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