null,null,null,null,null,null,null,null,6,"―選択"]
[null,null,null,null,null,null,null,null,null,null,null,null,7,"―選択",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,1]
[null,null,null,null,null,null,null,null,"予診票での留意点が有の場合は詳細を入力してください"]
[null,null,null,null,null,null,null,null,"接種の状況",null,null,null,"接種日",null,null,"2013-05-06",null,null,null,null,"時刻",null,"10:00:00",null,null,"出生体重（患者が乳幼児の場合に記載）",null,null,null,null,null,null,null,null,3456,null,"g"]
[null,null,null,null,null,null,null,null,null,null,null,null,"接種前の体温",null,null,36.799999999999997,null,null,null,"℃","家族歴",null,"特になし"]
[null,null,null,null,null,null,null,null,null,null,null,null,"予診票での留意点の有無",null,null,null,null,null,null,null,null,null,null,null,2,"１　有"]
[null,null,null,null,null,null,null,null,null,null,null,null,"有の場合","基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"最近１カ月以内のワクチン接種歴"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"最近１カ月以内の既往歴"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"投薬中の薬・過去の副作用・副反応歴"]
[null,null,null,null,null,null,null,null,"他要因の可能性を選択してください（選択されていません）　発生日が接種日より過去の日付になっています"]
[null,null,null,null,null,null,null,null,"症状の概要",null,null,null,"症状",null,null,"次頁の表で該当する症状に○をしてください　ない場合は次頁の最下段の症状名に入力してください"]
[null,null,null,null,null,null,null,null,null,null,null,null,"発生日",null,null,"2013-03-07",null,null,null,null,"時刻",null,"03:00:00",null,null,"接種からの期間"]
[null,null,null,null,null,null,null,null,null,null,null,null,"本剤との因果関係（関連あり・関連なし・評価不能）",null,null,null,null,null,null,null,null,null,null,null,null,"２　関連なし"]
[null,null,null,null,null,null,null,null,null,null,null,null,"他要因（他の疾患等）の可能性の有無",null,null,null,null,null,null,null,null,null,null,null,"","―リストを選択してください"]
[null,null,null,null,null,null,null,null,null,null,null,null,"（有の場合：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,"概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,"2013年5月6日に上記のワクチンを接種。翌日38.0℃の発熱と共に、全身性強直性けいれんを5分間認める。A医院を救急受診した時は、既にけいれんは止まっており、意識状態に問題なく、麻痺などもなかったが、経過観察のために霞が関病院に入院。その後解熱し、全身状態良好。2013年5月10日に軽快退院。接種3週間後に接種した部位（左上腕）が化膿していることに気付き、来院。"]
[null,null,null,null,null,null,null,null,null,null,null,null,"○製造販売業者への情報提供の有無",null,null,null,null,null,null,null,null,null,null,null,null,"２　無"]
[]
[]
[null,null,null,null,null,null,null,null,"症状の程度",null,null,null,"重い重くないの別",null,null,null,null,0,"１　重い",null,null,null,null,null,null,"入院病院名"]
[null,null,null,null,null,null,null,null,null,null,null,null,"（重い場合）複数選択可",null,null,"１．死亡",null,null,null,null,null,null,null,null,null,"霞が関病院"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２．障害",null,null,null,null,null,null,null,null,null,"入院担当医の氏名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"３．死亡につながるおそれ",null,null,null,null,null,null,null,null,null,"厚生　三郎"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"４．障害につながるおそれ",null,null,null,null,null,null,null,null,null,"入院日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"○",null,"５．入院",null,null,null,null,null,null,null,null,null,"2013-05-07"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"６．上記1～5に準じて重い",null,null,null,null,null,null,null,null,null,"退院日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"７．後世代における先天性の疾病又は異常",null,null,null,null,null,null,null,null,null,"2013-05-10"]
[null,null,null,null,null,null,null,null,"転帰は必ず１つ選択してください"]
[null,null,null,null,null,null,null,null,"症状の転帰",null,null,null,"転帰日",null,null,null,null,null,null,null,null,null,null,null,null,2,1,0,2]
[null,null,null,null,null,null,null,null,null,null,null,null,"１つのみ","○",null,"１．回復",null,null,null,null,null,null,null,"２．軽快",null,null,null,null,null,null,null,"３．未回復"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"４．後遺症",null,null,null,null,null,null,null,"５．死亡",null,null,null,null,null,"○",null,"６．不明"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（後遺症の詳細：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[null,null,null,null,null,null,null,null,"報告者意見"]
[null,null,null,null,null,null,null,null,"報告回数を選択してください（選択されていません）"]
[null,null,null,null,null,null,null,null,"報告回数",null,null,null,"第１報・第２報・第３報以降",null,null,null,null,null,null,null,null,null,null,null,null,"―リストを選択してください"]
[]
[null,null,null,null,null,null,null,null,"症状",null,null,null,"この列を選択してください→",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DPT-IPV","Hib","PCV7",null,"B型肝炎"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アナフィラキシー",null,null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"急性散在性脳脊髄炎（ADEM）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"脳炎・脳症",null,null,null,null,null,null,null,null,null,null,null,null,"○",null,null,null,null,null,null,1,null,1]
[null,null,null,null,null,null,null,null,null,null,null,null,"○",null,"けいれん",null,null,null,null,null,null,null,null,null,null,null,null,"●","●","●",null,null,null,null,0,null,3]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"ギランバレー症候群",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"血小板減少性紫斑病",null,null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,null,null,null,3,null,3]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"全身播種性BCG感染症",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"ＢＣＧ骨炎（骨髄炎、骨膜炎）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"皮膚結核様病変",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"化膿性リンパ節炎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"血管迷走神経反射（失神を伴うもの）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"血管炎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"肝機能障害",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"ネフローゼ症候群",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"喘息発作",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"間質性肺炎",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"選択不可",null,"皮膚粘膜眼症候群",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,"○",null,"その他の反応",null,null,null,null,null,null,null,null,null,null,null,null,"●","●","●",null,"●",null,null,0,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"a　無呼吸",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"b　気管支けいれん",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"c　急性散在性脳脊髄炎（ADEM）",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"d　多発性硬化症",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"e　脳炎・脳症",null,null,null,null,null,null,null,null,null,null,null,null,"○","○",null,"○",null,null,5,null,5]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"f　脊髄炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,"○",null,null,"g　けいれん",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"●",null,null,0,null,3]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"h　ギランバレー症候群",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"i　視神経炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"j　顔面神経麻痺",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"k　末梢神経障害",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｌ　知覚異常",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"m　血小板減少性紫斑病",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"○",null,null,3,null,3]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"n　血管炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"o　肝機能障害",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"p　ネフローゼ症候群",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"q　喘息発作",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"r　間質性肺炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"s　皮膚粘膜眼症候群",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"t　ぶどう膜炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"u　関節炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"v　蜂巣炎",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"w　血管迷走神経反射（失神を伴うもの）",null,null,null,null,null,null,null,null,null,null,null,"○","○","○",null,"○",null,null,6,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,"○",null,null,"x　a～w以外の場合は以下の「症状名」に記載",null,null,null,null,null,null,null,null,null,null,null,"●","●","●",null,"●",null,null,0,null,6]
[null,null,null,null,null,null,null,null,null,null,null,null,"1:1:2",null,0,"症状名",null,null,"接種部位の化膿"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver1.1"]

{"sheet":"入力シート","index":2,"n_rows":110,"n_cols":29,"rows_kept":110,"cut":false,"hidden":false,"merged":[[48,7,48,15],[49,7,49,15],[50,7,50,15],[51,7,51,15],[52,7,52,15],[53,7,53,15],[54,7,54,15],[0,4,0,28],[0,0,0,3],[2,1,2,28],[48,17,48,28],[50,17,50,28],[52,17,52,28],[20,21,20,25],[13,18,13,20],[14,4,14,6],[14,7,14,17],[14,18,14,20],[14,21,14,22],[14,24,14,25],[14,27,14,28],[15,4,15,6],[15,7,15,9],[1,0,1,28],[4,0,4,3],[8,7,8,28],[47,10,47,16],[47,0,54,3],[20,5,20,6],[20,7,20,11],[47,17,47,28],[20,12,20,16],[20,17,20,20],[47,4,47,8],[20,0,21,3],[22,0,27,3],[48,4,54,4],[48,5,48,6],[49,5,49,6],[49,17,49,28],[50,5,50,6],[51,5,51,6],[51,17,51,28],[52,5,52,6],[53,5,53,6],[53,17,53,28],[54,5,54,6],[54,17,54,28],[9,4,9,6],[9,7,9,9],[9,10,9,12],[6,0,10,3],[6,4,8,6],[6,7,6,8],[6,9,6,17],[6,18,6,19],[6,20,6,28],[7,7,7,8],[7,9,7,17],[7,18,7,19],[7,20,7,28],[10,23,10,28],[10,4,10,6],[10,7,10,9],[10,10,10,12],[10,13,10,15],[10,16,10,19],[9,24,9,25],[9,17,9,23],[4,18,4,22],[15,16,15,19],[15,20,15,22],[15,23,15,28],[17,0,18,3],[17,4,17,6],[17,7,17,28],[18,4,18,6],[18,7,18,9],[18,10,18,12],[18,13,18,15],[18,16,18,19],[18,20,18,22],[18,23,18,28],[15,10,15,12],[15,13,15,15],[9,13,9,16],[13,21,13,26],[10,20,10,22],[12,0,15,3],[12,4,13,6],[12,7,12,28],[13,7,13,14],[13,15,13,17],[20,26,20,28],[21,5,21,6],[21,7,21,11],[23,5,23,6],[23,7,23,11],[23,12,23,16],[23,17,23,20],[23,21,23,25],[23,26,23,28],[21,12,21,16],[21,17,21,20],[21,21,21,25],[21,26,21,28],[22,5,22,6],[22,7,22,11],[22,12,22,16],[22,17,22,20],[22,21,22,25],[22,26,22,28],[25,5,25,6],[25,7,25,11],[25,12,25,16],[25,17,25,20],[25,21,25,25],[25,26,25,28],[24,5,24,6],[24,7,24,11],[24,12,24,16],[24,17,24,20],[24,21,24,25],[24,26,24,28],[27,5,27,6],[27,7,27,11],[27,12,27,16],[27,17,27,20],[27,21,27,25],[27,26,27,28],[26,5,26,6],[26,7,26,11],[26,12,26,16],[26,17,26,20],[26,21,26,25],[26,26,26,28],[29,26,29,27],[30,14,30,28],[31,17,31,28],[29,0,35,3],[29,4,29,6],[29,7,29,11],[29,12,29,13],[29,14,29,16],[29,17,29,25],[32,4,35,4],[32,5,32,16],[32,17,32,28],[33,5,33,16],[33,17,33,28],[34,5,34,16],[34,17,34,28],[35,5,35,16],[35,17,35,28],[30,12,30,13],[30,4,30,6],[30,7,30,10],[37,0,44,3],[37,4,37,6],[37,7,37,28],[38,4,38,6],[38,7,38,11],[40,17,40,28],[41,4,41,6],[41,7,41,27],[42,4,42,28],[43,4,43,28],[38,12,38,13],[38,14,38,16],[38,17,38,22],[38,23,38,28],[39,17,39,28],[44,4,44,16],[44,17,44,28],[39,4,39,15],[40,4,40,15],[61,0,61,3],[61,4,61,28],[63,0,63,3],[57,23,57,28],[58,5,58,6],[58,7,58,12],[58,13,58,14],[58,15,58,20],[58,21,58,22],[58,23,58,28],[56,0,59,3],[57,4,59,4],[57,5,57,6],[57,7,57,12],[57,13,57,14],[57,15,57,20],[57,21,57,22],[63,4,63,16],[63,17,63,28],[56,10,56,16],[56,4,56,9],[59,5,59,8],[59,9,59,27],[70,4,70,5],[70,6,70,18],[71,4,71,5],[71,6,71,18],[72,4,72,5],[72,6,72,18],[65,0,108,3],[66,4,66,5],[66,6,66,18],[67,4,67,5],[67,6,67,18],[68,4,68,5],[68,6,68,18],[69,4,69,5],[69,6,69,18],[76,4,76,5],[76,6,76,18],[77,4,77,5],[77,6,77,18],[78,4,78,5],[78,6,78,18],[73,4,73,5],[73,6,73,18],[74,4,74,5],[74,6,74,18],[75,4,75,5],[75,6,75,18],[82,4,82,5],[82,6,82,18],[83,4,83,5],[83,6,83,18],[84,4,84,5],[84,7,84,18],[79,4,79,5],[79,6,79,18],[80,4,80,5],[80,6,80,18],[81,4,81,5],[81,6,81,18],[89,7,89,18],[90,4,90,5],[90,7,90,18],[85,4,85,5],[85,7,85,18],[86,4,86,5],[86,7,86,18],[87,4,87,5],[87,7,87,18],[95,4,95,5],[95,7,95,18],[31,4,31,15],[96,4,96,5],[96,7,96,18],[107,4,107,5],[107,7,107,18],[108,4,108,5],[108,10,108,18],[103,4,103,5],[103,7,103,18],[104,4,104,5],[104,7,104,18],[105,4,105,5],[105,7,105,18],[91,4,91,5],[91,7,91,18],[92,4,92,5],[92,7,92,18],[93,4,93,5],[93,7,93,18],[88,4,88,5],[88,7,88,18],[89,4,89,5],[108,7,108,9],[65,6,65,18],[65,4,65,5],[4,9,4,17],[4,23,4,28],[3,0,3,22],[3,23,3,28],[4,4,4,8],[106,4,106,5],[106,7,106,18],[100,4,100,5],[100,7,100,18],[101,4,101,5],[101,7,101,18],[102,4,102,5],[102,7,102,18],[97,4,97,5],[97,7,97,18],[98,4,98,5],[98,7,98,18],[99,4,99,5],[99,7,99,18],[94,4,94,5],[94,7,94,18]]}
["（別紙様式１）",null,null,null,"「編集を有効にする」「コンテンツの有効化」が表示された場合は、それらを有効にしてから入力を開始してください。　"]
["予防接種後副反応報告書"]
[null,"の部分を入力してください　文字が青い項目は必須項目です　　入力後は必ず「チェック」ボタンを押してチェックが完了してから送付をお願いします"]
[{"$f":"DATA_input!D11","v":"予防接種法上の定期接種・任意接種の別　（定期接種・任意接種・両方）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(F22:G28,\"定期\")>0,COUNTIF(F22:G28,\"任意\")>0),\"定期接種・任意接種\",IF(COUNTIF(F22:G28,\"定期\")>0,\"定期接種\",IF(COUNTIF(F22:G28,\"任意\")>0,\"任意接種\",\"\")))","v":""}]
[{"$f":"DATA_input!B12","v":"厚労省管理用"},null,null,null,{"$f":"DATA_input!D13","v":"管　理　番　号"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D12","v":"日　　　付"}]
[]
[{"$f":"DATA_input!B14","v":"患者\n（被接種者）"},null,null,null,{"$f":"DATA_input!D14","v":"氏名又は\nイニシャル"},null,null,{"$f":"DATA_input!D15","v":"セイ"},null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D17","v":"メイ"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D16","v":"姓"},null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D18","v":"名"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D19","v":"（定期接種の場合は姓・名・セイ・メイを入力してください　任意接種の場合は姓・名欄にイニシャル１文字を入力してください）"}]
[null,null,null,null,{"$f":"DATA_input!D20","v":"性別"},null,null,"―選択",null,null,{"$f":"DATA_input!D23","v":"生年月日"},null,null,null,null,null,null,{"$f":"DATA_input!D21","v":"接種時年齢（0歳児は月必須）"},null,null,null,null,null,null,null,null,"歳",null,"月"]
[null,null,null,null,{"$f":"DATA_input!D24","v":"住所"},null,null,{"$f":"DATA_input!D25","v":"都道府県"},null,null,"―選択",null,null,{"$f":"DATA_input!D26","v":"区市町村"},null,null,null,null,null,null,"―選択"]
[]
