Sequence Number
Item
1. Sequence Number
integer
C2348184 (UMLS CUI [1])
Non-serious adverse event
Item
2. Event
text
C1518404 (UMLS CUI [1])
Modified term
Item
3. Modified term
text
C2826302 (UMLS CUI [1])
MedDRA synonym
Item
MedDRA synonym
text
C1140263 (UMLS CUI [1])
MedDRA lower level term code
Item
MedDRA lower level term code
text
C2826302 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Start Date Non-serious adverse event
Item
4. Start Date Non-serious adverse event
date
C1518404 (UMLS CUI [1,1])
C2697888 (UMLS CUI [1,2])
Item
5. Outcome
integer
C1705586 (UMLS CUI [1])
CL Item
Recovered/Resolved, provide End Date and Time (1)
(Comment:en)
CL Item
Recovering/Resolving (2)
(Comment:en)
CL Item
Not recovered/Not resolved (3)
(Comment:en)
CL Item
Recovered/Resolved with sequelae, provide End Date and Time (4)
(Comment:en)
End date Non-serious adverse event
Item
5. End date Non-serious adverse event
date
C1518404 (UMLS CUI [1,1])
C2697886 (UMLS CUI [1,2])
Item
6. Frequency Non-serious adverse event
integer
C1518404 (UMLS CUI [1,1])
C0439603 (UMLS CUI [1,2])
Code List
6. Frequency Non-serious adverse event
CL Item
Single Episode (1)
(Comment:en)
CL Item
Intermittent (2)
(Comment:en)
Item
7. Maximum Intensity
integer
C1710066 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Code List
7. Maximum Intensity
CL Item
Mild (1)
(Comment:en)
CL Item
Moderate (2)
(Comment:en)
CL Item
Severe (3)
(Comment:en)
CL Item
Not applicable (4)
(Comment:en)
Item
8. Maximum Grade Non-serious adverse event
integer
C2985911 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Code List
8. Maximum Grade Non-serious adverse event
CL Item
Grade I (1)
(Comment:en)
CL Item
Grade 2 (2)
(Comment:en)
CL Item
Grade 3 (3)
(Comment:en)
CL Item
Grade4 (4)
(Comment:en)
CL Item
Grade 5 (5)
(Comment:en)
CL Item
Not applicable (6)
(Comment:en)
Item
9. Maximum Grade or Intensity
integer
C1710066 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Code List
9. Maximum Grade or Intensity
CL Item
Mild or Grade I (1)
(Comment:en)
CL Item
Moderate or Grade 2 (2)
(Comment:en)
CL Item
Severe or Grade 3 (3)
(Comment:en)
CL Item
Grade4 (4)
(Comment:en)
CL Item
Grade 5 (5)
(Comment:en)
CL Item
Not applicable (6)
(Comment:en)
Item
10. Action Taken with Investigational Product(s) as a Result of the AE
integer
C1704758 (UMLS CUI [1])
Code List
10. Action Taken with Investigational Product(s) as a Result of the AE
CL Item
Investigational product(s) withdrawn (1)
(Comment:en)
CL Item
Dose reduced (2)
(Comment:en)
CL Item
Dose increased (3)
(Comment:en)
CL Item
Dose not changed (4)
(Comment:en)
CL Item
Dose interrupted (5)
(Comment:en)
CL Item
Not applicable (6)
(Comment:en)
Withdrawal from study
Item
11. Did the subject withdraw from study as a result of this AE?
boolean
C0422727 (UMLS CUI [1])
AE caused by investigational product
Item
12 Is there a reasonable possibility that the AE may have been caused by the investigational product?
boolean
C0013230 (UMLS CUI [1,1])
C1518404 (UMLS CUI [1,2])
Duration of AE hours
Item
13. Duration of AE if < 24 hours (hours)
integer
C1518404 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Duration of AE minutes
Item
13. Duration of AE if < 24 hours (minutes)
integer
C1518404 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Time to Onset Since Last Dose hours
Item
14. Time to Onset Since Last Dose (hours)
integer
C0449244 (UMLS CUI [1,1])
C1762893 (UMLS CUI [1,2])
C1518404 (UMLS CUI [1,3])
Time to Onset Since Last Dose minutes
Item
14. Time to Onset Since Last Dose (minutes)
integer
C0449244 (UMLS CUI [1,1])
C1762893 (UMLS CUI [1,2])
C1518404 (UMLS CUI [1,3])