Adverse Event
Point in time
integer
Maintenance Month
Desciption of Adverse Event
text
Adverse Event Term
Serious Adverse Event
boolean
Grade of Adverse Event
Outcome
Treatment/Action taken
Adverse Event Start Date
date
Adverse Event End Date
Adverse Event related to
Cytarabine
Daunorubicin
Dasatinib
Underlying Disease
Concomitant medication
Other
Signature
Date
Name of Investigator
Signature of investigator