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TENALEA - UMBRELLA - Sae (F8) - 72418002
TENALEA - UMBRELLA - Sae (F8) - 72418002
Sae (F8)
Form completed by : Guibelalde
Form completion date: 11 Jun 2021 at 13:38:38
Clinician: Guibelalde
Institute: Hospital Universitari Son Espases
1 Event description: Other, specify
2 Specify other febrile upper respiratory infection
3 Please comment briefly on nature of SAE Infection Paraionfluenza 3 virus
4 Toxicity grade according CTCAE 2
5 Classification Unplanned Hospitalisation (or prolongation of planned
hospitalisation)
6 Start date 08 Jun 2021
7 Ongoing No
8 Stop date 10 Jun 2021
9 Could the patient's original condition or other illness Probably
account for this event?
10 Do you think the event was related to the treatment? Possibly