Report
reporttype1receiptdateformat102companynumbUS-TEVA-514625USAoccurcountryUSVersion of Safety Report ID1receivedateformat102duplicate1transmissiondateformat102fulfillexpeditecriteria2Safety Report ID10511370Date Received10/10/2014transmissiondate28/05/2015serious2Date Last Updated10/10/2014primarysourcecountryUSReceiver
receivertype6receiverorganizationFDAPrimary Source
reportercountryUSqualification5Sender
sendertype2senderorganizationFDA-Public UsePatient
SexMaleContents