Summary of PDF Content
Non-Tabular Text:
- Header Text: c4591001
- Visit: SCR Form: GENERAL MEDICAL HISTORY - eCRF Audit
- Trail History
- Form Version: 22-Apr-2020 21:03
- Form Status: Data Complete, Locked, Frozen, Verified
- Site No: 1007
- Site Name: (1007) Cincinnati Children’s Hospital Medical Center
- Subject No: 10071050
- Subject Initials: —
- Generated By: pfe.levissc
- Generated Time (GMT): 29-Mar-2021 04:12
- Page 290 of 614
- Confidential
- )TMG(
- 13:50
- 1202-rpA-10
- :nO
- laniF\laniF\a204ea691e771090
- FDA-CBER-2021-5683-0129391
Tabular Information:
Table 1: 1.b Ongoing
| Date | Location | User | Value | Reason |
|---|---|---|---|---|
| Jun-22-2020 11:44:51 (UTC-05:00) Eastern Time (US & Canada) | ACV0PFEINFP6000 | Laura Pace (pfe.lpace) | YES | Initial Entry |
Table 2: 1.c
| Date | Location | User | Value | Reason |
|---|---|---|---|---|
| Jun-22-2020 11:45:14 (UTC-05:00) Eastern Time (US & Canada) | ACV0PFEINFP6000 | auto calc (autocalc) | Line/MH Number: 3 Medical History Term: Anemia Start Date: Sep/UNK/2019 Ongoing: YES |
Initial Entry |
Note: Some line breaks within table cells have been preserved for clarity. The “UNK” in the date is likely meant to represent “Unknown”.