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EMA 发布 EudraVigilance 疑似不良反应数据库 adrreports.eu 门户在线访问用户手册第 2.2 版

EudraVigilance - European database of suspected adverse reactions related to medicines: user manual for online access via the adrreports.eu portal

AI 导读

EMA 发布第 2.2 版 EudraVigilance 疑似药品不良反应数据库用户手册,编号 EMA/198270/2026,说明如何通过 adrreports.eu 门户在线访问相关报告。

推荐理由

手册说明了 adrreports.eu 门户各页签的数据口径与筛选方式,可用于区分个案总数与不良反应数。

正文

PDF 文字版;图形和原始排版请参阅官方 PDF。

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31 August 2026
EMA/198270/2026
Data Analytics and Methods Taskforce




EudraVigilance - European database of suspected adverse
reactions related to medicines: User Manual for online
access via the adrreports.eu portal
Version 2.2




Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands
Address for visits and deliveries   Refer to www.ema.europa.eu/how-to-find-us
Send us a question Go to www.ema.europa.eu/contact       Telephone +31 (0)88 781 6000     An agency of the European Union

© European Medicines Agency, 2026. Reproduction is authorised provided the source is acknowledged.

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Contents
Overview ..................................................................................................... 3
1.   Background Information .................................................................... 4
2.   Disclaimer .......................................................................................... 4
3.   Data elements for the a ggregated web (dashboard) reports ............. 5
4.   Additional details on data elements for the aggregated web
(dashboard) reports .................................................................................... 7
4.1.   Rules for when an individual case has more than one reporter ................................7
4.2.   Rules for when an individual case has more than one suspected adverse reaction with
different outcome .......................................................................................................7
5.       Layout ................................................................................................ 8
5.1.     Tab 1 - Number of individual cases ......................................................................8
5.2.     Tab 2 - Number of individual cases received over time ...........................................8
5.3.     Tab 3 - Number of individual cases by EEA countries .............................................9
5.4.     Tab 4 - Number of individual cases by Reaction Group ...........................................9
5.5.     Tab 5 - Number of individual cases for a selected Reaction Group ......................... 10
5.6.     Tab 6 - Number of individual cases for a selected Reaction ................................... 11
5.7.     Tab 7 – Line Listing ......................................................................................... 11
6.       Interpretation of web reports .......................................................... 14
7.       Web report functionalities ................................................................ 15
7.1.   General Navigation .......................................................................................... 15
7.1.1.   Graph/Grid view .......................................................................................... 16
7.1.2.       Legend ....................................................................................................... 17
7.2.   Navigation in Tab 2 – Number of individual cases received over time ..................... 17
7.3.   Navigation in Tab 4 – Number of individual cases by reaction groups ..................... 18
7.4.   Navigation in Tab 5 – Number of individual cases for a selected reaction group ....... 18
7.5.   Navigation in Tab 6 – Number of individual cases for a selected adverse reaction .... 18
7.6.   Navigation in Tab 7 – Line Listing ...................................................................... 19
7.6.1.   Filtering the Line Listing ............................................................................... 19
7.6.2.       Line Listing and ICSR Form functionality ......................................................... 21
8.       List of acronyms used in the document ............................................ 23
9.       Supporting documents ..................................................................... 23




EudraVigilance - European database of suspected adverse reactions related to medicines: User Manual for
online access via the adrreports.eu portal
EMA/198270/2026                                                                                                     Page 2/23

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Overview
This manual provides instructions on how to use the adrreports.eu portal to obtain access in
EudraVigilance to reports of suspected adverse reactions (also referred to as undesirable effects or side
effects) related to medicines. The access to information on suspected adverse reactions related to
medicines is defined in the EudraVigilance Access Policy.
By means of the adrreports.eu portal, web reports can be generated that provide information on
suspected adverse reactions related to medicines authorised in the European Economic Area (EEA).
Details of the web reports are described in this manual. This includes explanations on the available
browsing/query functionalities, the layout of the reports and the data elements presented for Individual
Case Safety Reports (ICSRs). Guidance on the interpretation of spontaneous case reports of suspected
adverse reactions to medicines is provided here.




