Respiratory Failure |
Other Serious |
10/1/2007 |
|
Female |
|
6/19/2009 |
Physician |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Sepsis |
Other Serious |
5/6/2009 |
|
Female |
129 lb |
6/19/2009 |
|
United States |
|
Sepsis |
Other Serious |
5/6/2009 |
|
Female |
129 lb |
6/26/2009 |
|
United States |
|
Hyperbilirubinaemia |
Life Threatening |
7/17/2009 |
|
Female |
|
7/27/2009 |
|
France |
|
Septic Shock |
Other Serious |
7/1/2009 |
|
Male |
132 lb |
8/5/2009 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Hyponatraemia |
Other Serious |
8/17/2009 |
|
Female |
117 lb |
8/21/2009 |
|
France |
|
Renal Failure |
Hospitalization |
7/16/2009 |
|
Male |
168 lb |
8/24/2009 |
|
Faroe Islands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Septic Shock |
Other Serious |
7/1/2009 |
|
Male |
132 lb |
9/8/2009 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Lung Disorder |
Hospitalization |
|
|
Female |
|
9/8/2009 |
|
France |
|
Subdural Haematoma |
Hospitalization |
7/1/2009 |
|
Male |
168 lb |
10/19/2009 |
|
Faroe Islands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Thrombocytopenia |
Other Serious |
|
|
|
|
11/17/2009 |
|
Germany |
|
Septic Shock |
Other Serious |
7/21/2009 |
|
Male |
132 lb |
3/3/2010 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Caecitis |
Hospitalization |
3/21/2010 |
|
|
|
3/30/2010 |
|
United Kingdom |
|
Death |
Death |
6/8/2010 |
54 |
Female |
|
6/15/2010 |
Physician |
France |
|
Sepsis |
Other Serious |
|
|
|
|
7/13/2010 |
|
France |
|
Sepsis |
Other Serious |
6/9/2010 |
54 |
Female |
73 lb |
7/16/2010 |
Physician |
France |
|
Neutropenic Sepsis |
Death |
7/24/2010 |
66 |
Female |
|
8/2/2010 |
Other Health Professional |
United Kingdom |
|
Sepsis |
Life Threatening |
5/8/2010 |
54 |
Female |
73 lb |
8/27/2010 |
Physician |
France |
|
White Blood Cell Count Decreased |
Other Serious |
9/23/2010 |
63 |
Male |
|
11/5/2010 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Sepsis |
Other Serious |
12/9/2010 |
67 |
Female |
192 lb |
1/7/2011 |
Physician |
Netherlands |
|
Sepsis |
Other Serious |
|
|
|
|
12/15/2010 |
Physician |
France |
|
Thrombotic Thrombocytopenic Purpura |
Life Threatening |
11/21/2010 |
77 |
Female |
154 lb |
1/28/2011 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Device Related Sepsis |
Life Threatening |
12/9/2010 |
67 |
Female |
192 lb |
2/15/2011 |
Physician |
Netherlands |
|
General Physical Health Deterioration |
Other Serious |
11/15/2010 |
79 |
Male |
146 lb |
2/23/2011 |
Other Health Professional |
France |
|
Acute Myeloid Leukaemia |
Hospitalization |
3/21/2010 |
68 |
Male |
|
3/1/2011 |
Other Health Professional |
United Kingdom |
|
Chills |
Death |
1/21/2011 |
62 |
Female |
110 lb |
3/4/2011 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Gastrointestinal Haemorrhage |
Death |
|
40 |
Male |
|
3/11/2011 |
|
United Kingdom |
|
Septic Shock |
Other Serious |
1/7/2010 |
75 |
Male |
|
3/17/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
General Physical Health Deterioration |
Hospitalization |
11/16/2010 |
79 |
Male |
168 lb |
3/17/2011 |
Other Health Professional |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Febrile Neutropenia |
Death |
8/25/2010 |
73 |
Female |
|
3/17/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Febrile Neutropenia |
Death |
|
|
|
|
3/17/2011 |
Consumer |
Italy |
|
Acute Myeloid Leukaemia |