[{"$f":"DATA_input!B28","v":"報告者"},null,null,null,{"$f":"DATA_input!D28","v":"氏名"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D29","v":"関係（接種者・主治医・その他）"},null,null,null,null,null,null,null,"―選択",null,null,{"$f":"DATA_input!D30","v":"（その他："},null,null,null,null,null,null,null,null,"）",{"$f":"IF(AND(COUNTIF(P14,\"*その他\")=1,V14<>\"\"),0,IF(AND(COUNTIF(P14,\"*その他\")=0,V14<>\"\"),1,IF(AND(COUNTIF(P14,\"*その他\")=1,V14=\"\"),2,0)))","v":0}]
[null,null,null,null,{"$f":"DATA_input!D31","v":"医療機関名"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D33","v":"電話番号"},null,null,"",null,{"$f":"DATA_input!D32","v":"―"},"",null,{"$f":"DATA_input!D32","v":"―"},""]
[null,null,null,null,{"$f":"DATA_input!D36","v":"住所"},null,null,{"$f":"DATA_input!D37","v":"都道府県"},null,null,"―選択",null,null,{"$f":"DATA_input!D38","v":"区市町村"},null,null,null,null,null,null,"―選択",null,null,""]
[]
[{"$f":"DATA_input!B41","v":"接種場所"},null,null,null,{"$f":"DATA_input!D41","v":"医療機関名"}]
[null,null,null,null,{"$f":"DATA_input!D42","v":"住所"},null,null,{"$f":"DATA_input!D43","v":"都道府県"},null,null,"―選択",null,null,{"$f":"DATA_input!D44","v":"区市町村"},null,null,null,null,null,null,"―選択",null,null,""]
[]
[{"$f":"DATA_input!B47","v":"ワクチン"},null,null,null,null,{"$f":"DATA_input!D47","v":"接種種別"},null,{"$f":"DATA_input!D48","v":"ワクチンの種類"},null,null,null,null,{"$f":"DATA_input!D49","v":"ロット番号"},null,null,null,null,{"$f":"DATA_input!D50","v":"製造販売業者名"},null,null,null,{"$f":"DATA_input!D51","v":"接種回数"},null,null,null,null,{"$f":"DATA_input!D52","v":"厚労省No"}]
[null,null,null,null,1,"―選択",null,"接種種別を選択してください",null,null,null,null,"",null,null,null,null,"ワクチンを選択してください",null,null,null,"ワクチンを選択してください"]
["※上詰めで入力してください。\n※ワクチンを変更すると関連情報が全てクリアされます。\n※ワクチンがプルダウンから見つからない場合は、最新Ver.を厚生労働省から取得してください。本報告書はVer1.1です。",null,null,null,2,"―選択",null,"",null,null,null,null,""]
[null,null,null,null,3,"―選択",null,"",null,null,null,null,""]
[null,null,null,null,4,"―選択",null,"",null,null,null,null,""]
[null,null,null,null,5,"―選択",null,"",null,null,null,null,""]
[null,null,null,null,6,"―選択",null,"",null,null,null,null,""]
[null,null,null,null,7,"―選択",null,"",null,null,null,null,""]
[]
[{"$f":"DATA_input!B89","v":"接種の状況"},null,null,null,{"$f":"DATA_input!D89","v":"接種日"},null,null,null,null,null,null,null,{"$f":"DATA_input!D90","v":"時刻"},null,null,null,null,{"$f":"DATA_input!D91","v":"出生体重（患者が乳幼児の場合に記載）"},null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D92","v":"g"}]
[null,null,null,null,{"$f":"DATA_input!D93","v":"接種前の体温"},null,null,null,null,null,null,{"$f":"DATA_input!D94","v":"℃"},{"$f":"DATA_input!D95","v":"家族歴"}]
[null,null,null,null,{"$f":"DATA_input!D96","v":"予診票での留意点の有無"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(R32,\"*有\")=1,LEN(R33&R34&R35&R36)>0),0,IF(AND(COUNTIF(R32,\"*有\")=0,LEN(R33&R34&R35&R36)>0),1,IF(AND(COUNTIF(R32,\"*有\")=1,LEN(R33&R34&R35&R36)=0),2,\"\")))","v":""},"―リストを選択してください"]
[null,null,null,null,{"$f":"DATA_input!D97","v":"有の場合"},{"$f":"DATA_input!D98","v":"基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等"}]
[null,null,null,null,null,{"$f":"DATA_input!D99","v":"最近１カ月以内のワクチン接種歴"}]
[null,null,null,null,null,{"$f":"DATA_input!D100","v":"最近１カ月以内の既往歴"}]
[null,null,null,null,null,{"$f":"DATA_input!D101","v":"投薬中の薬・過去の副作用・副反応歴"}]
[]
[{"$f":"DATA_input!B102","v":"症状の概要"},null,null,null,{"$f":"DATA_input!D102","v":"症状"},null,null,{"$f":"DATA_input!D103","v":"次頁の表で該当する症状に○をしてください　ない場合は次頁の最下段の症状名に入力してください"}]
[null,null,null,null,{"$f":"DATA_input!D104","v":"発生日"},null,null,null,null,null,null,null,{"$f":"DATA_input!D105","v":"時刻"},null,null,null,null,{"$f":"DATA_input!D106","v":"接種からの期間"}]
[null,null,null,null,{"$f":"DATA_input!D107","v":"本剤との因果関係（関連あり・関連なし・評価不能）"},null,null,null,null,null,null,null,null,null,null,null,null,"―リストを選択してください"]
[null,null,null,null,{"$f":"DATA_input!D108","v":"他要因（他の疾患等）の可能性の有無"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(R41,\"*有\")=1,H42<>\"\"),0,IF(AND(COUNTIF(R41,\"*有\")=0,H42<>\"\"),1,IF(AND(COUNTIF(R41,\"*有\")=1,H42=\"\"),2,\"\")))","v":""},"―リストを選択してください"]
[null,null,null,null,{"$f":"DATA_input!D109","v":"（有の場合："},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,{"$f":"DATA_input!D110","v":"概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。"}]
[]
[null,null,null,null,{"$f":"DATA_input!D111","v":"○製造販売業者への情報提供の有無"},null,null,null,null,null,null,null,null,null,null,null,null,"―リストを選択してください"]
[]
[]
["症状の程度",null,null,null,{"$f":"DATA_input!D112","v":"重い重くないの別"},null,null,null,null,{"$f":"IF(AND(COUNTIF(K48,\"*重い\")=1,COUNTIF(F49:G55,\"○\")>0),0,IF(AND(COUNTIF(K48,\"*重い\")=0,COUNTIF(F49:G55,\"○\")>0),1,IF(AND(COUNTIF(K48,\"*重い\")=1,COUNTIF(G55,\"○\")=0),2,\"\")))","v":""},"―リストを選択してください",null,null,null,null,null,null,{"$f":"DATA_input!D121","v":"入院病院名"}]
[null,null,null,null,"（重い場合）複数選択可",null,null,{"$f":"DATA_input!D114","v":"１．死亡"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D115","v":"２．障害"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D122","v":"入院担当医の氏名"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D116","v":"３．死亡につながるおそれ"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D117","v":"４．障害につながるおそれ"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D123","v":"入院日"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D118","v":"５．入院"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D119","v":"６．上記1～5に準じて重い"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D124","v":"退院日"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D120","v":"７．後世代における先天性の疾病又は異常"}]
[]
[{"$f":"DATA_input!B125","v":"症状の転帰"},null,null,null,{"$f":"DATA_input!D125","v":"転帰日"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(F58:AC59,\"○\")","v":0},{"$f":"IF(AND(K57=\"\",F58=\"○\"),1, IF(AND(K57=\"\",N58=\"○\"),2,IF(AND(K57=\"\",V58=\"○\"),3,IF(AND(K57=\"\",F59=\"○\"),4,IF(AND(K57=\"\",N59=\"○\"),5,0)))))","v":0},{"$f":"IF(AND(F59=\"○\",J60<>\"\"),0,IF(AND(F59<>\"○\",J60<>\"\"),1,IF(AND(F59=\"○\",J60=\"\"),2,0)))","v":0},{"$f":"IF(AND(F49=\"○\",N59=\"○\"),0,IF(AND(F49=\"○\",N59<>\"○\"),1,2))","v":2}]
[null,null,null,null,{"$f":"DATA_input!D126","v":"１つのみ"},null,null,{"$f":"DATA_input!D127","v":"１．回復"},null,null,null,null,null,null,null,{"$f":"DATA_input!D128","v":"２．軽快"},null,null,null,null,null,null,null,{"$f":"DATA_input!D129","v":"３．未回復"}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D130","v":"４．後遺症"},null,null,null,null,null,null,null,{"$f":"DATA_input!D131","v":"５．死亡"},null,null,null,null,null,null,null,{"$f":"DATA_input!D132","v":"６．不明"}]
[null,null,null,null,null,{"$f":"DATA_input!D133","v":"（後遺症の詳細："},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[{"$f":"DATA_input!B134","v":"報告者意見"}]
[]
[{"$f":"DATA_input!B135","v":"報告回数"},null,null,null,{"$f":"DATA_input!D135","v":"第１報・第２報・第３報以降"},null,null,null,null,null,null,null,null,null,null,null,null,"―リストを選択してください"]
[]
[{"$f":"DATA_input!B137","v":"症状"},null,null,null,"この列を選択してください→"]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A41","v":"アナフィラキシー"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF($T67:$Z67,\"○\")","v":0},null,{"$f":"COUNTIF(T67:Z67,\"○\") + COUNTIF(T67:Z67,\"●\")","v":0}]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A42","v":"急性散在性脳脊髄炎（ADEM）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF($T68:$Z68,\"○\")","v":0},null,{"$f":"COUNTIF(T68:Z68,\"○\") + COUNTIF(T68:Z68,\"●\")","v":0}]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A43","v":"脳炎・脳症"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,{"$f":"COUNTIF(T69:Z69,\"○\") + COUNTIF(T69:Z69,\"●\")","v":0}]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A44","v":"けいれん"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A45","v":"ギランバレー症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A46","v":"血小板減少性紫斑病"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A47","v":"全身播種性BCG感染症"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A48","v":"ＢＣＧ骨炎（骨髄炎、骨膜炎）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A49","v":"皮膚結核様病変"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A50","v":"化膿性リンパ節炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A51","v":"血管迷走神経反射（失神を伴うもの）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A52","v":"血管炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A53","v":"肝機能障害"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A54","v":"ネフローゼ症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A55","v":"喘息発作"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A56","v":"間質性肺炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A57","v":"皮膚粘膜眼症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,{"$f":"DATA_vaccine!A58","v":"その他の反応"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A59","v":"a　無呼吸"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A60","v":"b　気管支けいれん"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A61","v":"c　急性散在性脳脊髄炎（ADEM）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A62","v":"d　多発性硬化症"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A63","v":"e　脳炎・脳症"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A64","v":"f　脊髄炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A65","v":"g　けいれん"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A66","v":"h　ギランバレー症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A67","v":"i　視神経炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A68","v":"j　顔面神経麻痺"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A69","v":"k　末梢神経障害"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A70","v":"l　知覚異常"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A71","v":"m　血小板減少性紫斑病"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A72","v":"n　血管炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A73","v":"o　肝機能障害"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A74","v":"p　ネフローゼ症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A75","v":"q　喘息発作"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A76","v":"r　間質性肺炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A77","v":"s　皮膚粘膜眼症候群"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A78","v":"t　ぶどう膜炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A79","v":"u　関節炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A80","v":"v　蜂巣炎"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A81","v":"w　血管迷走神経反射"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,"選択不可",null,null,{"$f":"DATA_vaccine!A82","v":"x　a～w以外の場合は以下の「症状名」に記載"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,null,0]
[null,null,null,null,{"$f":"COUNTIF(E67:F83,\"○\") & \":\" & COUNTIF(E84,\"○\") & \":\" & COUNTIF(E85:F108,\"○\")","v":"0:0:0"},null,{"$f":"IF(AND(E108=\"○\",K109<>\"\"),0,IF(AND(E108<>\"○\",K109<>\"\"),1,IF(AND(E108=\"○\",K109=\"\"),2,\"\")))","v":""},{"$f":"DATA_input!D136","v":"症状名"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver1.1"]

{"sheet":"ＦＡＸ送信用（このシートを印刷してください）","index":3,"n_rows":110,"n_cols":29,"rows_kept":110,"cut":false,"hidden":false,"merged":[[106,4,106,5],[106,7,106,18],[107,4,107,5],[107,7,107,18],[108,4,108,5],[108,7,108,9],[108,10,108,18],[103,4,103,5],[103,7,103,18],[104,4,104,5],[104,7,104,18],[105,4,105,5],[105,7,105,18],[100,4,100,5],[100,7,100,18],[101,4,101,5],[101,7,101,18],[102,4,102,5],[102,7,102,18],[97,4,97,5],[97,7,97,18],[98,4,98,5],[98,7,98,18],[99,4,99,5],[99,7,99,18],[94,4,94,5],[94,7,94,18],[95,4,95,5],[95,7,95,18],[96,4,96,5],[96,7,96,18],[91,4,91,5],[91,7,91,18],[92,4,92,5],[92,7,92,18],[93,4,93,5],[93,7,93,18],[88,4,88,5],[88,7,88,18],[89,4,89,5],[89,7,89,18],[90,4,90,5],[90,7,90,18],[85,4,85,5],[85,7,85,18],[86,4,86,5],[86,7,86,18],[87,4,87,5],[87,7,87,18],[82,4,82,5],[82,6,82,18],[83,4,83,5],[83,6,83,18],[84,4,84,5],[84,7,84,18],[79,4,79,5],[79,6,79,18],[80,4,80,5],[80,6,80,18],[81,4,81,5],[81,6,81,18],[77,4,77,5],[77,6,77,18],[78,4,78,5],[78,6,78,18],[73,4,73,5],[73,6,73,18],[74,4,74,5],[74,6,74,18],[75,4,75,5],[75,6,75,18],[61,0,61,3],[61,4,61,28],[63,0,63,3],[63,4,63,16],[63,17,63,28],[65,0,108,3],[65,4,65,5],[65,6,65,18],[66,4,66,5],[66,6,66,18],[70,4,70,5],[70,6,70,18],[71,4,71,5],[71,6,71,18],[72,4,72,5],[72,6,72,18],[67,4,67,5],[67,6,67,18],[68,4,68,5],[68,6,68,18],[69,4,69,5],[69,6,69,18],[76,4,76,5],[76,6,76,18],[56,0,59,3],[56,4,56,9],[56,10,56,16],[57,4,59,4],[57,5,57,6],[57,7,57,12],[57,13,57,14],[57,15,57,20],[59,5,59,8],[59,9,59,27],[56,17,56,28],[51,17,51,28],[52,5,52,6],[52,7,52,15],[52,17,52,28],[57,21,57,22],[57,23,57,28],[58,5,58,6],[58,7,58,12],[58,13,58,14],[58,15,58,20],[58,21,58,22],[58,23,58,28],[49,5,49,6],[49,7,49,15],[49,17,49,28],[50,5,50,6],[50,7,50,15],[50,17,50,28],[44,4,44,16],[44,17,44,28],[47,0,54,3],[47,4,47,8],[47,10,47,16],[47,17,47,28],[48,4,54,4],[48,5,48,6],[48,7,48,15],[48,17,48,28],[53,5,53,6],[53,7,53,15],[53,17,53,28],[54,5,54,6],[54,7,54,15],[54,17,54,28],[51,5,51,6],[51,7,51,15],[37,0,44,3],[37,4,37,6],[37,7,37,28],[38,4,38,6],[38,7,38,11],[40,4,40,15],[40,17,40,28],[41,4,41,6],[41,7,41,27],[42,4,42,28],[43,4,43,28],[38,12,38,13],[38,14,38,16],[38,17,38,22],[38,23,38,28],[39,4,39,15],[39,17,39,28],[29,26,29,27],[30,4,30,6],[30,7,30,10],[30,12,30,13],[30,14,30,28],[31,4,31,15],[31,17,31,28],[29,0,35,3],[29,4,29,6],[29,7,29,11],[29,12,29,13],[29,14,29,16],[29,17,29,25],[32,4,35,4],[32,5,32,16],[32,17,32,28],[33,5,33,16],[33,17,33,28],[34,5,34,16],[34,17,34,28],[35,5,35,16],[35,17,35,28],[27,5,27,6],[27,7,27,11],[27,12,27,16],[27,17,27,20],[27,21,27,25],[27,26,27,28],[26,5,26,6],[26,7,26,11],[26,12,26,16],[26,17,26,20],[26,21,26,25],[26,26,26,28],[21,17,21,20],[21,21,21,25],[21,26,21,28],[25,5,25,6],[25,7,25,11],[25,12,25,16],[25,17,25,20],[25,21,25,25],[25,26,25,28],[24,5,24,6],[24,7,24,11],[24,12,24,16],[24,17,24,20],[24,21,24,25],[24,26,24,28],[22,0,27,3],[22,5,22,6],[22,7,22,11],[22,12,22,16],[22,17,22,20],[22,21,22,25],[18,23,18,28],[20,0,21,3],[20,5,20,6],[20,7,20,11],[20,12,20,16],[20,17,20,20],[20,21,20,25],[20,26,20,28],[21,5,21,6],[21,7,21,11],[22,26,22,28],[23,5,23,6],[23,7,23,11],[23,12,23,16],[23,17,23,20],[23,21,23,25],[23,26,23,28],[21,12,21,16],[17,0,18,3],[17,4,17,6],[17,7,17,28],[18,4,18,6],[18,7,18,9],[18,10,18,12],[18,13,18,15],[18,16,18,19],[18,20,18,22],[14,21,14,22],[14,24,14,25],[14,27,14,28],[15,4,15,6],[15,7,15,9],[15,10,15,12],[15,13,15,15],[15,16,15,19],[15,20,15,22],[15,23,15,28],[9,24,9,25],[6,20,6,28],[7,7,7,8],[7,9,7,17],[7,18,7,19],[7,20,7,28],[8,7,8,28],[10,23,10,28],[12,0,15,3],[12,4,13,6],[12,7,12,28],[13,7,13,14],[13,15,13,17],[13,18,13,20],[13,21,13,26],[14,4,14,6],[14,7,14,17],[10,4,10,6],[10,7,10,9],[10,10,10,12],[10,13,10,15],[10,16,10,19],[10,20,10,22],[14,18,14,20],[6,0,10,3],[6,4,8,6],[6,7,6,8],[6,9,6,17],[6,18,6,19],[9,4,9,6],[9,7,9,9],[9,10,9,12],[9,13,9,16],[9,17,9,23],[0,0,0,3],[0,4,0,28],[1,0,1,28],[2,1,2,28],[3,0,3,22],[3,23,3,28],[4,0,4,3],[4,4,4,8],[4,9,4,17],[4,18,4,22],[4,23,4,28]]}
