Adverse Events Module

Adverse Events Module

For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.

Adverse Events Module path is as follows:

Study -> Results Section -> Adverse Events Module -> Event Groups

Study -> Results Section -> Adverse Events Module -> Serious Events

Study -> Results Section -> Adverse Events Module -> Other Events

Adverse Events Module


Ignite Creation Date: 2025-12-24 @ 11:02 PM
Ignite Modification Date: 2025-12-25 @ 8:32 PM
NCT ID: NCT01001169
Description: None
Frequency Threshold: 5
Time Frame: Solicited local and general symptoms: during the 7-day (Day 0-6) post-vaccination period; Unsolicited AEs: up to 84 days (Days 0-83) after the first vaccination; SAEs: during the entire study period (from Day 0 up to Day 182).
Study: NCT01001169
Study Brief: Safety and Immunogenocity Study of GSK Biologicals' Pandemic Influenza (H1N1) Candidate Vaccine in Japanese Children
Event Groups(If Any):

Event Groups

Title Description Deaths # Affected Deaths # At Risk Serious # Affected Serious # At Risk Other # Affected Other # At Risk View
GSK2340274A_F1 6M-9Y Group Healthy male or female Japanese children, between and including 6 months to 9 years of age, who received two doses of GSK2340274A vaccine (formulation 1), administered intramuscularly into the deltoid region of the arm (intramuscularly into the anterolateral part of the thigh for subjects below 12 months of age at the entry of the study), according to 0, 21-day schedule. Within this group, enrolment of subjects was stratified by age into two subgroups, from 6 to 35 months and from 3 to 9 years. None None 1 30 30 30 View
GSK2340274A_F2 10Y-17Y Group Healthy male or female Japanese children, between and including 10 to 17 years of age, who received two doses of GSK2340274A vaccine (formulation 2), administered intramuscularly into the deltoid region of the arm, according to 0, 21-day schedule. None None 1 30 30 30 View
Serious Events(If Any):

Serious Events

Term Type Organ System Vocab View
Febrile convulsion SYSTEMATIC_ASSESSMENT Nervous system disorders MedDRA 13.0 View
Foot fracture SYSTEMATIC_ASSESSMENT Injury, poisoning and procedural complications MedDRA 13.0 View
Other Events(If Any):

Other Events

Term Type Organ System Vocab View
Swelling SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Redness SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Pain SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Drowsiness (6m-5y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Irritability (6m-5y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Loss of appetite (6m-5y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Fatigue (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Gastrointestinal (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Headache (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Joint pain (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Muscle aches (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Shivering (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Sweating (6y-9y + 10y-17y) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Temperature (Axillary) SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Cough SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders MedDRA 13.0 View
Pyrexia SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Rhinorrhoea SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders MedDRA 13.0 View
Upper respiratory tract infection SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Diarrhoea SYSTEMATIC_ASSESSMENT Gastrointestinal disorders MedDRA 13.0 View
Gastroenteritis SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Nasopharyngitis SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Vomiting SYSTEMATIC_ASSESSMENT Gastrointestinal disorders MedDRA 13.0 View
Acne SYSTEMATIC_ASSESSMENT Skin and subcutaneous tissue disorders MedDRA 13.0 View
Axillary pain SYSTEMATIC_ASSESSMENT General disorders MedDRA 13.0 View
Bronchitis SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Eye discharge SYSTEMATIC_ASSESSMENT Eye disorders MedDRA 13.0 View
Headache SYSTEMATIC_ASSESSMENT Nervous system disorders MedDRA 13.0 View
Influenza SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Pharyngitis SYSTEMATIC_ASSESSMENT Infections and infestations MedDRA 13.0 View
Rhinitis allergic SYSTEMATIC_ASSESSMENT Respiratory, thoracic and mediastinal disorders MedDRA 13.0 View