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1. Background Information
The adrreports.eu portal provides public access to reports of suspected side effects submitted to the
EudraVigilance system by national medicines regulatory authorities and pharmaceutical companies that
hold marketing authorisations for medicines in the European Economic Area (EEA).

The European Medicines Agency (EMA) plays a key role in the safety monitoring of medicines in the
European Union (EU) - this is known as pharmacovigilance. The Agency’s main role in this area is to
support the coordination of the European pharmacovigilance system and to provide advice on the safe
and effective use of medicines. As part of this responsibility, the Agency is responsible for the
development, maintenance and co-ordination of EudraVigilance, a system for reporting suspected cases
of adverse reactions to a medicine. For more information please visit the EMA website.

Data in EudraVigilance is submitted electronically by national medicines regulatory authorities and by
pharmaceutical companies that hold the marketing authorisation for medicines. EudraVigilance data are
published in the European database of suspected adverse drug reaction reports, the adrreports.eu portal,
in 26 languages. This portal allows users to view the total number of individual suspected side effect
reports (also known as Individual Case Safety Reports, or ICSRs) submitted to EudraVigilance for
medicines authorised in the EEA. The EMA publishes the data available on the adrreports.eu portal so
that its stakeholders, including the general public, can access information that European regulatory
authorities can use to review the safety of a medicine or active substance.

The data available in the portal is based on adverse reactions reported spontaneously by patients,
healthcare professionals or other sources, which are then submitted electronically to EudraVigilance
in the form of an ICSR by national medicines regulatory authorities or pharmaceutical companies.

The adrreports.eu portal grants access to aggregated data outputs based on predefined queries. These
are made available in the form of web reports that consist of a number of tabs, each of which allows
users to query, filter and access the data in a different way. In addition, access to line listing of individual
cases and individual case report forms is provided in compliance with EU personal data protection law.




2. Disclaimer

The Information on suspected adverse reactions that can be accessed via the adrreports.eu portal should
not be interpreted as meaning that the medicine or the active substance causes the observed effect or
is unsafe to use. Information on the portal relates to suspected side effects, so medical events that have
been observed following the use of a medicine, but which are not necessarily related to or caused by the
medicine. The number of suspected adverse reactions in EudraVigilance should not serve as a basis for
determining the likelihood of an adverse reaction occurring.

The ICSRs in EudraVigilance do not represent all available information concerning the benefits and risks
of a medicine and should not be used in isolation by healthcare professionals to make decisions regarding
a patient's treatment regimen; other sources of information, including the product/prescribing
information, should also be consulted.




EudraVigilance - European database of suspected adverse reactions related to medicines: User Manual for
online access via the adrreports.eu portal
EMA/198270/2026                                                                                           Page 4/23

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3.  Data elements for the a ggregated web (dashboard)
reports

Before an ICSR is submitted to EudraVigilance, the reporter completes the applicable data elements and
provides information on the suspected adverse reaction(s) (also known as side effect or undesirable
effect) that have been observed following the use of one or more medicines. These suspected side effects
are not necessarily related to or caused by the medicine (please see Guidance on the interpretation of
spontaneous case reports of suspected adverse reactions to medicines).

The web reports that can be accessed via the adrreports.eu portal provide different views of data on
ICSRs, which form part of each individual case submitted to EudraVigilance. The data elements available
to users of the portal are determined by the EudraVigilance Access Policy.

For the aggregated web (dashboard) reports the following applies:

•   Age Group and Sex provide information on the individual, who experienced the suspected
    undesirable effect.

•   Report Type provides information on the classification of a report by the sender (e.g. spontaneous
    report).