["（別紙様式１）",null,null,null,"このシートはＦＡＸ送信用です。内容の記載は「入力シート」で行ってください。"]
["予防接種後副反応報告書"]
[null,"「入力シート」に記載すると、自動的にこのシートに転記されます。転記後にこのシートを印刷してＦＡＸ送信してください。"]
[{"$f":"DATA_input!D11","v":"予防接種法上の定期接種・任意接種の別　（定期接種・任意接種・両方）"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(F22:G28,\"定期\")>0,COUNTIF(F22:G28,\"任意\")>0),\"定期接種・任意接種\",IF(COUNTIF(F22:G28,\"定期\")>0,\"定期接種\",IF(COUNTIF(F22:G28,\"任意\")>0,\"任意接種\",\"\")))","v":""}]
[{"$f":"DATA_input!B12","v":"厚労省管理用"},null,null,null,{"$f":"DATA_input!D13","v":"管　理　番　号"},null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D12","v":"日　　　付"}]
[]
[{"$f":"DATA_input!B14","v":"患者\n（被接種者）"},null,null,null,{"$f":"DATA_input!D14","v":"氏名又は\nイニシャル"},null,null,{"$f":"DATA_input!D15","v":"セイ"},null,{"$f":"IF(入力シート!J7=\"\",\"\",入力シート!J7)","v":""},null,null,null,null,null,null,null,null,{"$f":"DATA_input!D17","v":"メイ"},null,{"$f":"IF(入力シート!U7=\"\",\"\",入力シート!U7)","v":""}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D16","v":"姓"},null,{"$f":"IF(入力シート!J8=\"\",\"\",入力シート!J8)","v":""},null,null,null,null,null,null,null,null,{"$f":"DATA_input!D18","v":"名"},null,{"$f":"IF(入力シート!U8=\"\",\"\",入力シート!U8)","v":""}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D19","v":"（定期接種の場合は姓・名・セイ・メイを入力してください　任意接種の場合は姓・名欄にイニシャル１文字を入力してください）"}]
[null,null,null,null,{"$f":"DATA_input!D20","v":"性別"},null,null,{"$f":"IF(入力シート!H10=\"\",\"\",入力シート!H10)","v":"―選択"},null,null,{"$f":"DATA_input!D23","v":"生年月日"},null,null,{"$f":"IF(入力シート!N10=\"\",\"\",入力シート!N10)","v":""},null,null,null,{"$f":"DATA_input!D21","v":"接種時年齢（0歳児は月必須）"},null,null,null,null,null,null,{"$f":"IF(入力シート!Y10=\"\",\"\",入力シート!Y10)","v":""},null,"歳",{"$f":"IF(入力シート!AB10=\"\",\"\",入力シート!AB10)","v":""},"月"]
[null,null,null,null,{"$f":"DATA_input!D24","v":"住所"},null,null,{"$f":"DATA_input!D25","v":"都道府県"},null,null,{"$f":"IF(入力シート!K11=\"\",\"\",入力シート!K11)","v":"―選択"},null,null,{"$f":"DATA_input!D26","v":"区市町村"},null,null,{"$f":"IF(入力シート!Q11=\"\",\"\",入力シート!Q11)","v":""},null,null,null,{"$f":"IF(入力シート!U11=\"\",\"\",入力シート!U11)","v":"―選択"}]
[]
[{"$f":"DATA_input!B28","v":"報告者"},null,null,null,{"$f":"DATA_input!D28","v":"氏名"},null,null,{"$f":"IF(入力シート!H13=\"\",\"\",入力シート!H13)","v":""}]
[null,null,null,null,null,null,null,{"$f":"DATA_input!D29","v":"関係（接種者・主治医・その他）"},null,null,null,null,null,null,null,{"$f":"IF(入力シート!P14=\"\",\"\",入力シート!P14)","v":"―選択"},null,null,{"$f":"DATA_input!D30","v":"（その他："},null,null,{"$f":"IF(入力シート!V14=\"\",\"\",入力シート!V14)","v":""},null,null,null,null,null,"）",{"$f":"IF(AND(COUNTIF(P14,\"*その他\")=1,V14<>\"\"),0,IF(AND(COUNTIF(P14,\"*その他\")=0,V14<>\"\"),1,IF(AND(COUNTIF(P14,\"*その他\")=1,V14=\"\"),2,0)))","v":0}]
[null,null,null,null,{"$f":"DATA_input!D31","v":"医療機関名"},null,null,{"$f":"IF(入力シート!H15=\"\",\"\",入力シート!H15)","v":""},null,null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D33","v":"電話番号"},null,null,{"$f":"IF(入力シート!V15=\"\",\"\",入力シート!V15)","v":""},null,{"$f":"DATA_input!D32","v":"―"},{"$f":"IF(入力シート!Y15=\"\",\"\",入力シート!Y15)","v":""},null,{"$f":"DATA_input!D32","v":"―"},{"$f":"IF(入力シート!AB15=\"\",\"\",入力シート!AB15)","v":""}]
[null,null,null,null,{"$f":"DATA_input!D36","v":"住所"},null,null,{"$f":"DATA_input!D37","v":"都道府県"},null,null,{"$f":"IF(入力シート!K16=\"\",\"\",入力シート!K16)","v":"―選択"},null,null,{"$f":"DATA_input!D38","v":"区市町村"},null,null,{"$f":"IF(入力シート!Q16=\"\",\"\",入力シート!Q16)","v":""},null,null,null,{"$f":"IF(入力シート!U16=\"\",\"\",入力シート!U16)","v":"―選択"},null,null,{"$f":"IF(入力シート!X16=\"\",\"\",入力シート!X16)","v":""}]
[]
[{"$f":"DATA_input!B41","v":"接種場所"},null,null,null,{"$f":"DATA_input!D41","v":"医療機関名"},null,null,{"$f":"IF(入力シート!H18=\"\",\"\",入力シート!H18)","v":""}]
[null,null,null,null,{"$f":"DATA_input!D42","v":"住所"},null,null,{"$f":"DATA_input!D43","v":"都道府県"},null,null,{"$f":"IF(入力シート!K19=\"\",\"\",入力シート!K19)","v":"―選択"},null,null,{"$f":"DATA_input!D44","v":"区市町村"},null,null,{"$f":"IF(入力シート!Q19=\"\",\"\",入力シート!Q19)","v":""},null,null,null,{"$f":"IF(入力シート!U19=\"\",\"\",入力シート!U19)","v":"―選択"},null,null,{"$f":"IF(入力シート!X19=\"\",\"\",入力シート!X19)","v":""}]
[]
[{"$f":"DATA_input!B47","v":"ワクチン"},null,null,null,null,{"$f":"DATA_input!D47","v":"接種種別"},null,{"$f":"DATA_input!D48","v":"ワクチンの種類"},null,null,null,null,{"$f":"DATA_input!D49","v":"ロット番号"},null,null,null,null,{"$f":"DATA_input!D50","v":"製造販売業者名"},null,null,null,{"$f":"DATA_input!D51","v":"接種回数"},null,null,null,null,{"$f":"DATA_input!D52","v":"厚労省No"}]
[null,null,null,null,1,{"$f":"IF(入力シート!F22=\"\",\"\",入力シート!F22)","v":"―選択"},null,{"$f":"IF(入力シート!H22=\"\",\"\",入力シート!H22)","v":"接種種別を選択してください"},null,null,null,null,{"$f":"IF(入力シート!M22=\"\",\"\",入力シート!M22)","v":""},null,null,null,null,{"$f":"IF(入力シート!R22=\"\",\"\",入力シート!R22)","v":"ワクチンを選択してください"},null,null,null,{"$f":"IF(入力シート!V22=\"\",\"\",入力シート!V22)","v":"ワクチンを選択してください"},null,null,null,null,{"$f":"IF(入力シート!AA22=\"\",\"\",入力シート!AA22)","v":""}]
["※上詰めで入力してください。\n※ワクチンを変更すると関連情報が全てクリアされます。\n※ワクチンがプルダウンから見つからない場合は、最新Ver.を厚生労働省から取得してください。本報告書はVer1.1です。",null,null,null,2,{"$f":"IF(入力シート!F23=\"\",\"\",入力シート!F23)","v":"―選択"},null,{"$f":"IF(入力シート!H23=\"\",\"\",入力シート!H23)","v":""},null,null,null,null,{"$f":"IF(入力シート!M23=\"\",\"\",入力シート!M23)","v":""},null,null,null,null,{"$f":"IF(入力シート!R23=\"\",\"\",入力シート!R23)","v":""},null,null,null,{"$f":"IF(入力シート!V23=\"\",\"\",入力シート!V23)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA23=\"\",\"\",入力シート!AA23)","v":""}]
[null,null,null,null,3,{"$f":"IF(入力シート!F24=\"\",\"\",入力シート!F24)","v":"―選択"},null,{"$f":"IF(入力シート!H24=\"\",\"\",入力シート!H24)","v":""},null,null,null,null,{"$f":"IF(入力シート!M24=\"\",\"\",入力シート!M24)","v":""},null,null,null,null,{"$f":"IF(入力シート!R24=\"\",\"\",入力シート!R24)","v":""},null,null,null,{"$f":"IF(入力シート!V24=\"\",\"\",入力シート!V24)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA24=\"\",\"\",入力シート!AA24)","v":""}]
[null,null,null,null,4,{"$f":"IF(入力シート!F25=\"\",\"\",入力シート!F25)","v":"―選択"},null,{"$f":"IF(入力シート!H25=\"\",\"\",入力シート!H25)","v":""},null,null,null,null,{"$f":"IF(入力シート!M25=\"\",\"\",入力シート!M25)","v":""},null,null,null,null,{"$f":"IF(入力シート!R25=\"\",\"\",入力シート!R25)","v":""},null,null,null,{"$f":"IF(入力シート!V25=\"\",\"\",入力シート!V25)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA25=\"\",\"\",入力シート!AA25)","v":""}]
[null,null,null,null,5,{"$f":"IF(入力シート!F26=\"\",\"\",入力シート!F26)","v":"―選択"},null,{"$f":"IF(入力シート!H26=\"\",\"\",入力シート!H26)","v":""},null,null,null,null,{"$f":"IF(入力シート!M26=\"\",\"\",入力シート!M26)","v":""},null,null,null,null,{"$f":"IF(入力シート!R26=\"\",\"\",入力シート!R26)","v":""},null,null,null,{"$f":"IF(入力シート!V26=\"\",\"\",入力シート!V26)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA26=\"\",\"\",入力シート!AA26)","v":""}]
[null,null,null,null,6,{"$f":"IF(入力シート!F27=\"\",\"\",入力シート!F27)","v":"―選択"},null,{"$f":"IF(入力シート!H27=\"\",\"\",入力シート!H27)","v":""},null,null,null,null,{"$f":"IF(入力シート!M27=\"\",\"\",入力シート!M27)","v":""},null,null,null,null,{"$f":"IF(入力シート!R27=\"\",\"\",入力シート!R27)","v":""},null,null,null,{"$f":"IF(入力シート!V27=\"\",\"\",入力シート!V27)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA27=\"\",\"\",入力シート!AA27)","v":""}]
[null,null,null,null,7,{"$f":"IF(入力シート!F28=\"\",\"\",入力シート!F28)","v":"―選択"},null,{"$f":"IF(入力シート!H28=\"\",\"\",入力シート!H28)","v":""},null,null,null,null,{"$f":"IF(入力シート!M28=\"\",\"\",入力シート!M28)","v":""},null,null,null,null,{"$f":"IF(入力シート!R28=\"\",\"\",入力シート!R28)","v":""},null,null,null,{"$f":"IF(入力シート!V28=\"\",\"\",入力シート!V28)","v":""},null,null,null,null,{"$f":"IF(入力シート!AA28=\"\",\"\",入力シート!AA28)","v":""}]
[]
[{"$f":"DATA_input!B89","v":"接種の状況"},null,null,null,{"$f":"DATA_input!D89","v":"接種日"},null,null,{"$f":"IF(入力シート!H30=\"\",\"\",入力シート!H30)","v":""},null,null,null,null,{"$f":"DATA_input!D90","v":"時刻"},null,{"$f":"IF(入力シート!O30=\"\",\"\",入力シート!O30)","v":""},null,null,{"$f":"DATA_input!D91","v":"出生体重（患者が乳幼児の場合に記載）"},null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!AA30=\"\",\"\",入力シート!AA30)","v":""},null,{"$f":"DATA_input!D92","v":"g"}]
[null,null,null,null,{"$f":"DATA_input!D93","v":"接種前の体温"},null,null,{"$f":"IF(入力シート!H31=\"\",\"\",入力シート!H31)","v":""},null,null,null,{"$f":"DATA_input!D94","v":"℃"},{"$f":"DATA_input!D95","v":"家族歴"},null,{"$f":"IF(入力シート!O31=\"\",\"\",入力シート!O31)","v":""}]
[null,null,null,null,{"$f":"DATA_input!D96","v":"予診票での留意点の有無"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(R32,\"*有\")=1,LEN(R33&R34&R35&R36)>0),0,IF(AND(COUNTIF(R32,\"*有\")=0,LEN(R33&R34&R35&R36)>0),1,IF(AND(COUNTIF(R32,\"*有\")=1,LEN(R33&R34&R35&R36)=0),2,\"\")))","v":""},{"$f":"IF(入力シート!R32=\"\",\"\",入力シート!R32)","v":"―リストを選択してください"}]
[null,null,null,null,{"$f":"DATA_input!D97","v":"有の場合"},{"$f":"DATA_input!D98","v":"基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R33=\"\",\"\",入力シート!R33)","v":""}]
[null,null,null,null,null,{"$f":"DATA_input!D99","v":"最近１カ月以内のワクチン接種歴"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R34=\"\",\"\",入力シート!R34)","v":""}]
[null,null,null,null,null,{"$f":"DATA_input!D100","v":"最近１カ月以内の既往歴"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R35=\"\",\"\",入力シート!R35)","v":""}]
[null,null,null,null,null,{"$f":"DATA_input!D101","v":"投薬中の薬・過去の副作用・副反応歴"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R36=\"\",\"\",入力シート!R36)","v":""}]
[]
[{"$f":"DATA_input!B102","v":"症状の概要"},null,null,null,{"$f":"DATA_input!D102","v":"症状"},null,null,{"$f":"DATA_input!D103","v":"次頁の表で該当する症状に○をしてください　ない場合は次頁の最下段の症状名に入力してください"}]
[null,null,null,null,{"$f":"DATA_input!D104","v":"発生日"},null,null,{"$f":"IF(入力シート!H39=\"\",\"\",入力シート!H39)","v":""},null,null,null,null,{"$f":"DATA_input!D105","v":"時刻"},null,{"$f":"IF(入力シート!O39=\"\",\"\",入力シート!O39)","v":""},null,null,{"$f":"DATA_input!D106","v":"接種からの期間"},null,null,null,null,null,{"$f":"IF(入力シート!X39=\"\",\"\",入力シート!X39)","v":""}]
[null,null,null,null,{"$f":"DATA_input!D107","v":"本剤との因果関係（関連あり・関連なし・評価不能）"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R40=\"\",\"\",入力シート!R40)","v":"―リストを選択してください"}]
[null,null,null,null,{"$f":"DATA_input!D108","v":"他要因（他の疾患等）の可能性の有無"},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(COUNTIF(R41,\"*有\")=1,H42<>\"\"),0,IF(AND(COUNTIF(R41,\"*有\")=0,H42<>\"\"),1,IF(AND(COUNTIF(R41,\"*有\")=1,H42=\"\"),2,\"\")))","v":""},{"$f":"IF(入力シート!R41=\"\",\"\",入力シート!R41)","v":"―リストを選択してください"}]
[null,null,null,null,{"$f":"DATA_input!D109","v":"（有の場合："},null,null,{"$f":"IF(入力シート!H42=\"\",\"\",入力シート!H42)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,{"$f":"DATA_input!D110","v":"概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。"}]
[null,null,null,null,{"$f":"IF(入力シート!E44=\"\",\"\",入力シート!E44)","v":""}]
[null,null,null,null,{"$f":"DATA_input!D111","v":"○製造販売業者への情報提供の有無"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R45=\"\",\"\",入力シート!R45)","v":"―リストを選択してください"}]
[]
[]
["症状の程度",null,null,null,{"$f":"DATA_input!D112","v":"重い重くないの別"},null,null,null,null,{"$f":"IF(AND(COUNTIF(K48,\"*重い\")=1,COUNTIF(F49:G55,\"○\")>0),0,IF(AND(COUNTIF(K48,\"*重い\")=0,COUNTIF(F49:G55,\"○\")>0),1,IF(AND(COUNTIF(K48,\"*重い\")=1,COUNTIF(G55,\"○\")=0),2,\"\")))","v":""},{"$f":"IF(入力シート!K48=\"\",\"\",入力シート!K48)","v":"―リストを選択してください"},null,null,null,null,null,null,{"$f":"DATA_input!D121","v":"入院病院名"}]
[null,null,null,null,"（重い場合）複数選択可",{"$f":"IF(入力シート!F49=\"\",\"\",入力シート!F49)","v":""},null,{"$f":"DATA_input!D114","v":"１．死亡"},null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R49=\"\",\"\",入力シート!R49)","v":""}]
[null,null,null,null,null,{"$f":"IF(入力シート!F50=\"\",\"\",入力シート!F50)","v":""},null,{"$f":"DATA_input!D115","v":"２．障害"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D122","v":"入院担当医の氏名"}]
[null,null,null,null,null,{"$f":"IF(入力シート!F51=\"\",\"\",入力シート!F51)","v":""},null,{"$f":"DATA_input!D116","v":"３．死亡につながるおそれ"},null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R51=\"\",\"\",入力シート!R51)","v":""}]
[null,null,null,null,null,{"$f":"IF(入力シート!F52=\"\",\"\",入力シート!F52)","v":""},null,{"$f":"DATA_input!D117","v":"４．障害につながるおそれ"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D123","v":"入院日"}]
[null,null,null,null,null,{"$f":"IF(入力シート!F53=\"\",\"\",入力シート!F53)","v":""},null,{"$f":"DATA_input!D118","v":"５．入院"},null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R53=\"\",\"\",入力シート!R53)","v":""}]
[null,null,null,null,null,{"$f":"IF(入力シート!F54=\"\",\"\",入力シート!F54)","v":""},null,{"$f":"DATA_input!D119","v":"６．上記1～5に準じて重い"},null,null,null,null,null,null,null,null,null,{"$f":"DATA_input!D124","v":"退院日"}]
[null,null,null,null,null,{"$f":"IF(入力シート!F55=\"\",\"\",入力シート!F55)","v":""},null,{"$f":"DATA_input!D120","v":"７．後世代における先天性の疾病又は異常"},null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R55=\"\",\"\",入力シート!R55)","v":""}]
[]
[{"$f":"DATA_input!B125","v":"症状の転帰"},null,null,null,{"$f":"DATA_input!D125","v":"転帰日"},null,null,null,null,null,{"$f":"IF(入力シート!K57=\"\",\"\",入力シート!K57)","v":""},null,null,null,null,null,null,{"$f":"COUNTIF(F58:AC59,\"○\")","v":0}]
