What was the adverse event and date of event? | Details and dates |
Was the patient on biological therapy at the time of the new illness? | Y/N |
Did the event result in any of the following? If yes, please provide further details | |
Death | |
Hospitalisation | |
IV antibiotics | |
Significant loss of function or disability | |
Congenital abnormality | |
Life threatening | |
Was a yellow card completed for this new illness? | Y/N |