Report
reporttype1receiptdateformat102companynumb2014VER00011Version of Safety Report ID2receivedateformat102seriousnessother1duplicate1transmissiondateformat102fulfillexpeditecriteria1Safety Report ID10246074Date Received17/06/2014transmissiondate12/12/2014serious1Date Last Updated30/06/2014primarysourcecountryUSReceiver
receivertype6receiverorganizationFDAPrimary Source
reportercountryUSqualification1Sender
sendertype2senderorganizationFDA-Public UsePatient
Onset Age14Unit of Onset AgeyearsSexMaleContents