AEF_1 | Initials of the child | |
AEF_2 | Study researcher ID | ## |
AEF_3 | Today’s date | DD/MM/YY |
AEF_4 | Did the adverse event result in death? | Yes=1 |
No= 2 | ||
AEF_5 | Date of adverse event or hospitalization | DD/MM/YY |
AEF_6 | Date of event resolved or discharge from hospital (if applicable) | DD/MM/YY |
AEF_7 | Is the adverse event possibly study related? | Yes=1 |
No= 2 | ||