Death |
|
|
|
|
3/18/2011 |
Consumer |
Italy |
|
Neutropenic Sepsis |
Death |
12/9/2010 |
76 |
Female |
|
3/22/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
No Therapeutic Response |
Death |
|
|
|
|
3/22/2011 |
Consumer |
Italy |
|
No Therapeutic Response |
Death |
|
|
|
|
3/22/2011 |
Other Health Professional |
Italy |
|
Infection |
Other Serious |
|
|
|
|
3/22/2011 |
Physician |
Italy |
|
Bone Marrow Failure |
Death |
|
|
|
|
3/23/2011 |
Physician |
Italy |
|
No Therapeutic Response |
Death |
|
|
|
|
3/23/2011 |
|
Italy |
|
Septic Shock |
Other Serious |
1/7/2010 |
75 |
Male |
|
3/25/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Neutropenic Sepsis |
Death |
12/9/2010 |
76 |
Female |
|
3/25/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Circulatory Collapse |
Hospitalization |
1/21/2011 |
62 |
Female |
110 lb |
3/27/2011 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Hyperkalaemia |
Death |
7/13/2010 |
65 |
Male |
196 lb |
4/7/2011 |
Other Health Professional |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Febrile Neutropenia |
Other Serious |
8/25/2010 |
73 |
Female |
|
4/8/2011 |
|
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Neutropenic Sepsis |
Death |
12/9/2010 |
76 |
Female |
|
4/8/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Septic Shock |
Other Serious |
1/7/2010 |
75 |
Male |
|
4/8/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Hyponatraemia |
Life Threatening |
3/8/2011 |
68 |
Female |
134 lb |
4/11/2011 |
Physician |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
No Therapeutic Response |
Death |
7/3/2010 |
78 |
Male |
163 lb |
4/13/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Death |
12/1/2010 |
79 |
Male |
138 lb |
4/14/2011 |
|
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Pneumonia |
Death |
6/15/2010 |
74 |
Male |
185 lb |
4/14/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
No Therapeutic Response |
Death |
9/1/2010 |
78 |
|
126 lb |
4/14/2011 |
|
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Multi-organ Failure |
Life Threatening |
3/8/2011 |
68 |
Female |
134 lb |
4/21/2011 |
Physician |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
Pulmonary Oedema |
Death |
10/8/2010 |
80 |
Male |
198 lb |
4/25/2011 |
Physician |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
No Therapeutic Response |
Death |
|
|
|
|
4/29/2011 |
|
Italy |
|
Thrombocytopenia |
Death |
10/1/2010 |
64 |
Male |
|
5/2/2011 |
Pharmacist |
United States |
|
Cardiac Failure |
Life Threatening |
4/27/2011 |
67 |
Female |
146 lb |
5/6/2011 |
Other Health Professional |
Netherlands |
|
Cardiac Failure |
Life Threatening |
4/27/2011 |
67 |
Female |
146 lb |
5/13/2011 |
Other Health Professional |
Netherlands |
|
Neutropenia |
Other Serious |
10/1/2010 |
64 |
Male |
|
5/18/2011 |
Physician |
United States |
|
Ejection Fraction Decreased |
Death |
4/28/2011 |
70 |
Female |
175 lb |
6/3/2011 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Cardiac Failure |
Life Threatening |
4/27/2011 |
67 |
Female |
146 lb |
6/9/2011 |
Other Health Professional |
Netherlands |
|
Haematotoxicity |
Death |
|
|
|
|
6/21/2011 |
Physician |
United Kingdom |
|
Acute Myeloid Leukaemia |
Other Serious |
10/1/2010 |
64 |
Male |
|
6/23/2011 |
Physician |
United States |
|
Myelofibrosis |
Death |
1/1/2011 |
62 |
Female |
|
7/8/2011 |
Physician |
Turkey |
|