[null,null,null,null,{"$f":"DATA_input!D126","v":"１つのみ"},{"$f":"IF(入力シート!F58=\"\",\"\",入力シート!F58)","v":""},null,{"$f":"DATA_input!D127","v":"１．回復"},null,null,null,null,null,{"$f":"IF(入力シート!N58=\"\",\"\",入力シート!N58)","v":""},null,{"$f":"DATA_input!D128","v":"２．軽快"},null,null,null,null,null,{"$f":"IF(入力シート!V58=\"\",\"\",入力シート!V58)","v":""},null,{"$f":"DATA_input!D129","v":"３．未回復"}]
[null,null,null,null,null,{"$f":"IF(入力シート!F59=\"\",\"\",入力シート!F59)","v":""},null,{"$f":"DATA_input!D130","v":"４．後遺症"},null,null,null,null,null,{"$f":"IF(入力シート!N59=\"\",\"\",入力シート!N59)","v":""},null,{"$f":"DATA_input!D131","v":"５．死亡"},null,null,null,null,null,{"$f":"IF(入力シート!V59=\"\",\"\",入力シート!V59)","v":""},null,{"$f":"DATA_input!D132","v":"６．不明"}]
[null,null,null,null,null,{"$f":"DATA_input!D133","v":"（後遺症の詳細："},null,null,null,{"$f":"IF(入力シート!J60=\"\",\"\",入力シート!J60)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[]
[{"$f":"DATA_input!B134","v":"報告者意見"},null,null,null,{"$f":"IF(入力シート!E62=\"\",\"\",入力シート!E62)","v":""}]
[]
[{"$f":"DATA_input!B135","v":"報告回数"},null,null,null,{"$f":"DATA_input!D135","v":"第１報・第２報・第３報以降"},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!R64=\"\",\"\",入力シート!R64)","v":"―リストを選択してください"}]
[]
[{"$f":"DATA_input!B137","v":"症状"},null,null,null,"この列を選択してください→",null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T66=\"\",\"\",入力シート!T66)","v":""},{"$f":"IF(入力シート!U66=\"\",\"\",入力シート!U66)","v":""},{"$f":"IF(入力シート!V66=\"\",\"\",入力シート!V66)","v":""},{"$f":"IF(入力シート!W66=\"\",\"\",入力シート!W66)","v":""},{"$f":"IF(入力シート!X66=\"\",\"\",入力シート!X66)","v":""},{"$f":"IF(入力シート!Y66=\"\",\"\",入力シート!Y66)","v":""},{"$f":"IF(入力シート!Z66=\"\",\"\",入力シート!Z66)","v":""}]
[null,null,null,null,{"$f":"IF(入力シート!E67=\"\",\"\",入力シート!E67)","v":"選択不可"},null,{"$f":"IF(E67=\"選択不可\",\"\",DATA_vaccine!A41)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T67=\"\",\"\",入力シート!T67)","v":""},{"$f":"IF(入力シート!U67=\"\",\"\",入力シート!U67)","v":""},{"$f":"IF(入力シート!V67=\"\",\"\",入力シート!V67)","v":""},{"$f":"IF(入力シート!W67=\"\",\"\",入力シート!W67)","v":""},{"$f":"IF(入力シート!X67=\"\",\"\",入力シート!X67)","v":""},{"$f":"IF(入力シート!Y67=\"\",\"\",入力シート!Y67)","v":""},{"$f":"IF(入力シート!Z67=\"\",\"\",入力シート!Z67)","v":""},{"$f":"COUNTIF($T67:$Z67,\"○\")","v":0},null,{"$f":"COUNTIF(T67:Z67,\"○\") + COUNTIF(T67:Z67,\"●\")","v":0}]
[null,null,null,null,{"$f":"IF(入力シート!E68=\"\",\"\",入力シート!E68)","v":"選択不可"},null,{"$f":"IF(E68=\"選択不可\",\"\",DATA_vaccine!A42)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T68=\"\",\"\",入力シート!T68)","v":""},{"$f":"IF(入力シート!U68=\"\",\"\",入力シート!U68)","v":""},{"$f":"IF(入力シート!V68=\"\",\"\",入力シート!V68)","v":""},{"$f":"IF(入力シート!W68=\"\",\"\",入力シート!W68)","v":""},{"$f":"IF(入力シート!X68=\"\",\"\",入力シート!X68)","v":""},{"$f":"IF(入力シート!Y68=\"\",\"\",入力シート!Y68)","v":""},{"$f":"IF(入力シート!Z68=\"\",\"\",入力シート!Z68)","v":""},{"$f":"COUNTIF($T68:$Z68,\"○\")","v":0},null,{"$f":"COUNTIF(T68:Z68,\"○\") + COUNTIF(T68:Z68,\"●\")","v":0}]
[null,null,null,null,{"$f":"IF(入力シート!E69=\"\",\"\",入力シート!E69)","v":"選択不可"},null,{"$f":"IF(E69=\"選択不可\",\"\",DATA_vaccine!A43)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T69=\"\",\"\",入力シート!T69)","v":""},{"$f":"IF(入力シート!U69=\"\",\"\",入力シート!U69)","v":""},{"$f":"IF(入力シート!V69=\"\",\"\",入力シート!V69)","v":""},{"$f":"IF(入力シート!W69=\"\",\"\",入力シート!W69)","v":""},{"$f":"IF(入力シート!X69=\"\",\"\",入力シート!X69)","v":""},{"$f":"IF(入力シート!Y69=\"\",\"\",入力シート!Y69)","v":""},{"$f":"IF(入力シート!Z69=\"\",\"\",入力シート!Z69)","v":""},0,null,{"$f":"COUNTIF(T69:Z69,\"○\") + COUNTIF(T69:Z69,\"●\")","v":0}]
[null,null,null,null,{"$f":"IF(入力シート!E70=\"\",\"\",入力シート!E70)","v":"選択不可"},null,{"$f":"IF(E70=\"選択不可\",\"\",DATA_vaccine!A44)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T70=\"\",\"\",入力シート!T70)","v":""},{"$f":"IF(入力シート!U70=\"\",\"\",入力シート!U70)","v":""},{"$f":"IF(入力シート!V70=\"\",\"\",入力シート!V70)","v":""},{"$f":"IF(入力シート!W70=\"\",\"\",入力シート!W70)","v":""},{"$f":"IF(入力シート!X70=\"\",\"\",入力シート!X70)","v":""},{"$f":"IF(入力シート!Y70=\"\",\"\",入力シート!Y70)","v":""},{"$f":"IF(入力シート!Z70=\"\",\"\",入力シート!Z70)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E71=\"\",\"\",入力シート!E71)","v":"選択不可"},null,{"$f":"IF(E71=\"選択不可\",\"\",DATA_vaccine!A45)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T71=\"\",\"\",入力シート!T71)","v":""},{"$f":"IF(入力シート!U71=\"\",\"\",入力シート!U71)","v":""},{"$f":"IF(入力シート!V71=\"\",\"\",入力シート!V71)","v":""},{"$f":"IF(入力シート!W71=\"\",\"\",入力シート!W71)","v":""},{"$f":"IF(入力シート!X71=\"\",\"\",入力シート!X71)","v":""},{"$f":"IF(入力シート!Y71=\"\",\"\",入力シート!Y71)","v":""},{"$f":"IF(入力シート!Z71=\"\",\"\",入力シート!Z71)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E72=\"\",\"\",入力シート!E72)","v":"選択不可"},null,{"$f":"IF(E72=\"選択不可\",\"\",DATA_vaccine!A46)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T72=\"\",\"\",入力シート!T72)","v":""},{"$f":"IF(入力シート!U72=\"\",\"\",入力シート!U72)","v":""},{"$f":"IF(入力シート!V72=\"\",\"\",入力シート!V72)","v":""},{"$f":"IF(入力シート!W72=\"\",\"\",入力シート!W72)","v":""},{"$f":"IF(入力シート!X72=\"\",\"\",入力シート!X72)","v":""},{"$f":"IF(入力シート!Y72=\"\",\"\",入力シート!Y72)","v":""},{"$f":"IF(入力シート!Z72=\"\",\"\",入力シート!Z72)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E73=\"\",\"\",入力シート!E73)","v":"選択不可"},null,{"$f":"IF(E73=\"選択不可\",\"\",DATA_vaccine!A47)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T73=\"\",\"\",入力シート!T73)","v":""},{"$f":"IF(入力シート!U73=\"\",\"\",入力シート!U73)","v":""},{"$f":"IF(入力シート!V73=\"\",\"\",入力シート!V73)","v":""},{"$f":"IF(入力シート!W73=\"\",\"\",入力シート!W73)","v":""},{"$f":"IF(入力シート!X73=\"\",\"\",入力シート!X73)","v":""},{"$f":"IF(入力シート!Y73=\"\",\"\",入力シート!Y73)","v":""},{"$f":"IF(入力シート!Z73=\"\",\"\",入力シート!Z73)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E74=\"\",\"\",入力シート!E74)","v":"選択不可"},null,{"$f":"IF(E74=\"選択不可\",\"\",DATA_vaccine!A48)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T74=\"\",\"\",入力シート!T74)","v":""},{"$f":"IF(入力シート!U74=\"\",\"\",入力シート!U74)","v":""},{"$f":"IF(入力シート!V74=\"\",\"\",入力シート!V74)","v":""},{"$f":"IF(入力シート!W74=\"\",\"\",入力シート!W74)","v":""},{"$f":"IF(入力シート!X74=\"\",\"\",入力シート!X74)","v":""},{"$f":"IF(入力シート!Y74=\"\",\"\",入力シート!Y74)","v":""},{"$f":"IF(入力シート!Z74=\"\",\"\",入力シート!Z74)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E75=\"\",\"\",入力シート!E75)","v":"選択不可"},null,{"$f":"IF(E75=\"選択不可\",\"\",DATA_vaccine!A49)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T75=\"\",\"\",入力シート!T75)","v":""},{"$f":"IF(入力シート!U75=\"\",\"\",入力シート!U75)","v":""},{"$f":"IF(入力シート!V75=\"\",\"\",入力シート!V75)","v":""},{"$f":"IF(入力シート!W75=\"\",\"\",入力シート!W75)","v":""},{"$f":"IF(入力シート!X75=\"\",\"\",入力シート!X75)","v":""},{"$f":"IF(入力シート!Y75=\"\",\"\",入力シート!Y75)","v":""},{"$f":"IF(入力シート!Z75=\"\",\"\",入力シート!Z75)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E76=\"\",\"\",入力シート!E76)","v":"選択不可"},null,{"$f":"IF(E76=\"選択不可\",\"\",DATA_vaccine!A50)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T76=\"\",\"\",入力シート!T76)","v":""},{"$f":"IF(入力シート!U76=\"\",\"\",入力シート!U76)","v":""},{"$f":"IF(入力シート!V76=\"\",\"\",入力シート!V76)","v":""},{"$f":"IF(入力シート!W76=\"\",\"\",入力シート!W76)","v":""},{"$f":"IF(入力シート!X76=\"\",\"\",入力シート!X76)","v":""},{"$f":"IF(入力シート!Y76=\"\",\"\",入力シート!Y76)","v":""},{"$f":"IF(入力シート!Z76=\"\",\"\",入力シート!Z76)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E77=\"\",\"\",入力シート!E77)","v":"選択不可"},null,{"$f":"IF(E77=\"選択不可\",\"\",DATA_vaccine!A51)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T77=\"\",\"\",入力シート!T77)","v":""},{"$f":"IF(入力シート!U77=\"\",\"\",入力シート!U77)","v":""},{"$f":"IF(入力シート!V77=\"\",\"\",入力シート!V77)","v":""},{"$f":"IF(入力シート!W77=\"\",\"\",入力シート!W77)","v":""},{"$f":"IF(入力シート!X77=\"\",\"\",入力シート!X77)","v":""},{"$f":"IF(入力シート!Y77=\"\",\"\",入力シート!Y77)","v":""},{"$f":"IF(入力シート!Z77=\"\",\"\",入力シート!Z77)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E78=\"\",\"\",入力シート!E78)","v":"選択不可"},null,{"$f":"IF(E78=\"選択不可\",\"\",DATA_vaccine!A52)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T78=\"\",\"\",入力シート!T78)","v":""},{"$f":"IF(入力シート!U78=\"\",\"\",入力シート!U78)","v":""},{"$f":"IF(入力シート!V78=\"\",\"\",入力シート!V78)","v":""},{"$f":"IF(入力シート!W78=\"\",\"\",入力シート!W78)","v":""},{"$f":"IF(入力シート!X78=\"\",\"\",入力シート!X78)","v":""},{"$f":"IF(入力シート!Y78=\"\",\"\",入力シート!Y78)","v":""},{"$f":"IF(入力シート!Z78=\"\",\"\",入力シート!Z78)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E79=\"\",\"\",入力シート!E79)","v":"選択不可"},null,{"$f":"IF(E79=\"選択不可\",\"\",DATA_vaccine!A53)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T79=\"\",\"\",入力シート!T79)","v":""},{"$f":"IF(入力シート!U79=\"\",\"\",入力シート!U79)","v":""},{"$f":"IF(入力シート!V79=\"\",\"\",入力シート!V79)","v":""},{"$f":"IF(入力シート!W79=\"\",\"\",入力シート!W79)","v":""},{"$f":"IF(入力シート!X79=\"\",\"\",入力シート!X79)","v":""},{"$f":"IF(入力シート!Y79=\"\",\"\",入力シート!Y79)","v":""},{"$f":"IF(入力シート!Z79=\"\",\"\",入力シート!Z79)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E80=\"\",\"\",入力シート!E80)","v":"選択不可"},null,{"$f":"IF(E80=\"選択不可\",\"\",DATA_vaccine!A54)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T80=\"\",\"\",入力シート!T80)","v":""},{"$f":"IF(入力シート!U80=\"\",\"\",入力シート!U80)","v":""},{"$f":"IF(入力シート!V80=\"\",\"\",入力シート!V80)","v":""},{"$f":"IF(入力シート!W80=\"\",\"\",入力シート!W80)","v":""},{"$f":"IF(入力シート!X80=\"\",\"\",入力シート!X80)","v":""},{"$f":"IF(入力シート!Y80=\"\",\"\",入力シート!Y80)","v":""},{"$f":"IF(入力シート!Z80=\"\",\"\",入力シート!Z80)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E81=\"\",\"\",入力シート!E81)","v":"選択不可"},null,{"$f":"IF(E81=\"選択不可\",\"\",DATA_vaccine!A55)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T81=\"\",\"\",入力シート!T81)","v":""},{"$f":"IF(入力シート!U81=\"\",\"\",入力シート!U81)","v":""},{"$f":"IF(入力シート!V81=\"\",\"\",入力シート!V81)","v":""},{"$f":"IF(入力シート!W81=\"\",\"\",入力シート!W81)","v":""},{"$f":"IF(入力シート!X81=\"\",\"\",入力シート!X81)","v":""},{"$f":"IF(入力シート!Y81=\"\",\"\",入力シート!Y81)","v":""},{"$f":"IF(入力シート!Z81=\"\",\"\",入力シート!Z81)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E82=\"\",\"\",入力シート!E82)","v":"選択不可"},null,{"$f":"IF(E82=\"選択不可\",\"\",DATA_vaccine!A56)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T82=\"\",\"\",入力シート!T82)","v":""},{"$f":"IF(入力シート!U82=\"\",\"\",入力シート!U82)","v":""},{"$f":"IF(入力シート!V82=\"\",\"\",入力シート!V82)","v":""},{"$f":"IF(入力シート!W82=\"\",\"\",入力シート!W82)","v":""},{"$f":"IF(入力シート!X82=\"\",\"\",入力シート!X82)","v":""},{"$f":"IF(入力シート!Y82=\"\",\"\",入力シート!Y82)","v":""},{"$f":"IF(入力シート!Z82=\"\",\"\",入力シート!Z82)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E83=\"\",\"\",入力シート!E83)","v":"選択不可"},null,{"$f":"IF(E83=\"選択不可\",\"\",DATA_vaccine!A57)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T83=\"\",\"\",入力シート!T83)","v":""},{"$f":"IF(入力シート!U83=\"\",\"\",入力シート!U83)","v":""},{"$f":"IF(入力シート!V83=\"\",\"\",入力シート!V83)","v":""},{"$f":"IF(入力シート!W83=\"\",\"\",入力シート!W83)","v":""},{"$f":"IF(入力シート!X83=\"\",\"\",入力シート!X83)","v":""},{"$f":"IF(入力シート!Y83=\"\",\"\",入力シート!Y83)","v":""},{"$f":"IF(入力シート!Z83=\"\",\"\",入力シート!Z83)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E84=\"\",\"\",入力シート!E84)","v":"選択不可"},null,{"$f":"IF(E84=\"選択不可\",\"\",DATA_vaccine!A58)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T84=\"\",\"\",入力シート!T84)","v":""},{"$f":"IF(入力シート!U84=\"\",\"\",入力シート!U84)","v":""},{"$f":"IF(入力シート!V84=\"\",\"\",入力シート!V84)","v":""},{"$f":"IF(入力シート!W84=\"\",\"\",入力シート!W84)","v":""},{"$f":"IF(入力シート!X84=\"\",\"\",入力シート!X84)","v":""},{"$f":"IF(入力シート!Y84=\"\",\"\",入力シート!Y84)","v":""},{"$f":"IF(入力シート!Z84=\"\",\"\",入力シート!Z84)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E85=\"\",\"\",入力シート!E85)","v":"選択不可"},null,null,{"$f":"IF(E85=\"選択不可\",\"\",DATA_vaccine!A59)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T85=\"\",\"\",入力シート!T85)","v":""},{"$f":"IF(入力シート!U85=\"\",\"\",入力シート!U85)","v":""},{"$f":"IF(入力シート!V85=\"\",\"\",入力シート!V85)","v":""},{"$f":"IF(入力シート!W85=\"\",\"\",入力シート!W85)","v":""},{"$f":"IF(入力シート!X85=\"\",\"\",入力シート!X85)","v":""},{"$f":"IF(入力シート!Y85=\"\",\"\",入力シート!Y85)","v":""},{"$f":"IF(入力シート!Z85=\"\",\"\",入力シート!Z85)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E86=\"\",\"\",入力シート!E86)","v":"選択不可"},null,null,{"$f":"IF(E86=\"選択不可\",\"\",DATA_vaccine!A60)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T86=\"\",\"\",入力シート!T86)","v":""},{"$f":"IF(入力シート!U86=\"\",\"\",入力シート!U86)","v":""},{"$f":"IF(入力シート!V86=\"\",\"\",入力シート!V86)","v":""},{"$f":"IF(入力シート!W86=\"\",\"\",入力シート!W86)","v":""},{"$f":"IF(入力シート!X86=\"\",\"\",入力シート!X86)","v":""},{"$f":"IF(入力シート!Y86=\"\",\"\",入力シート!Y86)","v":""},{"$f":"IF(入力シート!Z86=\"\",\"\",入力シート!Z86)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E87=\"\",\"\",入力シート!E87)","v":"選択不可"},null,null,{"$f":"IF(E87=\"選択不可\",\"\",DATA_vaccine!A61)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T87=\"\",\"\",入力シート!T87)","v":""},{"$f":"IF(入力シート!U87=\"\",\"\",入力シート!U87)","v":""},{"$f":"IF(入力シート!V87=\"\",\"\",入力シート!V87)","v":""},{"$f":"IF(入力シート!W87=\"\",\"\",入力シート!W87)","v":""},{"$f":"IF(入力シート!X87=\"\",\"\",入力シート!X87)","v":""},{"$f":"IF(入力シート!Y87=\"\",\"\",入力シート!Y87)","v":""},{"$f":"IF(入力シート!Z87=\"\",\"\",入力シート!Z87)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E88=\"\",\"\",入力シート!E88)","v":"選択不可"},null,null,{"$f":"IF(E88=\"選択不可\",\"\",DATA_vaccine!A62)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T88=\"\",\"\",入力シート!T88)","v":""},{"$f":"IF(入力シート!U88=\"\",\"\",入力シート!U88)","v":""},{"$f":"IF(入力シート!V88=\"\",\"\",入力シート!V88)","v":""},{"$f":"IF(入力シート!W88=\"\",\"\",入力シート!W88)","v":""},{"$f":"IF(入力シート!X88=\"\",\"\",入力シート!X88)","v":""},{"$f":"IF(入力シート!Y88=\"\",\"\",入力シート!Y88)","v":""},{"$f":"IF(入力シート!Z88=\"\",\"\",入力シート!Z88)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E89=\"\",\"\",入力シート!E89)","v":"選択不可"},null,null,{"$f":"IF(E89=\"選択不可\",\"\",DATA_vaccine!A63)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T89=\"\",\"\",入力シート!T89)","v":""},{"$f":"IF(入力シート!U89=\"\",\"\",入力シート!U89)","v":""},{"$f":"IF(入力シート!V89=\"\",\"\",入力シート!V89)","v":""},{"$f":"IF(入力シート!W89=\"\",\"\",入力シート!W89)","v":""},{"$f":"IF(入力シート!X89=\"\",\"\",入力シート!X89)","v":""},{"$f":"IF(入力シート!Y89=\"\",\"\",入力シート!Y89)","v":""},{"$f":"IF(入力シート!Z89=\"\",\"\",入力シート!Z89)