reporttype2Version of Safety Report ID3receivedateformat102transmissiondateformat102fulfillexpeditecriteria1Safety Report ID10357973serious1Date Last Updated01/10/2014receiptdateformat102companynumbUS-ACTELION-A-US2014-102605occurcountryUSseriousnessother1duplicate1Date Received01/08/2014transmissiondate28/05/2015primarysourcecountryUS
Primary Source
reportercountryUSqualification3
Patient
Onset Age57Unit of Onset Ageyearspatientagegroup5SexFemale