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