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V Outline Overview of Adverse Events (AE) module PRS data elements ClinicalTrials.gov review criteria Examples 2 1 Adverse Events Module September 2014 Purpose The Adverse Events module is designed to summarize data regarding the serious and other (not including serious) adverse events that were collected during the study. The module is not used for real time ( spontaneous ) adverse event reporting while the study is ongoing The module includes summa.

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How to fill out the Adverse Events Module online

The Adverse Events Module is a critical component designed to summarize data about serious and other adverse events collected during a clinical study. This guide provides clear, step-by-step instructions for users to effectively fill out the module online, ensuring proper documentation of these events.

Follow the steps to successfully complete the Adverse Events Module.

  1. Press the ‘Get Form’ button to access the Adverse Events Module and open it in the editing interface.
  2. Begin by filling out the overall adverse event information. Include the time frame for data collection and an additional description of the adverse event data.
  3. Complete the Serious Adverse Event (SAE) Table. Include the arm or group title and description, total number affected by any SAE, and total number at risk for SAE.
  4. Fill out the adverse event term section. Indicate the adverse event term and provide an additional description. Select the organ system from the provided list and input the number of affected participants and the number of SAE events.
  5. Proceed to the Other Adverse Events Table. Similar to the SAE table, report other adverse events that exceed a frequency threshold of 5 percent.
  6. Review your entries for consistency and accuracy, ensuring that abbreviations are expanded and arm/group descriptions provide necessary information.
  7. Once all information has been entered, users can save changes, download, print, or share the form to ensure the data is documented correctly.

Complete the Adverse Events Module online to ensure accurate and comprehensive reporting.

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Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling; limiting self care ADL**. Grade 4 Life-threatening consequences; urgent intervention indicated. Grade 5 Death related to AE.

Table 3Categories of adverse events Type of Adverse EventsExample Infectious (Non-Respiratory) Adverse Event Vaginitis, urinary tract infection, influenza Musculoskeletal Adverse Event Muscle cramps, myalgia, tendonitis, rigors, musculoskeletal pain, muscle soreness Neurological Adverse Event Tremor, headache, seizure, rigors13 more rows

The CTCAE includes 837 AE terms for 26 system/organ classes, with most AEs classified into five severity grades (1 = mild, 2 = moderate, 3 = severe, 4 = life threatening, and 5 = death). Adverse events are typically assessed and reported immediately after each cycle of treatment.

Grade 1 adverse events are mild and generally not bothersome. Grade 2 events are bothersome and may interfere with doing some activities but are not dangerous. Grade 3 events are serious and interfere with a person's ability to do basic things like eat or get dressed.

Therefore, an AE can be ANY unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the medicinal (investigational) product (attribution of 'unrelated', 'unlikely', ' ...

Grade 1 adverse events are mild and generally not bothersome. Grade 2 events are bothersome and may interfere with doing some activities but are not dangerous. Grade 3 events are serious and interfere with a person's ability to do basic things like eat or get dressed.

Serious Adverse Event (SAE): Results in death. Is life threatening, or places the participant at immediate risk of death from the event as it occurred. Requires or prolongs hospitalization. Causes persistent or significant disability or incapacity. Results in congenital anomalies or birth defects.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232