Report
reporttype1receiptdateformat102companynumb2014P1003476Version of Safety Report ID2receivedateformat102seriousnessother1duplicate1transmissiondateformat102fulfillexpeditecriteria1Safety Report ID10206210Date Received27/05/2014transmissiondate28/05/2015serious1Date Last Updated20/10/2014primarysourcecountryUSReceiver
receivertype6receiverorganizationFDAPrimary Source
reportercountryUSqualification3Sender
sendertype2senderorganizationFDA-Public UsePatient
Onset Age22Unit of Onset AgeyearsWeight58.9SexFemaleContents