Acute Respiratory Distress Syndrome |
Life Threatening |
5/1/2011 |
75 |
Male |
192 lb |
7/14/2011 |
Physician |
Belgium |
|
Condition Aggravated |
Other Serious |
4/28/2011 |
70 |
Female |
175 lb |
7/15/2011 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Dyspnoea |
Life Threatening |
7/10/2011 |
69 |
Male |
165 lb |
7/15/2011 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Respiratory Failure |
Life Threatening |
7/10/2011 |
69 |
Male |
165 lb |
7/22/2011 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Tumour Lysis Syndrome |
Life Threatening |
4/27/2011 |
75 |
Male |
192 lb |
7/27/2011 |
Physician |
Belgium |
|
Pancytopenia |
Other Serious |
|
|
|
|
9/7/2010 |
Physician |
United States |
|
Tumour Lysis Syndrome |
Life Threatening |
4/27/2011 |
75 |
Male |
192 lb |
8/3/2011 |
Physician |
Belgium |
|
Acute Myeloid Leukaemia |
Other Serious |
|
|
|
|
8/23/2011 |
|
Italy |
|
Tumour Lysis Syndrome |
Life Threatening |
4/27/2011 |
75 |
Male |
192 lb |
8/24/2011 |
Physician |
Belgium |
|
Arterial Thrombosis Limb |
Hospitalization |
8/14/2011 |
44 |
Male |
149 lb |
9/1/2011 |
Other Health Professional |
United States |
|
Thrombocytopenia |
Other Serious |
|
37 |
|
|
9/6/2011 |
Other Health Professional |
France |
|
Thrombocytopenia |
Other Serious |
|
40 |
|
|
9/6/2011 |
Other Health Professional |
France |
|
Anaemia |
Other Serious |
|
31 |
|
|
9/6/2011 |
Other Health Professional |
France |
|
Sepsis |
Life Threatening |
8/13/2011 |
64 |
Female |
179 lb |
9/11/2011 |
Other Health Professional |
Netherlands |
|
Sepsis |
Life Threatening |
8/13/2011 |
64 |
Female |
179 lb |
9/21/2011 |
Other Health Professional |
Netherlands |
|
Rectal Cancer |
Other Serious |
3/9/2011 |
69 |
Female |
|
9/22/2011 |
Other Health Professional |
France |
|
Acute Myeloid Leukaemia |
Death |
2/7/2011 |
78 |
Female |
|
9/23/2011 |
Physician |
Japan |
|
Thrombocytopenia |
Other Serious |
|
|
|
|
9/16/2011 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Thrombocytopenia |
Other Serious |
|
|
|
|
9/16/2011 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Neutropenia |
Other Serious |
|
|
|
|
9/16/2011 |
|
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Myelodysplastic Syndrome Transformation |
Death |
2/7/2011 |
78 |
Female |
|
10/10/2011 |
Physician |
Japan |
|
Sepsis |
Life Threatening |
8/13/2011 |
64 |
Female |
179 lb |
10/10/2011 |
Other Health Professional |
Netherlands |
|
Cardiac Tamponade |
Life Threatening |
10/7/2011 |
69 |
Male |
196 lb |
10/24/2011 |
Other Health Professional |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
Caecitis |
Life Threatening |
9/29/2011 |
67 |
Male |
168 lb |
10/25/2011 |
Physician |
Netherlands |
|
Cardiac Tamponade |
Life Threatening |
9/20/2011 |
69 |
Male |
196 lb |
11/3/2011 |
Other Health Professional |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
Sepsis |
Life Threatening |
9/29/2011 |
67 |
Male |
168 lb |
11/11/2011 |
Physician |
Netherlands |
|
No Therapeutic Response |
Other Serious |
|
|
|
|
11/15/2011 |
|
Italy |
|
Asthenia |
Hospitalization |
9/1/2011 |
34 |
Female |
134 lb |
11/16/2011 |
Physician |
Germany |
|
Drug Ineffective |
Death |
1/1/2009 |
8 |
Male |
|
11/16/2011 |
Other Health Professional |
United States |
|
Platelet Count Decreased |
Death |
2/7/2011 |
78 |
Female |
|
11/21/2011 |
Physician |
Japan |
|
Systemic Inflammatory Response Syndrome |
Life Threatening |