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E90=\"\",\"\",入力シート!E90)","v":"選択不可"},null,null,{"$f":"IF(E90=\"選択不可\",\"\",DATA_vaccine!A64)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T90=\"\",\"\",入力シート!T90)","v":""},{"$f":"IF(入力シート!U90=\"\",\"\",入力シート!U90)","v":""},{"$f":"IF(入力シート!V90=\"\",\"\",入力シート!V90)","v":""},{"$f":"IF(入力シート!W90=\"\",\"\",入力シート!W90)","v":""},{"$f":"IF(入力シート!X90=\"\",\"\",入力シート!X90)","v":""},{"$f":"IF(入力シート!Y90=\"\",\"\",入力シート!Y90)","v":""},{"$f":"IF(入力シート!Z90=\"\",\"\",入力シート!Z90)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E91=\"\",\"\",入力シート!E91)","v":"選択不可"},null,null,{"$f":"IF(E91=\"選択不可\",\"\",DATA_vaccine!A65)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T91=\"\",\"\",入力シート!T91)","v":""},{"$f":"IF(入力シート!U91=\"\",\"\",入力シート!U91)","v":""},{"$f":"IF(入力シート!V91=\"\",\"\",入力シート!V91)","v":""},{"$f":"IF(入力シート!W91=\"\",\"\",入力シート!W91)","v":""},{"$f":"IF(入力シート!X91=\"\",\"\",入力シート!X91)","v":""},{"$f":"IF(入力シート!Y91=\"\",\"\",入力シート!Y91)","v":""},{"$f":"IF(入力シート!Z91=\"\",\"\",入力シート!Z91)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E92=\"\",\"\",入力シート!E92)","v":"選択不可"},null,null,{"$f":"IF(E92=\"選択不可\",\"\",DATA_vaccine!A66)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T92=\"\",\"\",入力シート!T92)","v":""},{"$f":"IF(入力シート!U92=\"\",\"\",入力シート!U92)","v":""},{"$f":"IF(入力シート!V92=\"\",\"\",入力シート!V92)","v":""},{"$f":"IF(入力シート!W92=\"\",\"\",入力シート!W92)","v":""},{"$f":"IF(入力シート!X92=\"\",\"\",入力シート!X92)","v":""},{"$f":"IF(入力シート!Y92=\"\",\"\",入力シート!Y92)","v":""},{"$f":"IF(入力シート!Z92=\"\",\"\",入力シート!Z92)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E93=\"\",\"\",入力シート!E93)","v":"選択不可"},null,null,{"$f":"IF(E93=\"選択不可\",\"\",DATA_vaccine!A67)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T93=\"\",\"\",入力シート!T93)","v":""},{"$f":"IF(入力シート!U93=\"\",\"\",入力シート!U93)","v":""},{"$f":"IF(入力シート!V93=\"\",\"\",入力シート!V93)","v":""},{"$f":"IF(入力シート!W93=\"\",\"\",入力シート!W93)","v":""},{"$f":"IF(入力シート!X93=\"\",\"\",入力シート!X93)","v":""},{"$f":"IF(入力シート!Y93=\"\",\"\",入力シート!Y93)","v":""},{"$f":"IF(入力シート!Z93=\"\",\"\",入力シート!Z93)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E94=\"\",\"\",入力シート!E94)","v":"選択不可"},null,null,{"$f":"IF(E94=\"選択不可\",\"\",DATA_vaccine!A68)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T94=\"\",\"\",入力シート!T94)","v":""},{"$f":"IF(入力シート!U94=\"\",\"\",入力シート!U94)","v":""},{"$f":"IF(入力シート!V94=\"\",\"\",入力シート!V94)","v":""},{"$f":"IF(入力シート!W94=\"\",\"\",入力シート!W94)","v":""},{"$f":"IF(入力シート!X94=\"\",\"\",入力シート!X94)","v":""},{"$f":"IF(入力シート!Y94=\"\",\"\",入力シート!Y94)","v":""},{"$f":"IF(入力シート!Z94=\"\",\"\",入力シート!Z94)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E95=\"\",\"\",入力シート!E95)","v":"選択不可"},null,null,{"$f":"IF(E95=\"選択不可\",\"\",DATA_vaccine!A69)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T95=\"\",\"\",入力シート!T95)","v":""},{"$f":"IF(入力シート!U95=\"\",\"\",入力シート!U95)","v":""},{"$f":"IF(入力シート!V95=\"\",\"\",入力シート!V95)","v":""},{"$f":"IF(入力シート!W95=\"\",\"\",入力シート!W95)","v":""},{"$f":"IF(入力シート!X95=\"\",\"\",入力シート!X95)","v":""},{"$f":"IF(入力シート!Y95=\"\",\"\",入力シート!Y95)","v":""},{"$f":"IF(入力シート!Z95=\"\",\"\",入力シート!Z95)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E96=\"\",\"\",入力シート!E96)","v":"選択不可"},null,null,{"$f":"IF(E96=\"選択不可\",\"\",DATA_vaccine!A70)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T96=\"\",\"\",入力シート!T96)","v":""},{"$f":"IF(入力シート!U96=\"\",\"\",入力シート!U96)","v":""},{"$f":"IF(入力シート!V96=\"\",\"\",入力シート!V96)","v":""},{"$f":"IF(入力シート!W96=\"\",\"\",入力シート!W96)","v":""},{"$f":"IF(入力シート!X96=\"\",\"\",入力シート!X96)","v":""},{"$f":"IF(入力シート!Y96=\"\",\"\",入力シート!Y96)","v":""},{"$f":"IF(入力シート!Z96=\"\",\"\",入力シート!Z96)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E97=\"\",\"\",入力シート!E97)","v":"選択不可"},null,null,{"$f":"IF(E97=\"選択不可\",\"\",DATA_vaccine!A71)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T97=\"\",\"\",入力シート!T97)","v":""},{"$f":"IF(入力シート!U97=\"\",\"\",入力シート!U97)","v":""},{"$f":"IF(入力シート!V97=\"\",\"\",入力シート!V97)","v":""},{"$f":"IF(入力シート!W97=\"\",\"\",入力シート!W97)","v":""},{"$f":"IF(入力シート!X97=\"\",\"\",入力シート!X97)","v":""},{"$f":"IF(入力シート!Y97=\"\",\"\",入力シート!Y97)","v":""},{"$f":"IF(入力シート!Z97=\"\",\"\",入力シート!Z97)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E98=\"\",\"\",入力シート!E98)","v":"選択不可"},null,null,{"$f":"IF(E98=\"選択不可\",\"\",DATA_vaccine!A72)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T98=\"\",\"\",入力シート!T98)","v":""},{"$f":"IF(入力シート!U98=\"\",\"\",入力シート!U98)","v":""},{"$f":"IF(入力シート!V98=\"\",\"\",入力シート!V98)","v":""},{"$f":"IF(入力シート!W98=\"\",\"\",入力シート!W98)","v":""},{"$f":"IF(入力シート!X98=\"\",\"\",入力シート!X98)","v":""},{"$f":"IF(入力シート!Y98=\"\",\"\",入力シート!Y98)","v":""},{"$f":"IF(入力シート!Z98=\"\",\"\",入力シート!Z98)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E99=\"\",\"\",入力シート!E99)","v":"選択不可"},null,null,{"$f":"IF(E99=\"選択不可\",\"\",DATA_vaccine!A73)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T99=\"\",\"\",入力シート!T99)","v":""},{"$f":"IF(入力シート!U99=\"\",\"\",入力シート!U99)","v":""},{"$f":"IF(入力シート!V99=\"\",\"\",入力シート!V99)","v":""},{"$f":"IF(入力シート!W99=\"\",\"\",入力シート!W99)","v":""},{"$f":"IF(入力シート!X99=\"\",\"\",入力シート!X99)","v":""},{"$f":"IF(入力シート!Y99=\"\",\"\",入力シート!Y99)","v":""},{"$f":"IF(入力シート!Z99=\"\",\"\",入力シート!Z99)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E100=\"\",\"\",入力シート!E100)","v":"選択不可"},null,null,{"$f":"IF(E100=\"選択不可\",\"\",DATA_vaccine!A74)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T100=\"\",\"\",入力シート!T100)","v":""},{"$f":"IF(入力シート!U100=\"\",\"\",入力シート!U100)","v":""},{"$f":"IF(入力シート!V100=\"\",\"\",入力シート!V100)","v":""},{"$f":"IF(入力シート!W100=\"\",\"\",入力シート!W100)","v":""},{"$f":"IF(入力シート!X100=\"\",\"\",入力シート!X100)","v":""},{"$f":"IF(入力シート!Y100=\"\",\"\",入力シート!Y100)","v":""},{"$f":"IF(入力シート!Z100=\"\",\"\",入力シート!Z100)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E101=\"\",\"\",入力シート!E101)","v":"選択不可"},null,null,{"$f":"IF(E101=\"選択不可\",\"\",DATA_vaccine!A75)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T101=\"\",\"\",入力シート!T101)","v":""},{"$f":"IF(入力シート!U101=\"\",\"\",入力シート!U101)","v":""},{"$f":"IF(入力シート!V101=\"\",\"\",入力シート!V101)","v":""},{"$f":"IF(入力シート!W101=\"\",\"\",入力シート!W101)","v":""},{"$f":"IF(入力シート!X101=\"\",\"\",入力シート!X101)","v":""},{"$f":"IF(入力シート!Y101=\"\",\"\",入力シート!Y101)","v":""},{"$f":"IF(入力シート!Z101=\"\",\"\",入力シート!Z101)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E102=\"\",\"\",入力シート!E102)","v":"選択不可"},null,null,{"$f":"IF(E102=\"選択不可\",\"\",DATA_vaccine!A76)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T102=\"\",\"\",入力シート!T102)","v":""},{"$f":"IF(入力シート!U102=\"\",\"\",入力シート!U102)","v":""},{"$f":"IF(入力シート!V102=\"\",\"\",入力シート!V102)","v":""},{"$f":"IF(入力シート!W102=\"\",\"\",入力シート!W102)","v":""},{"$f":"IF(入力シート!X102=\"\",\"\",入力シート!X102)","v":""},{"$f":"IF(入力シート!Y102=\"\",\"\",入力シート!Y102)","v":""},{"$f":"IF(入力シート!Z102=\"\",\"\",入力シート!Z102)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E103=\"\",\"\",入力シート!E103)","v":"選択不可"},null,null,{"$f":"IF(E103=\"選択不可\",\"\",DATA_vaccine!A77)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T103=\"\",\"\",入力シート!T103)","v":""},{"$f":"IF(入力シート!U103=\"\",\"\",入力シート!U103)","v":""},{"$f":"IF(入力シート!V103=\"\",\"\",入力シート!V103)","v":""},{"$f":"IF(入力シート!W103=\"\",\"\",入力シート!W103)","v":""},{"$f":"IF(入力シート!X103=\"\",\"\",入力シート!X103)","v":""},{"$f":"IF(入力シート!Y103=\"\",\"\",入力シート!Y103)","v":""},{"$f":"IF(入力シート!Z103=\"\",\"\",入力シート!Z103)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E104=\"\",\"\",入力シート!E104)","v":"選択不可"},null,null,{"$f":"IF(E104=\"選択不可\",\"\",DATA_vaccine!A78)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T104=\"\",\"\",入力シート!T104)","v":""},{"$f":"IF(入力シート!U104=\"\",\"\",入力シート!U104)","v":""},{"$f":"IF(入力シート!V104=\"\",\"\",入力シート!V104)","v":""},{"$f":"IF(入力シート!W104=\"\",\"\",入力シート!W104)","v":""},{"$f":"IF(入力シート!X104=\"\",\"\",入力シート!X104)","v":""},{"$f":"IF(入力シート!Y104=\"\",\"\",入力シート!Y104)","v":""},{"$f":"IF(入力シート!Z104=\"\",\"\",入力シート!Z104)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E105=\"\",\"\",入力シート!E105)","v":"選択不可"},null,null,{"$f":"IF(E105=\"選択不可\",\"\",DATA_vaccine!A79)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T105=\"\",\"\",入力シート!T105)","v":""},{"$f":"IF(入力シート!U105=\"\",\"\",入力シート!U105)","v":""},{"$f":"IF(入力シート!V105=\"\",\"\",入力シート!V105)","v":""},{"$f":"IF(入力シート!W105=\"\",\"\",入力シート!W105)","v":""},{"$f":"IF(入力シート!X105=\"\",\"\",入力シート!X105)","v":""},{"$f":"IF(入力シート!Y105=\"\",\"\",入力シート!Y105)","v":""},{"$f":"IF(入力シート!Z105=\"\",\"\",入力シート!Z105)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E106=\"\",\"\",入力シート!E106)","v":"選択不可"},null,null,{"$f":"IF(E106=\"選択不可\",\"\",DATA_vaccine!A80)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T106=\"\",\"\",入力シート!T106)","v":""},{"$f":"IF(入力シート!U106=\"\",\"\",入力シート!U106)","v":""},{"$f":"IF(入力シート!V106=\"\",\"\",入力シート!V106)","v":""},{"$f":"IF(入力シート!W106=\"\",\"\",入力シート!W106)","v":""},{"$f":"IF(入力シート!X106=\"\",\"\",入力シート!X106)","v":""},{"$f":"IF(入力シート!Y106=\"\",\"\",入力シート!Y106)","v":""},{"$f":"IF(入力シート!Z106=\"\",\"\",入力シート!Z106)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E107=\"\",\"\",入力シート!E107)","v":"選択不可"},null,null,{"$f":"IF(E107=\"選択不可\",\"\",DATA_vaccine!A81)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T107=\"\",\"\",入力シート!T107)","v":""},{"$f":"IF(入力シート!U107=\"\",\"\",入力シート!U107)","v":""},{"$f":"IF(入力シート!V107=\"\",\"\",入力シート!V107)","v":""},{"$f":"IF(入力シート!W107=\"\",\"\",入力シート!W107)","v":""},{"$f":"IF(入力シート!X107=\"\",\"\",入力シート!X107)","v":""},{"$f":"IF(入力シート!Y107=\"\",\"\",入力シート!Y107)","v":""},{"$f":"IF(入力シート!Z107=\"\",\"\",入力シート!Z107)","v":""},0,null,0]
[null,null,null,null,{"$f":"IF(入力シート!E108=\"\",\"\",入力シート!E108)","v":"選択不可"},null,null,{"$f":"IF(E108=\"選択不可\",\"\",DATA_vaccine!A82)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T108=\"\",\"\",入力シート!T108)","v":""},{"$f":"IF(入力シート!U108=\"\",\"\",入力シート!U108)","v":""},{"$f":"IF(入力シート!V108=\"\",\"\",入力シート!V108)","v":""},{"$f":"IF(入力シート!W108=\"\",\"\",入力シート!W108)","v":""},{"$f":"IF(入力シート!X108=\"\",\"\",入力シート!X108)","v":""},{"$f":"IF(入力シート!Y108=\"\",\"\",入力シート!Y108)","v":""},{"$f":"IF(入力シート!Z108=\"\",\"\",入力シート!Z108)","v":""},0,null,0]
[null,null,null,null,{"$f":"COUNTIF(E67:F83,\"○\") & \":\" & COUNTIF(E84,\"○\") & \":\" & COUNTIF(E85:F108,\"○\")","v":"0:0:0"},null,{"$f":"IF(AND(E108=\"○\",K109<>\"\"),0,IF(AND(E108<>\"○\",K109<>\"\"),1,IF(AND(E108=\"○\",K109=\"\"),2,\"\")))","v":""},{"$f":"DATA_input!D136","v":"症状名"},null,null,{"$f":"IF(入力シート!K109=\"\",\"\",入力シート!K109)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(入力シート!T109=\"\",\"\",入力シート!T109)","v":""},{"$f":"IF(入力シート!U109=\"\",\"\",入力シート!U109)","v":""},{"$f":"IF(入力シート!V109=\"\",\"\",入力シート!V109)","v":""},{"$f":"IF(入力シート!W109=\"\",\"\",入力シート!W109)","v":""},{"$f":"IF(入力シート!X109=\"\",\"\",入力シート!X109)","v":""},{"$f":"IF(入力シート!Y109=\"\",\"\",入力シート!Y109)","v":""},{"$f":"IF(入力シート!Z109=\"\",\"\",入力シート!Z109)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver1.1"]

{"sheet":"DATA_input","index":4,"n_rows":190,"n_cols":74,"rows_kept":190,"cut":false,"hidden":true,"merged":[[11,1,12,1],[58,1,63,1],[13,1,26,1],[27,1,39,1],[40,1,45,1],[46,1,51,1],[52,1,57,1],[179,1,189,1],[111,1,123,1],[124,1,132,1],[136,1,177,1],[64,1,69,1],[70,1,75,1],[76,1,81,1],[82,1,87,1],[88,1,100,1],[101,1,110,1]]}
["項番","項目種類","項目名","表示名","入力方法","横位置","縦位置","折り返して全体を表示","縮小して全体を表示","必須","入力シート行","入力シート列","エラー出力行","初期値","初期値エラーチェック","桁数","範囲（開始）","範囲（終了）","日本語入力","入力規則エラーメッセージ用作業領域","入力規則エラーメッセージ","例外・相関チェック","相関チェックエラー１","相関チェックエラー２","備考","チェック結果","リスト"]
[null,null,null,null,"リスト","左","上",true,false,"0必須",null,null,null,null,null,null,null,null,"オン",null,"リストから選択してください　",null,null,null,null,{"$f":"COUNT(Z11:Z178)","v":156}]
[null,null,null,null,"条件付きリスト","中","中",false,true,"1任意",null,null,null,null,null,null,null,null,"オフ",null,"リストから選択してください　"]
[null,null,null,null,"テキスト","右","下",null,null,"2条件必須",null,null,null,null,null,null,null,null,"無効",null,"文字以内で入力してください　"]
[null,null,null,null,"日付",null,null,null,null,"3プログラム",null,null,null,null,null,null,null,null,"ひらがな",null,"入力方法を確認してください　例：2013/4/1　平成25年4月1日　"]
[null,null,null,null,"時間",null,null,null,null,null,null,null,null,null,null,null,null,null,"全角カタカナ",null,"入力方法を確認してください　例：15:40　"]
[null,null,null,null,"整数",null,null,null,null,null,null,null,null,null,null,null,null,null,"半角英数",null,"半角数字で入力してください"]
[null,null,null,null,"小数点",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"以内で入力してください　例：36.0"]
[null,null,null,null,"プログラム"]
[null,null,null,null,"項目名"]
[{"$f":"ROW()-10","v":1},"接種種別","接種種別","予防接種法上の定期接種・任意接種の別　（定期接種・任意接種・両方）","プログラム","中","中",false,{"$f":"IF($H11=$H$2,$I$2,$I$3)","v":true},3,4,24,6,"=IF(AND(COUNTIF(F22:G28,\"定期\")>0,COUNTIF(F22:G28,\"任意\")>0),\"定期接種・任意接種\",IF(COUNTIF(F22:G28,\"定期\")>0,\"定期接種\",IF(COUNTIF(F22:G28,\"任意\")>0,\"任意接種\",\"\")))",null,null,null,null,"ひらがな",null,"","選択したワクチンから定期・接種・両方を選択し自動入力",null,null,null,0]
[{"$f":"ROW()-10","v":2},"厚労省管理用","日付","日　　　付","プログラム","中","中",false,{"$f":"IF($H12=$H$2,$I$2,IF($H12=$H$3,$I$3,\"\"))","v":true},3,5,10,6,null,null,null,null,null,"ひらがな",null,"",null,null,null,null,0]
[{"$f":"ROW()-10","v":3},null,"管理用番号","管　理　番　号","プログラム","中","中",false,{"$f":"IF($H13=$H$2,$I$2,IF($H13=$H$3,$I$3,\"\"))","v":true},3,5,24,6,null,null,null,null,null,"ひらがな",null,"",null,null,null,null,0]
[4,"患者\n（被接種者）","氏名又はイニシャル","氏名又は\nイニシャル","項目名"]
[5,null,"患者セイ","セイ","テキスト","左","中",false,true,2,7,10,6,null,null,20,null,null,"全角カタカナ",{"$f":"D15 &\"は\" & P15","v":"セイは20"},"セイは20文字以内で入力してください　","定期の場合は必須、任意の場合は入力不可","任意接種のみを選択した場合はセイは入力できません",null,null,0]
[6,null,"患者姓","姓","テキスト","左","中",false,true,0,8,10,6,null,null,15,null,null,"ひらがな",{"$f":"D16 &\"は\" & P16","v":"姓は15"},"姓は15文字以内で入力してください　","任意の場合はアルファベット１文字チェック","任意接種のみを選択した場合は姓はイニシャル（アルファベット）１文字を入力してください",null,null,1]
