Report
reporttype1receiptdateformat102companynumbRB-49905-2013Version of Safety Report ID1receivedateformat102duplicate1transmissiondateformat102fulfillexpeditecriteria2Safety Report ID10025192Date Received04/03/2014seriousnesshospitalization1transmissiondate02/10/2014serious1Date Last Updated04/03/2014primarysourcecountryUSReceiver
receivertype6receiverorganizationFDAPrimary Source
reportercountryUSqualification5Sender
sendertype2senderorganizationFDA-Public UsePatient
Onset Age30Unit of Onset AgeyearsSexFemaleContents