11/14/2011 |
74 |
Male |
|
11/28/2011 |
Other Health Professional |
Netherlands |
|
Acute Myeloid Leukaemia |
Death |
|
|
Female |
176 lb |
11/29/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Subcutaneous Abscess |
Death |
12/1/2010 |
69 |
Male |
|
11/29/2011 |
Physician |
Japan |
|
Acute Respiratory Distress Syndrome |
Life Threatening |
5/1/2011 |
75 |
Male |
192 lb |
11/30/2011 |
Physician |
Belgium |
|
Diplopia |
Life Threatening |
7/1/2011 |
50 |
Male |
|
12/12/2011 |
Other Health Professional |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Haemodynamic Instability |
Life Threatening |
11/14/2011 |
74 |
Male |
|
12/14/2011 |
Other Health Professional |
Netherlands |
|
Acute Myeloid Leukaemia |
Other Serious |
|
|
Female |
176 lb |
12/14/2011 |
Other Health Professional |
Italy |
Primary |
|
Secondary |
|
Concomitant |
|
|
Neutropenic Sepsis |
Life Threatening |
9/29/2011 |
67 |
Male |
168 lb |
12/15/2011 |
Physician |
Netherlands |
|
Cerebral Haemorrhage |
Death |
1/31/2011 |
76 |
Female |
150 lb |
12/21/2011 |
|
Italy |
|
Systemic Inflammatory Response Syndrome |
Life Threatening |
11/14/2011 |
74 |
Male |
168 lb |
1/10/2012 |
Other Health Professional |
Netherlands |
|
Nephrogenic Diabetes Insipidus |
Other Serious |
10/26/2011 |
54 |
Male |
163 lb |
1/26/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Tumour Lysis Syndrome |
Hospitalization |
4/27/2011 |
75 |
Male |
192 lb |
2/13/2012 |
Physician |
Belgium |
|
Lower Gastrointestinal Haemorrhage |
Other Serious |
2/7/2012 |
82 |
Female |
176 lb |
2/28/2012 |
Physician |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
Cardiopulmonary Failure |
Death |
1/1/2012 |
|
Male |
|
3/6/2012 |
Other Health Professional |
Italy |
|
Lower Gastrointestinal Haemorrhage |
Other Serious |
2/7/2012 |
82 |
Female |
176 lb |
3/7/2012 |
Physician |
Belgium |
Primary |
|
Secondary |
|
Concomitant |
|
|
Febrile Neutropenia |
Other Serious |
9/23/2010 |
63 |
Male |
|
3/7/2012 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Caecitis |
Life Threatening |
9/29/2011 |
67 |
Male |
168 lb |
3/9/2012 |
Physician |
Netherlands |
|
Respiratory Failure |
Life Threatening |
2/23/2012 |
67 |
Female |
108 lb |
3/12/2012 |
Physician |
Belgium |
|
Pneumonia |
Hospitalization |
2/23/2012 |
67 |
Female |
108 lb |
3/14/2012 |
Physician |
Belgium |
|
Multi-organ Failure |
Death |
|
|
|
|
3/20/2012 |
Other Health Professional |
Italy |
|
Hepatitis Fulminant |
Death |
3/3/2012 |
66 |
Female |
157 lb |
3/21/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Death |
|
|
|
|
3/27/2012 |
Other Health Professional |
Italy |
|
Anaemia |
Other Serious |
2/7/2011 |
78 |
Female |
|
3/28/2012 |
Physician |
Japan |
|
Nephrogenic Diabetes Insipidus |
Other Serious |
10/26/2011 |
54 |
Male |
163 lb |
4/3/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Death |
|
|
|
|
4/4/2012 |
Other Health Professional |
Italy |
|
Acute Myeloid Leukaemia |
Death |
|
|
|
|
4/4/2012 |
Other Health Professional |
Italy |
|
Leukaemia Recurrent |
Death |
|
|
|
|
4/4/2012 |
Physician |
Italy |
|
Pulmonary Oedema |
Hospitalization |
2/26/2012 |
65 |
Male |
277 lb |
4/5/2012 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Death |
12/1/2011 |
|
|
|
4/6/2012 |
Other Health Professional |
Italy |
|
Neutropenia |
Death |
9/10/2011 |
70 |
Female |
145 lb |
4/11/2012 |