[7,null,"患者メイ","メイ","テキスト","左","中",false,true,2,7,21,6,null,null,20,null,null,"全角カタカナ","メイは20","メイは20文字以内で入力してください　","定期の場合は必須、任意の場合は入力不可","任意接種のみを選択した場合はメイは入力できません",null,null,0]
[8,null,"患者名","名","テキスト","左","中",false,true,0,8,21,6,null,null,15,null,null,"ひらがな","名は15","名は15文字以内で入力してください　","任意の場合はアルファベット１文字チェック","任意接種のみを選択した場合は名はイニシャル（アルファベット）１文字を入力してください",null,null,1]
[9,null,"氏名入力説明","（定期接種の場合は姓・名・セイ・メイを入力してください　任意接種の場合は姓・名欄にイニシャル１文字を入力してください）","項目名"]
[10,null,"性別","性別","リスト","中","中",false,true,0,10,8,6,{"$f":"AA20","v":"―選択"},true,null,null,null,"無効","性別は","性別はリストから選択してください　",null,null,null,null,1,"―選択","１　男性","２　女性","３　不明"]
[11,null,"接種時年齢","接種時年齢（0歳児は月必須）","整数","中","中",false,true,3,10,25,6,null,null,null,0,120,"無効",{"$f":"D21 &\"は\" & P21 & Q21 & \"～\" & R21 & \"までを\"","v":"接種時年齢（0歳児は月必須）は0～120までを"},"接種時年齢（0歳児は月必須）は0～120までを半角数字で入力してください","生年月日と接種日が入力されていた場合は、自動計算後上書き",null,null,null,0]
[12,null,"接種時月齢",null,"整数","中","中",false,true,3,10,28,6,null,null,null,0,11,"無効",{"$f":"D22 &\"は\" & P22 & Q22 & \"～\" & R22 & \"までを\"","v":"は0～11までを"},"接種時月齢は0～11までを半角数字で入力してください","接種時年齢が0歳の場合は必須項目\n生年月日と接種日が入力されていた場合は、自動計算後上書き",null,null,null,0]
[13,null,"生年月日","生年月日","日付","中","中",false,true,0,10,14,6,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D23 &\"の\"","v":"生年月日の"},"生年月日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","生年月日が本日より未来の場合はエラー",null,null,null,1]
[14,null,"住所","住所","項目名"]
[15,null,"患者都道府県","都道府県","リスト","中","中",false,true,0,11,11,6,{"$f":"AA25","v":"―選択"},true,null,null,null,"無効","都道府県は","都道府県はリストから選択してください　",null,null,null,null,1,"―選択","北海道","青森県","岩手県","宮城県","秋田県","山形県","福島県","茨城県","栃木県","群馬県","埼玉県","千葉県","東京都","神奈川県","新潟県","富山県","石川県","福井県","山梨県","長野県","岐阜県","静岡県","愛知県","三重県","滋賀県","京都府","大阪府","兵庫県","奈良県","和歌山県","鳥取県","島根県","岡山県","広島県","山口県","徳島県","香川県","愛媛県","高知県","福岡県","佐賀県","長崎県","熊本県","大分県","宮崎県","鹿児島県","沖縄県"]
[16,null,"区市町村（名）","区市町村","テキスト","左","中",false,true,0,11,17,6,null,null,10,null,null,"ひらがな","区市町村は10","区市町村は10文字以内で入力してください　",null,null,null,null,1]
[17,null,"患者区市町村",null,"リスト","中","中",false,true,0,11,21,6,{"$f":"AA27","v":"―選択"},true,null,null,null,"無効","は","区市町村はリストから選択してください　","特別区を選択した場合は東京都のみ選択可","区市町村に特別区を選択する場合は都道府県は東京都を選択してください",null,null,1,"―選択","区（東京都）","市","町","村"]
[18,"報告者","氏名","氏名","テキスト","左","中",false,true,0,13,8,12,null,null,30,null,null,"ひらがな","氏名は30","氏名は30文字以内で入力してください　",null,null,null,null,1]
[19,null,"関係","関係（接種者・主治医・その他）","リスト","中","中",false,true,0,14,16,12,{"$f":"AA29","v":"―選択"},true,null,null,null,"無効","関係（接種者・主治医・その他）は","関係（接種者・主治医・その他）はリストから選択してください　","「関係」が「３．その他」の場合、必須","関係の詳細を入力する場合は「その他」を選択してください","関係の詳細を入力する場合は「その他」を選択してください",null,1,"―選択","１　接種者","２　主治医","３　その他"]
[20,null,"その他詳細","（その他：","テキスト","左","中",false,true,2,14,22,12,null,null,10,null,null,"ひらがな","（その他：は10","（その他：は10文字以内で入力してください　",null,null,null,null,0]
[21,null,"医療機関名","医療機関名","テキスト","左","中",false,true,0,15,8,12,null,null,40,null,null,"ひらがな","医療機関名は40","医療機関名は40文字以内で入力してください　",null,null,null,null,1]
[22,null,"電話ハイフン","―","項目名"]
[23,null,"電話番号(1)","電話番号","テキスト","中","中",false,true,0,15,22,12,null,null,5,null,null,"無効","電話番号は5","電話番号は5文字以内で入力してください　","半角→全角自動処理　半数以外はエラー","電話番号(1)は半角数字を入力してください",null,null,1]
[24,null,"電話番号(2)",null,"テキスト","中","中",false,true,0,15,25,12,null,null,4,null,null,"無効","は4","電話番号は4文字以内で入力してください　","半角→全角自動処理　半数以外はエラー","電話番号(2)は半角数字を入力してください",null,null,1]
[25,null,"電話番号(3)",null,"テキスト","中","中",false,true,0,15,28,12,null,null,4,null,null,"無効","は4","電話番号は4文字以内で入力してください　","半角→全角自動処理　半数以外はエラー","電話番号(3)は半角数字を入力してください",null,null,1]
[26,null,"住所","住所","項目名"]
[27,null,"報告者都道府県","都道府県","リスト","中","中",false,true,0,16,11,12,{"$f":"AA37","v":"―選択"},true,null,null,null,"無効","都道府県は","都道府県はリストから選択してください　",null,null,null,null,1,"―選択","北海道","青森県","岩手県","宮城県","秋田県","山形県","福島県","茨城県","栃木県","群馬県","埼玉県","千葉県","東京都","神奈川県","新潟県","富山県","石川県","福井県","山梨県","長野県","岐阜県","静岡県","愛知県","三重県","滋賀県","京都府","大阪府","兵庫県","奈良県","和歌山県","鳥取県","島根県","岡山県","広島県","山口県","徳島県","香川県","愛媛県","高知県","福岡県","佐賀県","長崎県","熊本県","大分県","宮崎県","鹿児島県","沖縄県"]
[28,null,"区市町村（名）","区市町村","テキスト","左","中",false,true,0,16,17,12,null,null,10,null,null,"ひらがな","区市町村は10","区市町村は10文字以内で入力してください　",null,null,null,null,1]
[29,null,"報告者区市町村",null,"リスト","中","中",false,true,0,16,21,12,{"$f":"AA39","v":"―選択"},true,null,null,null,"無効","は","区市町村はリストから選択してください　","特別区を選択した場合は東京都のみ選択可","区市町村に特別区を選択する場合は都道府県は東京都を選択してください",null,null,1,"―選択","区（東京都）","市","町","村"]
[30,null,"区市町村以下",null,"テキスト","中","中",false,true,0,16,24,12,null,null,50,null,null,"ひらがな","は50","区市町村以下は50文字以内で入力してください　",null,null,null,null,1]
[31,"接種場所","医療機関名","医療機関名","テキスト","左","中",false,true,0,18,8,17,null,null,40,null,null,"ひらがな","医療機関名は40","医療機関名は40文字以内で入力してください　",null,null,null,null,1]
[32,null,"住所","住所","項目名"]
[33,null,"接種場所都道府県","都道府県","リスト","中","中",false,true,0,19,11,17,{"$f":"AA43","v":"―選択"},true,null,null,null,"無効","都道府県は","都道府県はリストから選択してください　",null,null,null,null,1,"―選択","北海道","青森県","岩手県","宮城県","秋田県","山形県","福島県","茨城県","栃木県","群馬県","埼玉県","千葉県","東京都","神奈川県","新潟県","富山県","石川県","福井県","山梨県","長野県","岐阜県","静岡県","愛知県","三重県","滋賀県","京都府","大阪府","兵庫県","奈良県","和歌山県","鳥取県","島根県","岡山県","広島県","山口県","徳島県","香川県","愛媛県","高知県","福岡県","佐賀県","長崎県","熊本県","大分県","宮崎県","鹿児島県","沖縄県"]
[34,null,"区市町村（名）","区市町村","テキスト","左","中",false,true,0,19,17,17,null,null,10,null,null,"ひらがな","区市町村は10","区市町村は10文字以内で入力してください　",null,null,null,null,1]
[35,null,"接種場所区市町村",null,"リスト","中","中",false,true,0,19,21,17,{"$f":"AA45","v":"―選択"},true,null,null,null,"無効","は","区市町村はリストから選択してください　","特別区を選択した場合は東京都のみ選択可","区市町村に特別区を選択する場合は都道府県は東京都を選択してください",null,null,1,"―選択","区（東京都）","市","町","村"]
[36,null,"区市町村以下",null,"テキスト","中","中",false,true,1,19,24,17,null,null,50,null,null,"ひらがな","は50","区市町村以下は50文字以内で入力してください　","特別区を選択した場合は東京都のみ選択可","区市町村に特別区を選択する場合は都道府県は東京都を選択してください",null,null,0]
[37,"ワクチン","接種の種類（1）","接種種別","リスト","中","中",false,true,2,22,6,20,{"$f":"AA47","v":"―選択"},true,null,null,null,"無効","接種種別は","接種種別はリストから選択してください　",null,null,null,null,1,"―選択","定期","任意"]
[38,null,"ワクチンの種類（1）","ワクチンの種類","リスト","左","中",false,true,2,22,8,20,"接種種別を選択してください",true,null,null,null,"無効","ワクチンの種類は","ワクチンの種類はリストから選択してください　","他のワクチンと重複していた場合はエラー",null,null,null,1,"接種種別を選択してください"]
[39,null,"ロット番号（1）","ロット番号","テキスト","中","中",false,true,2,22,13,20,null,null,20,null,null,"無効","ロット番号は20","ロット番号は20文字以内で入力してください　","ワクチンが選択されていなければエラー　全角→半角自動処理　半角英数ハイフン以外はエラー",null,null,null,0]
[40,null,"製造販売業者名（1）","製造販売業者名","条件付きリスト","中","中",false,true,2,22,18,20,{"$f":"AA50","v":"ワクチンを選択してください"},true,null,null,null,"無効","製造販売業者名は","製造販売業者名はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,1,"ワクチンを選択してください"]
[41,null,"接種回数（1）","接種回数","条件付きリスト","中","中",false,true,2,22,22,20,"ワクチンを選択してください",true,null,null,null,"無効",{"$f":"D51 &\"は\" & P51","v":"接種回数は"},"接種回数はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,1,"ワクチンを選択してください"]
[42,null,"厚労省Ｎｏ（１）","厚労省No","プログラム","中","中",false,true,2,22,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[43,"ワクチン２","接種の種類（2）",null,"リスト","中","中",false,true,2,23,6,20,{"$f":"AA53","v":"―選択"},null,null,null,null,"無効","は","接種のシュルイはリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[44,null,"ワクチンの種類（2）",null,"リスト","左","中",false,true,2,23,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（2）とワクチン（1）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[45,null,"ロット番号（2）",null,"テキスト","中","中",false,true,2,23,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければエラー　全角→半角自動処理　半角英数ハイフン以外はエラー",null,null,null,0]
[46,null,"製造販売業者名（2）",null,"条件付きリスト","中","中",false,true,2,23,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,0,"ワクチンを選択してください"]
[47,null,"接種回数（2）",null,"条件付きリスト","中","中",false,true,2,23,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,0,"ワクチンを選択してください"]
[48,null,"厚労省Ｎｏ（２）",null,"プログラム","中","中",false,true,2,23,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[49,"ワクチン３","接種の種類（3）",null,"リスト","中","中",false,true,2,24,6,20,{"$f":"AA59","v":"―選択"},null,null,null,null,"無効","は","はリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[50,null,"ワクチンの種類（3）",null,"リスト","左","中",false,true,2,24,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（3）とワクチン（2）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[51,null,"ロット番号（3）",null,"テキスト","中","中",false,true,2,24,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければエラー　全角→半角自動処理　半角英数ハイフン以外はエラー",null,null,null,0]
[52,null,"製造販売業者名（3）",null,"条件付きリスト","中","中",false,true,2,24,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,0,"ワクチンを選択してください"]
[53,null,"接種回数（3）",null,"条件付きリスト","中","中",false,true,2,24,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければエラー",null,null,null,0,"ワクチンを選択してください"]
[54,null,"厚労省Ｎｏ（3）",null,"プログラム","中","中",false,true,2,24,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[55,"ワクチン４","接種の種類（4）",null,"リスト","中","中",false,true,2,25,6,20,{"$f":"AA65","v":"―選択"},null,null,null,null,"無効","は","はリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[56,null,"ワクチンの種類（4）",null,"リスト","左","中",false,true,2,25,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（4）とワクチン（3）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[57,null,"ロット番号（4）",null,"テキスト","中","中",false,true,2,25,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければ選択不可",null,null,null,0]
[58,null,"製造販売業者名（4）",null,"条件付きリスト","中","中",false,true,2,25,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[59,null,"接種回数（4）",null,"条件付きリスト","中","中",false,true,2,25,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[60,null,"厚労省Ｎｏ（4）",null,"プログラム","中","中",false,true,2,25,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[61,"ワクチン５","接種の種類（5）",null,"リスト","中","中",false,true,2,26,6,20,{"$f":"AA71","v":"―選択"},null,null,null,null,"無効","は","はリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[62,null,"ワクチンの種類（5）",null,"リスト","左","中",false,true,2,26,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（5）とワクチン（4）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[63,null,"ロット番号（5）",null,"テキスト","中","中",false,true,2,26,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければ選択不可",null,null,null,0]
[64,null,"製造販売業者名（5）",null,"条件付きリスト","中","中",false,true,2,26,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[65,null,"接種回数（5）",null,"条件付きリスト","中","中",false,true,2,26,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[66,null,"厚労省Ｎｏ（5）",null,"プログラム","中","中",false,true,2,26,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[67,"ワクチン６","接種の種類（6）",null,"リスト","中","中",false,true,2,27,6,20,{"$f":"AA77","v":"―選択"},null,null,null,null,"無効","は","はリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[68,null,"ワクチンの種類（6）",null,"リスト","左","中",false,true,2,27,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（6）とワクチン（5）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[69,null,"ロット番号（6）",null,"テキスト","中","中",false,true,2,27,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければ選択不可",null,null,null,0]
[70,null,"製造販売業者名（6）",null,"条件付きリスト","中","中",false,true,2,27,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[71,null,"接種回数（6）",null,"条件付きリスト","中","中",false,true,2,27,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[72,null,"厚労省Ｎｏ（6）",null,"プログラム","中","中",false,true,2,27,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[73,"ワクチン７","接種の種類（7）",null,"リスト","中","中",false,true,2,28,6,20,{"$f":"AA83","v":"―選択"},null,null,null,null,"無効",{"$f":"D83 &\"は\" & P83","v":"は"},"はリストから選択してください　",null,null,null,null,0,"―選択","定期","任意"]
[74,null,"ワクチンの種類（7）",null,"リスト","左","中",false,true,2,28,8,20,null,null,null,null,null,"無効","は","はリストから選択してください　","接種の種類（7）とワクチン（6）が入力されていなければエラー・他のワクチンと重複していた場合はエラー",null,null,null,0,"接種種別を選択してください"]
[75,null,"ロット番号（7）",null,"テキスト","中","中",false,true,2,28,13,20,null,null,20,null,null,"無効","は20","は20文字以内で入力してください　","ワクチンが選択されていなければ選択不可",null,null,null,0]
[76,null,"製造販売業者名（7）",null,"条件付きリスト","中","中",false,true,2,28,18,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[77,null,"接種回数（7）",null,"条件付きリスト","中","中",false,true,2,28,22,20,null,null,null,null,null,"無効","は","はリストから選択してください　","ワクチンが選択されていなければ選択不可",null,null,null,0,"ワクチンを選択してください"]
[78,null,"厚労省Ｎｏ（7）",null,"プログラム","中","中",false,true,2,28,27,20,null,null,null,null,null,"無効",null,null,null,null,null,null,0]
[79,"接種の状況","接種日","接種日","日付","中","中",false,true,0,30,8,29,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D89 &\"の\"","v":"接種日の"},"接種日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","生年月日＞接種日の場合はエラー・接種日が本日より未来の場合はエラー","接種日が生年月日より過去の日付になっています",null,null,1]
[80,null,"接種時刻","時刻","時間","中","中",false,true,1,30,15,29,null,null,null,"00:00:00",0.99998842592592585,"無効",{"$f":"D90 &\"の\"","v":"時刻の"},"時刻の入力方法を確認してください　例：15:40　",null,null,null,null,0]
[81,null,"出生体重","出生体重（患者が乳幼児の場合に記載）","整数","中","中",false,true,1,30,27,29,null,null,null,1,10000,"無効",{"$f":"D91 &\"は\" & P91 & Q91 & \"～\" & R91 & \"までを\"","v":"出生体重（患者が乳幼児の場合に記載）は1～10000までを"},"出生体重（患者が乳幼児の場合に記載）は1～10000までを半角数字で入力してください",null,null,null,null,0]
[82,null,"出生体重単位","g","項目名"]
[83,null,"接種前の体温","接種前の体温","小数点","中","中",false,true,1,31,8,29,null,null,null,34,42,"無効",{"$f":"D93 &\"は\" & Q93 & \"度～\" & R93 & \"度\"","v":"接種前の体温は34度～42度"},"接種前の体温は34度～42度以内で入力してください　例：36.0",null,null,null,null,0]
[84,null,"接種前の体温単位","℃","小数点","中","中",false,true,1,31,8,29,null,null,null,34,42,"無効",{"$f":"D94 &\"は\" & Q94 & \"度～\" & R94 & \"度\"","v":"℃は34度～42度"},"℃は34度～42度以内で入力してください　例：36.0",null,null,null,null,0]
[85,null,"家族歴","家族歴","テキスト","左","中",false,true,1,31,15,29,null,null,50,null,null,"ひらがな",{"$f":"D95 &\"は\" & P95","v":"家族歴は50"},"家族歴は50文字以内で入力してください　",null,null,null,null,0]
[{"$f":"ROW()-10","v":86},null,"留意点","予診票での留意点の有無","リスト","中","中",false,{"$f":"IF($H96=$H$2,$I$2,$I$3)","v":true},0,32,18,29,{"$f":"AA96","v":"―リストを選択してください"},true,null,null,null,"無効","予診票での留意点の有無は","予診票での留意点の有無はリストから選択してください　","留意点「有」の場合、詳細のいずれか１つ以上必須、「有」以外の場合、詳細に入力があった場合はエラー","予診票での留意点の詳細を入力する場合は留意点を有にしてください","予診票での留意点が有の場合は詳細を入力してください",null,1,"―リストを選択してください","１　有","２　無","３　不明"]
