Sample Subject Level Adverse Events Dataset
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USUBJID
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AEDECOD
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AEBODSYS
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TRTAN
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TRTA
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TRT_DESC
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VERSION
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AESER
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TRTEMFL
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SAFFL
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XYZ-001-001
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Headache
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Nervous system disorders
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1
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Drug A
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Study Drug
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MedDRA 17.1
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N
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Y
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Y
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XYZ-001-001
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Back pain
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Musculoskeletal and connective
tissue disorders |
1
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Drug A
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Study Drug
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MedDRA 17.1
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N
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Y
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Y
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XYZ-001-002
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Hypotension
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Vascular disorders
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2
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Drug B
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Comparator Drug |
MedDRA 17.1
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Y
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Y
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XYZ-001-003
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Abdominal discomfort
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Gastrointestinal disorders
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3
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Drug C
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Comparator Drug |
MedDRA 17.1
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N
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Y
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N
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Sample Corresponding Data Entry for Subject Level Adverse Data
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Subject Identification
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USUBJID
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Preferred Term
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AEDECOD
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System Organ Class
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AEBODSYS
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Treatment Group / Arm ID (Optional)
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TRTAN
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Treatment Group /Arm
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TRTA
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Treatment Description / Arm (Optional)
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TRT_DESC
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MedDRA version (optional if specified in the adverse Events section) |
VERSION
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Serious Adverse Events
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AESER
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Serious flag value (ex:"Serious" , "Yes" , 1, etc..)
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Y
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Non-Serious flag value (ex:"Non-Serious", "No" , 2, etc..) |
N
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Treatment Emergent
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TRTEMFL
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Treatment Emergent Value
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Y
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Population Flag (Optional)
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SAFFL
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Sample Subject Level Dataset
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AGE
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AGEU
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RACE
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ARM
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ARMCD
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ENRFL
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TRTSDT
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EOSDREAS
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EOSREASP
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ACTARM
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ACTARMCD
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EVAFL
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40
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Years
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White
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Drug A
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1
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Y
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14-Mar-2013
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Completed
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Drug B
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2
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Y
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35
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Years
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Black
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Drug B
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2
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Y
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17-May-2014
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Adverse Events
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Drug A
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1
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Y
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56
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Years
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Asian
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Drug B
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2
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Y
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16-Mar-2015
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Other
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Subject Refused further treatment
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Drug B
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2
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Y
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21
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Years
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White
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Drug C
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3
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N
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17-Jun-2015
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Adverse Events
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Drug C
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3
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Sample Corresponding Data Entry for Subject Level Data
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Age
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AGE
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Age Unit
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AGEU
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RACE
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RACE
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Planned Treatment Arm
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ARM
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Planned Treatment Arm code
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ARMCD
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Baseline Population Flag (optional)
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ENRFL
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Treatment Start Date
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TRTSDT
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Discontinuation Variables (Separated by Space if more than one) |
EOSDREAS
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Discontinuation Variables Specify (optional)
(Sparated by Space if more than one)
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EOSREASP
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Name of Corresponding Periods
(separated by space — leave blank if Overall Study Period) |
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Actual Treatment Arm
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ACTARM
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Actual Treatment Arm Code
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ACTARMCD
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Participant Flow Population flag (optional)
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EVAFL
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