Adverse event
Log status
Concomitant Medications
Sequence number
integer
Drug name
text
Modified reported term
text
Unit Dose
float
Units
text
Frequency
text
Route
text
Reason for Medication
text
Generic Dispensed
boolean
Prescription or OTC
text
Medication start datetime
datetime
Taken Prior to Study?
boolean
medication ongoing
boolean
Concomitant Medication End Date
date
Device used to administer medication
text
Total Daily Dose
integer
drug adminstered for an exacerbation
boolean
Rescue Medication
boolean
Total Dose
integer
drug use
boolean
Total duration
integer
duration
text
Non-serious adverse event
Sequence Number
text
Non-serious adverse event
text
Modified term
text
MedDRA synonym
text
MedDRA lower level term code
text
Start Date
date
Outcome
integer
End date
date
Maximum Intensity
text
Intensity at onset of event
text
Maximum Grade
integer
Grade at onset of event
integer
Maximum Grade or Intensity
text
Grade or Intensity at onset of event
text
Action Taken with Investigational Product
text
Withdrawal from study
boolean
AE caused by investigational product
boolean
Duration of AE hours
integer
Duration of AE minutes
integer
Time to Onset Since Last Dose hours
integer
Time to Onset Since Last Dose minutes
integer
Report
Randomisation
Serious Adverse Event
Sequence Number
text
Modified term
text
MedDRA synonym
text
MedDRA lower level term code
text
serious adverse event
boolean
Did SAE occur after initiation of study medication
boolean
Serious Adverse Event
text
Serious Adverse Event Start Date
date
Start Time Serious Adverse Event
time
Serious Adverse Event End Date
date
Serious Adverse Event End Time
time
Outcome
integer
Date of Death
date
Intensity (maximum)
text
Intensity at onset of event
text
Maximum Grade
integer
Grade at onset of event
integer
Maximum Grade or Intensity
text
Grade or Intensity at onset of event
text
Action Taken
integer
Relationship investigational product
boolean
Did the subject withdraw from study as a result of this AE?
boolean
Duration of AE if < 24 hours
integer
Time to Onset Since Last Dose
integer
SAE Causation
boolean
Serious Adverse Event
boolean
investigational product
text
Intensity changes
Serious Adverse Event Intensity changes
text
Start Date of event segment
date
Start Time of event segment
time
Intensity of event segment
integer
Grade of event segment
integer
Grade or Intensity of event segment
text
Seriousness
Relevant concomitant/treatment medications
CM Sequence Number
text
Drug name
text
Modified reported term
text
Dose
text
units of medication
text
Frequency
text
Route of medication
text
Start Date
date
Ongoing medication
boolean
End date medication
date
Primary Indication
text
Modified reported term
text
Drug Type
text
Relevant diagnostic results
Lab Sequence Number
text
Test Name
text
Test Date
date
Test Result
text
Test Units
text
Normal Low Range
text
Normal High Range
text
Relevant diagnostic results not noted above
text
Rechallenge
text
investigational product
Drug
text
start date
date
stop date
date
Regimen
text
General narrative comments
Non clinical
incomplete SAE data GSK Safety
boolean
Receipt by GSK date
date
Receipt by GSK date
date
serious SAE
boolean
SAE Sequence Number
text
Version Number
integer
Case ID
text
Randomisation Number
text
OCEANS Code
text
Email Flag
text