[87,null,"有の場合","有の場合","項目名"]
[88,null,"基礎疾患など","基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等","テキスト","左","中",false,true,2,33,18,29,null,null,50,null,null,"ひらがな","基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等は50","基礎疾患・アレルギー・発育状況・妊娠中の場合妊娠週数等は50文字以内で入力してください　",null,null,null,null,0]
[89,null,"最近１カ月以内のワクチン接種暦","最近１カ月以内のワクチン接種歴","テキスト","左","中",false,true,2,34,18,29,null,null,50,null,null,"ひらがな","最近１カ月以内のワクチン接種歴は50","最近１カ月以内のワクチン接種歴は50文字以内で入力してください　",null,null,null,null,0]
[90,null,"最近１カ月以内の既往歴","最近１カ月以内の既往歴","テキスト","左","中",false,true,2,35,18,29,null,null,50,null,null,"ひらがな","最近１カ月以内の既往歴は50","最近１カ月以内の既往歴は50文字以内で入力してください　",null,null,null,null,0]
[91,null,"投薬中の薬・過去の副作用・服反応歴","投薬中の薬・過去の副作用・副反応歴","テキスト","左","中",false,true,2,36,18,29,null,null,50,null,null,"ひらがな","投薬中の薬・過去の副作用・副反応歴は50","投薬中の薬・過去の副作用・副反応歴は50文字以内で入力してください　",null,null,null,null,0]
[92,"症状の概要","症状","症状","項目名"]
[93,null,"症状説明","次頁の表で該当する症状に○をしてください　ない場合は次頁の最下段の症状名に入力してください","項目名"]
[94,null,"発生日","発生日","日付","中","中",false,true,0,39,8,37,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D104 &\"の\"","v":"発生日の"},"発生日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","発生日＜生年月日・接種日の場合はエラー・発生日が本日より未来の場合はエラー","発生日が接種日より過去の日付になっています","発生日が生年月日より過去の日付になっています",null,1]
[95,null,"発生時刻","時刻","時間","中","中",false,true,1,39,15,37,null,null,null,"00:00:00",0.99998842592592585,"無効",{"$f":"D105 &\"の\"","v":"時刻の"},"時刻の入力方法を確認してください　例：15:40　","接種日＝発生日の場合で、接種時＞発生時の場合はエラー","発生時刻が接種時刻より過去の日付になっています",null,null,0]
[96,null,"接種からの期間","接種からの期間","プログラム","中","中",false,true,3,39,24,37,null,null,null,null,null,"無効",null,"","24時間以内の場合は時間、以上の場合は日数",null,null,null,0]
[97,null,"本剤との因果関係","本剤との因果関係（関連あり・関連なし・評価不能）","リスト","中","中",false,true,0,40,18,37,{"$f":"AA107","v":"―リストを選択してください"},true,null,null,null,"無効",{"$f":"D107 &\"は\"","v":"本剤との因果関係（関連あり・関連なし・評価不能）は"},"本剤との因果関係（関連あり・関連なし・評価不能）はリストから選択してください　",null,null,null,null,1,"―リストを選択してください","１　関連あり","２　関連なし","３　評価不能"]
[98,null,"他要因の可能性","他要因（他の疾患等）の可能性の有無","リスト","中","中",false,true,0,41,18,37,"―リストを選択してください",true,null,null,null,"無効",{"$f":"D108 &\"は\"","v":"他要因（他の疾患等）の可能性の有無は"},"他要因（他の疾患等）の可能性の有無はリストから選択してください　","他要因の可能性が「有」以外の場合、詳細に入力があった場合はエラー","他要因の可能性の詳細を入力する場合は他要因の可能性を有にしてください","他要因の可能性が有の場合は詳細を入力してください",null,1,"―リストを選択してください","１　有","２　無"]
[99,null,"他要因の可能性が有の場合詳細","（有の場合：","テキスト","左","中",false,true,2,42,8,37,null,null,50,null,null,"ひらがな",{"$f":"D109 &\"は\" & P109","v":"（有の場合：は50"},"（有の場合：は50文字以内で入力してください　",null,null,null,null,0]
[100,null,"概要","概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。","テキスト","左","上",true,false,0,44,5,37,null,null,10000,null,null,"ひらがな",{"$f":"D110 &\"は\" & P110","v":"概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。は10000"},"概要（症状・徴候・臨床経過・診断・検査等）　※印刷時に字が切れないようにご入力ください。は10000文字以内で入力してください　",null,null,null,null,1]
[101,null,"製造販売業者への情報提供の有無","○製造販売業者への情報提供の有無","リスト","中","中",false,true,0,45,18,37,{"$f":"AA111","v":"―リストを選択してください"},true,null,null,null,"無効",{"$f":"D111 &\"は\"","v":"○製造販売業者への情報提供の有無は"},"○製造販売業者への情報提供の有無はリストから選択してください　",null,null,null,null,1,"―リストを選択してください","１　有","２　無"]
[102,"症状の程度","重い重くないの別","重い重くないの別","リスト","中","中",false,true,0,48,11,47,"―リストを選択してください",true,null,null,null,"無効",{"$f":"D112 &\"は\"","v":"重い重くないの別は"},"重い重くないの別はリストから選択してください　","重い重くないの別が「重い」以外の場合、詳細に入力があった場合はエラー","1. 死亡から、７. 後世代における・・・のいずれかを選択したときは、重いを選んでください","重い重くないの別が重いの場合は詳細を入力してください",null,1,"―リストを選択してください","１　重い","２　重くない"]
[103,null,"重い場合","重い場合（複数選択可）","項目名"]
[104,null,"死亡","１．死亡","リスト","中","中",false,true,2,49,6,47,null,null,null,null,null,"無効","１．死亡は","１．死亡はリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[105,null,"障害","２．障害","リスト","中","中",false,true,2,50,6,47,null,null,null,null,null,"無効","２．障害は","２．障害はリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[106,null,"死亡につながるおそれ（旧：重篤）","３．死亡につながるおそれ","リスト","中","中",false,true,2,51,6,47,null,null,null,null,null,"無効","３．死亡につながるおそれは","３．死亡につながるおそれはリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[107,null,"障害につながるおそれ（旧：後遺症）","４．障害につながるおそれ","リスト","中","中",false,true,2,52,6,47,null,null,null,null,null,"無効","４．障害につながるおそれは","４．障害につながるおそれはリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[108,null,"入院","５．入院","リスト","中","中",false,true,2,53,6,47,null,null,null,null,null,"無効","５．入院は","５．入院はリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[109,null,"上記1～5に準じて重い","６．上記1～5に準じて重い","リスト","中","中",false,true,2,54,6,47,null,null,null,null,null,"無効","６．上記1～5に準じて重いは","６．上記1～5に準じて重いはリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[110,null,"後世代における先天性の疾病又は異常","７．後世代における先天性の疾病又は異常","リスト","中","中",false,true,2,55,6,47,null,null,null,null,null,"無効","７．後世代における先天性の疾病又は異常は","７．後世代における先天性の疾病又は異常はリストから選択してください　","重い場合、いずれか１つ以上必須",null,null,null,0,"○"]
[111,null,"病院名","入院病院名","テキスト","左","中",false,true,2,49,18,47,null,null,20,null,null,"ひらがな",{"$f":"D121 &\"は\" & P121","v":"入院病院名は20"},"病院名は20文字以内で入力してください　","「入院」の場合、必須","「入院」を選択した場合は　入院病院名を入力してください","入院病院名を入力する場合は「入院」に〇をつけてください",null,0]
[112,null,"医師名","入院担当医の氏名","テキスト","左","中",false,true,2,51,18,47,null,null,20,null,null,"ひらがな","入院担当医の氏名は20","医師名は20文字以内で入力してください　","「入院」の場合、必須","「入院」を選択した場合は　主治医を入力してください","入院担当医の氏名を入力する場合は、「入院」に〇をつけてください",null,0]
[113,null,"入院日","入院日","日付","中","中",false,true,2,53,18,47,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D123 &\"の\"","v":"入院日の"},"入院日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","「入院」の場合、必須　　生年月日＞入院日の場合はエラー","「入院」を選択した場合は　入院日を入力してください","入院日を入力する場合は、「入院」に〇をつけてください","入院日が生年月日より過去の日付になっています",0]
[114,null,"退院日","退院日","日付","中","中",false,true,1,55,18,47,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D124 &\"の\"","v":"退院日の"},"退院日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","「入院」の場合、入力可　退院日＞生年月日・発生日・入院日の場合はエラー","退院日が生年月日より過去の日付になっています","退院日が発生日より過去の日付になっています","退院日が入院日より過去の日付になっています",0]
[115,"症状の転帰","転帰日","転帰日","日付","中","中",false,true,2,57,11,56,null,null,null,"1900-01-01","\"=TODAY()\"","ひらがな",{"$f":"D125 &\"の\"","v":"転帰日の"},"転帰日の入力方法を確認してください（入力例：2013/4/1　平成25年4月1日）　また本日より未来は入力できません","「死亡」を選んだ場合、必須　転帰日＞生年月日・接種日・発生日・入院日の場合はエラー・・転帰日が本日より未来の場合はエラー","転帰日が生年月日より過去の日付になっています","「不明」以外を選択する場合は転帰日を必ず入力してください","転帰日が接種日より過去の日付になっています",0]
[116,null,"１つのみ","１つのみ","項目名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"転帰日が発生日より過去の日付になっています","転帰日が入院日より過去の日付になっています","退院日を入力する場合は、「入院」に〇をつけてください"]
[117,null,"回復","１．回復","リスト","中","中",false,true,2,58,6,56,null,null,null,null,null,"無効","１．回復は","１．回復はリストから選択してください　","転帰のいずれか１つ必須","転帰は必ず１つ選択してください",null,"退院日が接種日より過去の日付になっています",1,"○"]
[118,null,"軽快","２．軽快","リスト","中","中",false,true,2,58,14,56,null,null,null,null,null,"無効","２．軽快は","２．軽快はリストから選択してください　","転帰のいずれか１つ必須",null,null,null,0,"○"]
[119,null,"未回復","３．未回復","リスト","中","中",false,true,2,58,22,56,null,null,null,null,null,"無効","３．未回復は","３．未回復はリストから選択してください　","転帰のいずれか１つ必須",null,null,null,0,"○"]
[120,null,"後遺症","４．後遺症","リスト","中","中",false,true,2,59,6,56,null,null,null,null,null,"無効","４．後遺症は","４．後遺症はリストから選択してください　","転帰のいずれか１つ必須",null,null,null,0,"○"]
[121,null,"転帰死亡","５．死亡","リスト","中","中",false,true,2,59,14,56,null,null,null,null,null,"無効","５．死亡は","５．死亡はリストから選択してください　","転帰のいずれか１つ必須・程度が死亡の場合は転帰も死亡","症状の程度で「死亡」を選択した場合は、転帰も「死亡」を選択してください",null,null,0,"○"]
[122,null,"不明","６．不明","リスト","中","中",false,true,2,59,22,56,null,null,null,null,null,"無効","６．不明は","６．不明はリストから選択してください　","転帰のいずれか１つ必須",null,null,null,0,"○"]
[123,null,"後遺症詳細","（後遺症の詳細：","テキスト","左","中",false,true,2,60,10,56,null,null,50,null,null,"ひらがな","（後遺症の詳細：は50","（後遺症の詳細：は50文字以内で入力してください　","「後遺症」の場合、必須","後遺症の詳細を入力する場合は「後遺症」を選択してください","後遺症を選択した場合は、後遺症の詳細をご記入ください",null,0]
[124,"報告者意見","報告者意見",null,"テキスト","左","上",true,false,1,62,5,61,null,null,200,null,null,"ひらがな","は200","報告者意見は200文字以内で入力してください　",null,null,null,null,0]
[125,"報告回数","報告回数","第１報・第２報・第３報以降","リスト","中","中",false,true,0,64,18,63,{"$f":"AA135","v":"―リストを選択してください"},true,null,null,null,"無効","第１報・第２報・第３報以降は","第１報・第２報・第３報以降はリストから選択してください　",null,null,null,null,1,"―リストを選択してください","１　第１報","２　第２報","３　第３報以降"]
[126,"症状","症状名","症状名","テキスト","左","中",false,true,2,109,11,65,null,null,50,null,null,"ひらがな","症状名は50","症状名は50文字以内で入力してください　","「x」を選択時、必須",null,null,null,0]
[127,"症状","アナフィラキシー","アナフィラキシー","条件付きリスト","中","中",false,true,2,67,5,65,{"$f":"AA137","v":"選択不可"},null,null,null,null,"無効",{"$f":"D137 &\"は\"","v":"アナフィラキシーは"},"アナフィラキシーはリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック","症状は必ず１つ以上選択してください",null,null,1,"選択不可"]
[128,null,"急性散在性脳脊髄炎（ADEM）","急性散在性脳脊髄炎（ADEM）","条件付きリスト","中","中",false,true,2,68,5,65,"選択不可",null,null,null,null,"無効","急性散在性脳脊髄炎（ADEM）は","急性散在性脳脊髄炎（ADEM）はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[129,null,"脳炎・脳症","脳炎・脳症","条件付きリスト","中","中",false,true,2,69,5,65,"選択不可",null,null,null,null,"無効","脳炎・脳症は","脳炎・脳症はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[130,null,"けいれん","けいれん","条件付きリスト","中","中",false,true,2,70,5,65,"選択不可",null,null,null,null,"無効","けいれんは","けいれんはリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[131,null,"ギランバレー症候群","ギランバレー症候群","条件付きリスト","中","中",false,true,2,71,5,65,"選択不可",null,null,null,null,"無効","ギランバレー症候群は","ギランバレー症候群はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[132,null,"血小板減少性紫斑病","血小板減少性紫斑病","条件付きリスト","中","中",false,true,2,72,5,65,"選択不可",null,null,null,null,"無効","血小板減少性紫斑病は","血小板減少性紫斑病はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[133,null,"全身播種性BCG感染症","全身播種性BCG感染症","条件付きリスト","中","中",false,true,2,73,5,65,"選択不可",null,null,null,null,"無効","全身播種性BCG感染症は","全身播種性BCG感染症はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[134,null,"ＢＣＧ骨炎（骨髄炎、骨膜炎）","ＢＣＧ骨炎（骨髄炎、骨膜炎）","条件付きリスト","中","中",false,true,2,74,5,65,"選択不可",null,null,null,null,"無効","ＢＣＧ骨炎（骨髄炎、骨膜炎）は","ＢＣＧ骨炎（骨髄炎、骨膜炎）はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[135,null,"皮膚結核様病変","皮膚結核様病変","条件付きリスト","中","中",false,true,2,75,5,65,"選択不可",null,null,null,null,"無効","皮膚結核様病変は","皮膚結核様病変はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[136,null,"化膿性リンパ節炎","化膿性リンパ節炎","条件付きリスト","中","中",false,true,2,76,5,65,"選択不可",null,null,null,null,"無効","化膿性リンパ節炎は","化膿性リンパ節炎はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[137,null,"血管迷走神経反射（失神を伴うもの）","血管迷走神経反射（失神を伴うもの）","条件付きリスト","中","中",false,true,2,77,5,65,"選択不可",null,null,null,null,"無効","血管迷走神経反射（失神を伴うもの）は","血管迷走神経反射（失神を伴うもの）はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[138,null,"血管炎","血管炎","条件付きリスト","中","中",false,true,2,78,5,65,"選択不可",null,null,null,null,"無効","血管炎は","血管炎はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[139,null,"肝機能障害","肝機能障害","条件付きリスト","中","中",false,true,2,79,5,65,"選択不可",null,null,null,null,"無効","肝機能障害は","肝機能障害はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[140,null,"ネフローゼ症候群","ネフローゼ症候群","条件付きリスト","中","中",false,true,2,80,5,65,"選択不可",null,null,null,null,"無効","ネフローゼ症候群は","ネフローゼ症候群はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[141,null,"喘息発作","喘息発作","条件付きリスト","中","中",false,true,2,81,5,65,"選択不可",null,null,null,null,"無効","喘息発作は","喘息発作はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[142,null,"間質性肺炎","間質性肺炎","条件付きリスト","中","中",false,true,2,82,5,65,"選択不可",null,null,null,null,"無効","間質性肺炎は","間質性肺炎はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[143,null,"皮膚粘膜眼症候群","皮膚粘膜眼症候群","条件付きリスト","中","中",false,true,2,83,5,65,"選択不可",null,null,null,null,"無効","皮膚粘膜眼症候群は","皮膚粘膜眼症候群はリストから選択してください　","１つ以上必須・その他と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[144,null,"その他の反応","その他の反応","条件付きリスト","中","中",false,true,3,84,5,65,"選択不可",null,null,null,null,"無効",null,null,"１つ以上必須・その他と関連する場合は関連チェック・その他が選択されているのに詳細（a～x）が選択されていなければエラー","「その他の反応」に○をつける場合は、下段のa～xのいずれかを選択してください。複数選択可です。「X：エックス」に○をつけた場合は、最下段の症状名に詳細を記入してください",null,null,0,"選択不可"]
[145,null,"a　無呼吸","a　無呼吸","条件付きリスト","中","中",false,true,2,85,5,65,"選択不可",null,null,null,null,"無効","a　無呼吸は","a　無呼吸はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[146,null,"b　気管支けいれん","b　気管支けいれん","条件付きリスト","中","中",false,true,2,86,5,65,"選択不可",null,null,null,null,"無効","b　気管支けいれんは","b　気管支けいれんはリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[147,null,"c　急性散在性脳脊髄炎（ADEM）","c　急性散在性脳脊髄炎（ADEM）","条件付きリスト","中","中",false,true,2,87,5,65,"選択不可",null,null,null,null,"無効","c　急性散在性脳脊髄炎（ADEM）は","c　急性散在性脳脊髄炎（ADEM）はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[148,null,"d　多発性硬化症","d　多発性硬化症","条件付きリスト","中","中",false,true,2,88,5,65,"選択不可",null,null,null,null,"無効","d　多発性硬化症は","d　多発性硬化症はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[149,null,"e　脳炎・脳症","e　脳炎・脳症","条件付きリスト","中","中",false,true,2,89,5,65,"選択不可",null,null,null,null,"無効","e　脳炎・脳症は","e　脳炎・脳症はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[150,null,"f　脊髄炎","f　脊髄炎","条件付きリスト","中","中",false,true,2,90,5,65,"選択不可",null,null,null,null,"無効","f　脊髄炎は","f　脊髄炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[151,null,"g　けいれん","g　けいれん","条件付きリスト","中","中",false,true,2,91,5,65,"選択不可",null,null,null,null,"無効","g　けいれんは","g　けいれんはリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[152,null,"h　ギランバレー症候群","h　ギランバレー症候群","条件付きリスト","中","中",false,true,2,92,5,65,"選択不可",null,null,null,null,"無効","h　ギランバレー症候群は","h　ギランバレー症候群はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[153,null,"i　視神経炎","i　視神経炎","条件付きリスト","中","中",false,true,2,93,5,65,"選択不可",null,null,null,null,"無効","i　視神経炎は","i　視神経炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[154,null,"j　顔面神経麻痺","j　顔面神経麻痺","条件付きリスト","中","中",false,true,2,94,5,65,"選択不可",null,null,null,null,"無効","j　顔面神経麻痺は","j　顔面神経麻痺はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[{"$f":"ROW()-10","v":155},null,"k　末梢神経障害","k　末梢神経障害","条件付きリスト","中","中",false,{"$f":"IF($H165=$H$2,$I$2,$I$3)","v":true},2,95,5,65,"選択不可",null,null,null,null,"無効","k　末梢神経障害は","k　末梢神経障害はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[156,null,"ｌ　知覚異常","ｌ　知覚異常","条件付きリスト","中","中",false,true,2,96,5,65,"選択不可",null,null,null,null,"無効","ｌ　知覚異常は","ｌ　知覚異常はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[157,null,"m　血小板減少性紫斑病","m　血小板減少性紫斑病","条件付きリスト","中","中",false,true,2,97,5,65,"選択不可",null,null,null,null,"無効","m　血小板減少性紫斑病は","m　血小板減少性紫斑病はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[158,null,"n　血管炎","n　血管炎","条件付きリスト","中","中",false,true,2,98,5,65,"選択不可",null,null,null,null,"無効","n　血管炎は","n　血管炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[159,null,"o　肝機能障害","o　肝機能障害","条件付きリスト","中","中",false,true,2,99,5,65,"選択不可",null,null,null,null,"無効","o　肝機能障害は","o　肝機能障害はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[160,null,"p　ネフローゼ症候群","p　ネフローゼ症候群","条件付きリスト","中","中",false,true,2,100,5,65,"選択不可",null,null,null,null,"無効","p　ネフローゼ症候群は","p　ネフローゼ症候群はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[161,null,"q　喘息発作","q　喘息発作","条件付きリスト","中","中",false,true,2,101,5,65,"選択不可",null,null,null,null,"無効","q　喘息発作は","q　喘息発作はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[162,null,"r　間質性肺炎","r　間質性肺炎","条件付きリスト","中","中",false,true,2,102,5,65,"選択不可",null,null,null,null,"無効","r　間質性肺炎は","r　間質性肺炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[163,null,"s　皮膚粘膜眼症候群","s　皮膚粘膜眼症候群","条件付きリスト","中","中",false,true,2,103,5,65,"選択不可",null,null,null,null,"無効","s　皮膚粘膜眼症候群は","s　皮膚粘膜眼症候群はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[164,null,"t　ぶどう膜炎","t　ぶどう膜炎","条件付きリスト","中","中",false,true,2,104,5,65,"選択不可",null,null,null,null,"無効","t　ぶどう膜炎は","t　ぶどう膜炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[165,null,"u　関節炎","u　関節炎","条件付きリスト","中","中",false,true,2,105,5,65,"選択不可",null,null,null,null,"無効","u　関節炎は","u　関節炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[166,null,"v　蜂巣炎","v　蜂巣炎","条件付きリスト","中","中",false,true,2,106,5,65,"選択不可",null,null,null,null,"無効","v　蜂巣炎は","v　蜂巣炎はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[167,null,"w　血管迷走神経反射（失神を伴うもの）","w　血管迷走神経反射（失神を伴うもの）","条件付きリスト","中","中",false,true,2,107,5,65,"選択不可",null,null,null,null,"無効","w　血管迷走神経反射（失神を伴うもの）は","w　血管迷走神経反射（失神を伴うもの）はリストから選択してください　","通常項目と関連する場合は関連チェック",null,null,null,0,"選択不可"]