Physician |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Headache |
Hospitalization |
1/24/2012 |
73 |
Male |
|
4/12/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Nausea |
Other Serious |
|
|
|
|
4/12/2012 |
Physician |
United States |
|
Atrial Flutter |
Death |
1/24/2012 |
73 |
Male |
|
4/20/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Gastrointestinal Haemorrhage |
Death |
4/4/2012 |
73 |
Male |
165 lb |
4/25/2012 |
Physician |
Switzerland |
|
Platelet Disorder |
Hospitalization |
1/24/2012 |
73 |
Male |
|
5/1/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Gastrointestinal Haemorrhage |
Death |
4/4/2012 |
73 |
Male |
165 lb |
5/21/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Death |
12/24/2010 |
68 |
Male |
|
6/4/2012 |
Physician |
Japan |
|
Anaemia |
Death |
2/7/2011 |
78 |
Female |
|
6/4/2012 |
Physician |
Japan |
|
Acute Myeloid Leukaemia |
Death |
8/1/2011 |
76 |
Female |
|
6/6/2012 |
Physician |
United States |
|
Pancytopenia |
Other Serious |
12/13/2011 |
24 |
Male |
188 lb |
12/14/2011 |
Physician |
United States |
|
Hepatic Function Abnormal |
Hospitalization |
5/31/2012 |
69 |
Male |
192 lb |
6/15/2012 |
Physician |
Netherlands |
|
Anaemia |
Other Serious |
|
|
|
|
6/27/2012 |
|
United States |
|
Intestinal Obstruction |
Death |
|
|
Female |
108 lb |
7/2/2012 |
Other Health Professional |
France |
|
Septic Shock |
Death |
|
|
Female |
108 lb |
7/10/2012 |
Other Health Professional |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Joint Swelling |
Hospitalization |
6/17/2012 |
67 |
Female |
141 lb |
7/12/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Joint Swelling |
Other Serious |
6/17/2012 |
67 |
Female |
146 lb |
7/18/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Skin Haemorrhage |
Other Serious |
10/18/2011 |
66 |
Male |
|
7/26/2012 |
Physician |
Netherlands |
|
Cellulitis |
Other Serious |
6/17/2012 |
67 |
Female |
146 lb |
7/27/2012 |
Physician |
Switzerland |
Primary |
|
Secondary |
|
Concomitant |
|
|
Thrombocytopenia |
Hospitalization |
6/28/2012 |
65 |
Male |
176 lb |
7/27/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Pneumonia |
Life Threatening |
6/29/2012 |
73 |
Male |
165 lb |
7/30/2012 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Left Ventricular Dysfunction |
Death |
7/8/2012 |
40 |
Female |
212 lb |
7/31/2012 |
Other Health Professional |
United States |
Primary |
|
Secondary |
|
Concomitant |
|
|
Erythema |
Hospitalization |
6/28/2012 |
65 |
Male |
176 lb |
8/7/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Subdural Haematoma |
Hospitalization |
6/3/2012 |
60 |
Female |
11 lb |
8/9/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Respiratory Failure |
Life Threatening |
6/29/2012 |
73 |
Male |
165 lb |
8/9/2012 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Acute Myeloid Leukaemia |
Hospitalization |
6/28/2012 |
65 |
Male |
176 lb |
8/17/2012 |
Physician |
France |
Primary |
|
Secondary |
|
Concomitant |
|
|
Subdural Haemorrhage |
Life Threatening |
8/19/2012 |
66 |
Male |
207 lb |
8/24/2012 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Hepatic Function Abnormal |
Hospitalization |
5/31/2012 |
69 |
Male |
192 lb |
8/27/2012 |
Physician |
Netherlands |
Primary |
|
Secondary |
|
Concomitant |
|
|
Rash Generalised |
Hospitalization |
6/28/2012 |
65 |
Male |
176 lb |
9/20/2012 |
Physician |
Fr |
Primary |
|
Secondary |
|
Concomitant |
|
|