[168,null,"x　その他","x　a～w以外の場合は以下の「症状名」に記載","条件付きリスト","中","中",false,true,2,108,5,65,"選択不可",null,null,null,null,"無効","x　a～w以外の場合は以下の「症状名」に記載は","x　a～w以外の場合は以下の「症状名」に記載はリストから選択してください　","通常項目と関連する場合は関連チェック","症状名を入力する場合は「その他の反応」の最下段にある「x」に○をつけてください","その他の反応の「ｘ：エックス」に○をつけた場合は、最下段の症状名に詳細を記入してください",null,0,"選択不可"]
[]
[170,"エラー","エラー患者",null,"プログラム","左","中",true,false,3,6,1,6,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[171,null,"エラー報告者",null,"プログラム","左","中",true,false,3,12,1,12,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[172,null,"エラー接種場所",null,"プログラム","左","中",true,false,3,17,1,17,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[173,null,"エラーワクチン",null,"プログラム","左","中",true,false,3,20,1,20,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[174,null,"エラー状況",null,"プログラム","左","中",true,false,3,29,1,29,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[175,null,"エラー概要",null,"プログラム","左","中",true,false,3,37,1,37,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[176,null,"エラー程度",null,"プログラム","左","中",true,false,3,47,1,47,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[177,null,"エラー転帰",null,"プログラム","左","中",true,false,3,56,1,56,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[178,null,"エラー意見",null,"プログラム","左","中",true,false,3,61,1,61,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[179,null,"エラー報告回数",null,"プログラム","左","中",true,false,3,63,1,63,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]
[180,null,"エラー症状",null,"プログラム","左","中",true,false,3,65,1,65,null,null,null,null,null,"ひらがな",null,null,null,null,null,null,0]

{"sheet":"DATA_vaccine","index":5,"n_rows":82,"n_cols":43,"rows_kept":82,"cut":false,"hidden":true,"merged":[]}
[]
["定期・任意","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","定期","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意","任意"]
["一般名（基準名）","乾燥ＢＣＧワクチン","乾燥弱毒生麻しん風しん混合ワクチン","乾燥弱毒生麻しんワクチン","乾燥弱毒生風しんワクチン","沈降精製百日せきジフテリア破傷風混合ワクチン","沈降ジフテリア破傷風混合トキソイド","不活化ポリオワクチン（ソークワクチン）","沈降精製百日せきジフテリア破傷風不活化ポリオ（セービン株）混合ワクチン","乾燥細胞培養日本脳炎ワクチン","インフルエンザＨＡワクチン","沈降７価肺炎球菌結合型ワクチン（無毒性変異ジフテリア毒素結合体）","沈降13価肺炎球菌結合型ワクチン（無毒性変異ジフテリア毒素結合体）","乾燥ヘモフィルスb型ワクチン（破傷風トキソイド結合体）","組換え沈降2価ヒトパピローマウイルス様粒子ワクチン（イラクサギンウワバ細胞由来）","組換え沈降４価ヒトパピローマウイルス様粒子ワクチン（酵母由来）","乾燥ＢＣＧワクチン","乾燥弱毒生麻しん風しん混合ワクチン","乾燥弱毒生麻しんワクチン","乾燥弱毒生風しんワクチン","沈降精製百日せきジフテリア破傷風混合ワクチン","沈降ジフテリア破傷風混合トキソイド","不活化ポリオワクチン（ソークワクチン）","沈降精製百日せきジフテリア破傷風不活化ポリオ（セービン株）混合ワクチン","乾燥細胞培養日本脳炎ワクチン","インフルエンザＨＡワクチン","沈降７価肺炎球菌結合型ワクチン（無毒性変異ジフテリア毒素結合体）","沈降13価肺炎球菌結合型ワクチン（無毒性変異ジフテリア毒素結合体）","乾燥ヘモフィルスb型ワクチン（破傷風トキソイド結合体）","組換え沈降2価ヒトパピローマウイルス様粒子ワクチン（イラクサギンウワバ細胞由来）","組換え沈降４価ヒトパピローマウイルス様粒子ワクチン（酵母由来）","経口生ポリオワクチン","乾燥弱毒生おたふくかぜワクチン","乾燥弱毒生水痘ワクチン","黄熱ワクチン(17D-204株）","経口弱毒生ヒトロタウイルスワクチン","５価経口弱毒生ロタウイルスワクチン","組換え沈降Ｂ型肝炎ワクチン（酵母由来）","沈降破傷風トキソイド","成人用沈降ジフテリアトキソイド","乾燥組織培養不活化Ａ型肝炎ワクチン","乾燥組織培養不活化狂犬病ワクチン","肺炎球菌ワクチン"]
["リスト表示名","BCG","MR","麻疹","風疹","DPT","DT","IPV","DPT-IPV","日脳","インフル","PCV7","PCV13","Hib","HPV2価","HPV4価","BCG","MR","麻疹","風疹","DPT","DT","IPV","DPT-IPV","日脳","インフル","PCV7","PCV13","Hib","HPV2価","HPV4価","OPV ","おたふくかぜ","水痘","黄熱","ロタ1価","ロタ5価","B型肝炎","破傷風","ジフテリア","A型肝炎","狂犬病","肺炎球菌23価多糖体"]
["リスト表示名_bk","【定期】BCG","【定期】MR","【定期】麻疹","【定期】風疹","【定期】DPT","【定期】DT","【定期】IPV","【定期】DPT-IPV","【定期】日脳","【定期】インフル","【定期】PCV7","【定期】PCV13","【定期】Hib","【定期】HPV2","【定期】HPV4","【任意】BCG","【任意】MR","【任意】麻疹","【任意】風疹","【任意】DPT","【任意】DT","【任意】IPV","【任意】DPT-IPV","【任意】日脳","【任意】インフル","【任意】PCV7","【任意】PCV13","【任意】Hib","【任意】HPV2価","【任意】HPV4価","【任意】OPV ","【任意】おたふく","【任意】水痘","【任意】黄熱","【任意】ロタ1価","【任意】ロタ5価","【任意】B肝","【任意】破傷風","【任意】ジフテリア","【任意】A型肝炎","【任意】狂犬病","【任意】PPV23"]
[]
[]
[]
[]
["期","1回目","1期","1期","1期","1期 初回 1回目","1期 初回 1回目","1期 初回 1回目","1期 初回 1回目","1期　初回1回目（1回目）","1回目","初回1回目","初回1回目","初回1回目","1回目","1回目","１回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目","1回目"]
[null,null,"2期（1回目の接種）","2期（1回目の接種）","2期（1回目の接種）","1期 初回 2回目","1期 初回 2回目","1期 初回 2回目","1期 初回 2回目","1期　初回2回目（2回目）",null,"初回2回目","初回2回目","初回2回目","2回目","2回目","2回目以上","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目","2回目"]
[null,null,"2期（2回目の接種）","2期（2回目の接種）","2期（2回目の接種）","1期 初回 3回目","1期 追加","1期 初回 3回目","1期 初回 3回目","1期　追加（3回目）",null,"初回3回目","初回3回目","初回3回目","3回目","3回目","回数不明","3回目以上","3回目以上","3回目以上","3回目","3回目","3回目","3回目","3回目","3回目以上","3回目","3回目","3回目","3回目","3回目","3回目以上","3回目以上","3回目以上","3回目","3回目以上","3回目","3回目","3回目","3回目","3回目","3回目","3回目以上"]
[null,null,null,null,null,"1期 追加","2期","1期 追加","1期 追加","2期（4回目）",null,"追加","追加","追加",null,null,null,"回数不明","回数不明","回数不明","4回目","4回目以上","4回目","4回目","4回目","回数不明","4回目","4回目","4回目","4回目以上","4回目以上","回数不明","回数不明","回数不明","4回目","回数不明","4回目以上","4回目","4回目以上","4回目以上","4回目以上","4回目","回数不明"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"5回目以上",null,"5回目以上","5回目以上","5回目以上",null,"5回目以上","5回目以上","5回目以上","回数不明","回数不明",null,null,null,"5回目以上",null,"回数不明","5回目","回数不明","回数不明","回数不明","5回目"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回数不明","回数不明","回数不明","回数不明","回数不明",null,"回数不明","回数不明","回数不明",null,null,null,null,null,"回数不明",null,null,"6回目",null,null,null,"6回目"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"7回目以上",null,null,null,"7回目以上"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回数不明",null,null,null,"回数不明"]
[]
[]
["製造所名（販売名）","日本BCG製造","阪大微研：ミールビック","阪大微研","阪大微研","化血研： シリンジ","阪大微研：DTビック","サノフィ: イモバックスポリオ","化血研: クアトロバック","化血研: エンセバック","デンカ生研：シリンジ「生研」","ファイザー: プレベナー","ファイザー: プレベナー13","サノフィ: アクトヒブ","GSK: サーバリックス","MSD: ガーダシルシリンジ","日本BCG製造","阪大微研：ミールビック","阪大微研","阪大微研","化血研： シリンジ","阪大微研：DTビック","サノフィ: イモバックスポリオ","化血研: クアトロバック","化血研: エンセバック","デンカ生研：シリンジ「生研」","ファイザー: プレベナー","ファイザー: プレベナー13","サノフィ: アクトヒブ","GSK: サーバリックス","MSD: ガーダシルシリンジ","日本ポリオ","武田薬品","阪大微研","サノフィ","GSK:　ロタリックス","MSD:　ロタテック","化血研：ビームゲン（0.25mL）","化血研","阪大微研：ジフトキ「ビケンF」","化血研: エイムゲン","化血研","MSD: ニューモバックスNP"]
[null,null,"武田薬品","武田薬品","武田薬品","化血研： シリンジ PF","化血研",null,"阪大微研: テトラビック","阪大微研: ジェービックV","デンカ生研：「生研」",null,null,null,null,null,null,"武田薬品","武田薬品","武田薬品","化血研： シリンジ PF","化血研",null,"阪大微研: テトラビック","阪大微研: ジェービックV","デンカ生研：「生研」",null,null,null,null,null,null,"北里第一三共",null,null,null,null,"化血研：ビームゲン（0.5mL）","デンカ生研"]
[null,null,"北里第一三共","北里第一三共","北里第一三共","化血研","武田薬品",null,null,null,"阪大微研：フルービックHAシリンジ",null,null,null,null,null,null,"北里第一三共","北里第一三共","北里第一三共","化血研","武田薬品",null,null,null,"阪大微研：フルービックHAシリンジ",null,null,null,null,null,null,null,null,null,null,null,"MSD：ヘプタバックス-Ⅱ","北里第一三共：シリンジ"]
[null,null,null,null,null,"北里第一三共：シリンジ","北里第一三共",null,null,null,"阪大微研：フルービックHA",null,null,null,null,null,null,null,null,null,"北里第一三共：シリンジ","北里第一三共",null,null,null,"阪大微研：フルービックHA",null,null,null,null,null,null,null,null,null,null,null,null,"武田薬品"]
[null,null,null,null,null,"北里第一三共",null,null,null,null,"阪大微研：ビケンHA",null,null,null,null,null,null,null,null,null,"北里第一三共",null,null,null,null,"阪大微研：ビケンHA",null,null,null,null,null,null,null,null,null,null,null,null,"阪大微研：破トキ「ビケンF」"]
[null,null,null,null,null,"武田薬品",null,null,null,null,"化血研",null,null,null,null,null,null,null,null,null,"武田薬品",null,null,null,null,"化血研"]
[null,null,null,null,null,"阪大微研：トリビック",null,null,null,null,"北里第一三共：1mL",null,null,null,null,null,null,null,null,null,"阪大微研：トリビック",null,null,null,null,"北里第一三共：1mL"]
[null,null,null,null,null,null,null,null,null,null,"北里第一三共：0.5mL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"北里第一三共：0.5mL"]
[null,null,null,null,null,null,null,null,null,null,"北里第一三共：シリンジ0.5mL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"北里第一三共：シリンジ0.5mL"]
[null,null,null,null,null,null,null,null,null,null,"北里第一三共：シリンジ0.25mL",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"北里第一三共：シリンジ0.25mL"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["副反応名"]
["アナフィラキシー","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["急性散在性脳脊髄炎（ADEM）",null,"○","○","○",null,null,null,null,"○","○",null,null,null,"○","○"]
["脳炎・脳症",null,"○","○","○","○","○","○","○","○","○"]
["けいれん",null,"○","○","○","○","○","○","○","○","○","○","○","○"]
["ギランバレー症候群",null,null,null,null,null,null,null,null,null,"○",null,null,null,"○","○"]
["血小板減少性紫斑病",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["全身播種性BCG感染症","○"]
["ＢＣＧ骨炎（骨髄炎、骨膜炎）","○"]
["皮膚結核様病変","○"]
["化膿性リンパ節炎","○"]
["血管迷走神経反射（失神を伴うもの）",null,null,null,null,null,null,null,null,null,null,null,null,null,"○","○"]
["血管炎",null,null,null,null,null,null,null,null,null,"○"]
["肝機能障害",null,null,null,null,null,null,null,null,null,"○"]
["ネフローゼ症候群",null,null,null,null,null,null,null,null,null,"○"]
["喘息発作",null,null,null,null,null,null,null,null,null,"○"]
["間質性肺炎",null,null,null,null,null,null,null,null,null,"○"]
["皮膚粘膜眼症候群",null,null,null,null,null,null,null,null,null,"○"]
["その他の反応","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["a　無呼吸","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["b　気管支けいれん","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["c　急性散在性脳脊髄炎（ADEM）","○",null,null,null,"○","○","○","○",null,null,"○","○","○",null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["d　多発性硬化症","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["e　脳炎・脳症","○",null,null,null,null,null,null,null,null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["f　脊髄炎","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["g　けいれん","○",null,null,null,null,null,null,null,null,null,null,null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["h　ギランバレー症候群","○","○","○","○","○","○","○","○","○",null,"○","○","○",null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["i　視神経炎","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["j　顔面神経麻痺","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["k　末梢神経障害","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["l　知覚異常","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["m　血小板減少性紫斑病","○",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["n　血管炎","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["o　肝機能障害","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["p　ネフローゼ症候群","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["q　喘息発作","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["r　間質性肺炎","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["s　皮膚粘膜眼症候群","○","○","○","○","○","○","○","○","○",null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["t　ぶどう膜炎","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["u　関節炎","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["v　蜂巣炎","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["w　血管迷走神経反射","○","○","○","○","○","○","○","○","○","○","○","○","○",null,null,"○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]
["x　a～w以外の場合は以下の「症状名」に記載","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○","○"]

{"sheet":"DATA_message","index":6,"n_rows":30,"n_cols":5,"rows_kept":30,"cut":false,"hidden":true,"merged":[[0,1,0,2]]}
[null,"項目",null,"内容","備考"]
[null,"必須項目","リスト","を選択してください　"]
[null,null,"リスト以外","を入力してください　"]
[null,"入力規則","入力規則","を再度入力しなおしてください（コピーは行わずに入力してください）　"]
[null,"初期値","初期値","を選択してください（選択されていません）"]
[null,null,"カタカナ","は全角のカタカナで入力してください"]
[]
[null,"ワクチン","ワクチン",{"$f":"DATA_input!N48","v":"接種種別を選択してください"}]
[null,null,"製造販売業者",{"$f":"DATA_input!N50","v":"ワクチンを選択してください"}]
[null,null,"接種回数",{"$f":"DATA_input!N51","v":"ワクチンを選択してください"}]
[]
[]
[]
[]
[]
[]
[]
[null,"相関チェック","姓","任意接種のワクチンを選択する場合は、姓にイニシャル１文字を入力してください　"]
[null,null,"名","任意接種のワクチンを選択する場合は、名にイニシャル１文字を入力してください　"]
[null,null,"セイ","任意接種のワクチンを選択する場合は、セイを入力できません　"]
[null,null,"メイ","任意接種のワクチンを選択する場合は、メイを入力してください　"]
[null,null,"セイ","定期接種のワクチンを選択する場合は、セイを入力してください　"]
[null,null,"メイ","定期接種のワクチンを選択する場合は、メイを入力してください　"]
[null,null,"接種時年齢月齢","接種時年齢が０歳の場合は月齢を入力してください　"]
[null,null,"患者市区町村","区市町村をリストから選択してください"]
[null,null,"生年月日接種日","接種日は生年月日より後を入力してください　"]
[null,null,"ワクチンの種類","ワクチンは上づめで入力してください"]
[null,null,null,"ワクチン(1)と(2)が重複しています"]
[null,null,"関係","関係がその他の場合は詳細を入力してください"]
[null,null,"留意点","留意点が有の場合は詳細を入力してください"]