•   Seriousness provides information on the suspected undesirable effect; it can be classified as
    ‘serious’ if it corresponds to a medical occurrence that results in death, is life-threatening, requires
    inpatient hospitalisation, results in another medically important condition, or prolongation of existing
    hospitalisation, results in persistent or significant disability or incapacity, or is a congenital
    anomaly/birth defect. It can also refer to other important medical events that might not be
    immediately life threatening or result in death or hospitalisation but might jeopardise the patient or
    might require intervention (treatment) to prevent one of the other outcomes listed above. Examples
    of such events are allergic bronchospasm (a serious problem with breathing) requiring treatment in
    an emergency room or at home as well as seizures/convulsions and serious blood dyscrasias (blood
    disorders) that do not result in hospitalisation.

•   Geographic Origin provides information on the location of the reporter.

•   Reporter Group provides information on the qualification of the reporter.

•   Outcome provides information on the last reported status of the suspected undesirable effect.

•   Reported suspected reaction provides information on the undesirable effect(s) experienced by a
    patient according to the reporter.

The table below presents the data elements included in the web reports and possible values.

                 Data element                                                  Possible Values

                                                        Not Specified
                                                        0-1 Month
Age group (mapped against “Age at Time                  2 Months - 2 Years
of Onset of Reaction/Event”, based on the
reported patient age or calculated based                3-11 Years
on difference between “Date of Birth” and               12-17 Years
“First Reaction Start Date” (if available in a
                                                        18-64 Years
valid date format dd/mm/yyyy)
                                                        65-85 Years
                                                        More than 85 Years




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                                                        Female
Sex                                                     Male
                                                        Not Specified
Report Type                                             Spontaneous
                                                        Not Specified
Seriousness                                             Serious
                                                        Non-Serious
                                                        European Economic Area (EEA)
Geographic Origin                                       Non-European Economic Area (Non-EEA)
                                                        Not Specified
                                                        Healthcare Professional
                                                        (Physician, Pharmacist or Other Health Professional)
Reporter Group                                          Non-Healthcare Professional
                                                        (Lawyer, Consumer or Other non-Health Professional)
                                                        Not Specified
                                                        Recovered/resolved
                                                        Recovering/resolving
                                                        Not recovered/not resolved
Outcome                                                 Recovered/resolved with sequelae
                                                        Fatal
                                                        Unknown
                                                        Not specified
                                                        Any undesirable effect (suspected adverse reaction)
                                                        reported by the reporter
Reported Suspected Reaction                             Undesirable effect terms are coded in line with a
                                                        dictionary of medical terms used to classify clinical
                                                        information
                                                        Any undesirable effect group based on the
                                                        classification reported by the reporter
                                                        Undesirable effect terms come from the dictionary of
Reaction Groups
                                                        medical terms used to classify clinical information and
                                                        are categorised into groups based on the clinical
                                                        signification
                                                        Running total count of individual cases submitted to
Number of individual cases
                                                        EudraVigilance

The Reported Suspected Reaction and Reaction Groups for a report are derived from the dictionary
of medical terms used to classify clinical information. The dictionary used is the Medical Dictionary for
Regulatory Activities (MedDRA ).
The Reported Suspected Reaction corresponds to the MedDRA reaction ‘Preferred Term (PT)’ and the
Reaction Groups correspond to the MedDRA Reaction ‘System Organ Class (SOC)’.

The table provides examples of the MedDRA classification:

Suspected Reported Reaction                                       Reaction Group
              (Preferred Term in MedDRA)                                     (System Organ Class in MedDRA)

Headache                                                          Nervous system disorders
Ear infection                                                     Infections and infestations

For further information about the dictionary, please consult the adrreports.eu FAQ page ‘What is the
Medical Dictionary for Regulatory Activities (MedDRA )?’.




EudraVigilance - European database of suspected adverse reactions related to medicines: User Manual for
online access via the adrreports.eu portal
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4.  Additional details on data elements for the aggregated
web (dashboard) reports
An individual case can only have one value for the data elements Age Group, Sex, Report Type and
Geographic Origin; for the data elements Reporter Group, Seriousness and Outcome, more than
one value can be available.

This is because an individual case concerns one individual patient, therefore the Age Group, Sex and
Geographic Origin can only be characterised by one value.

However, an individual case may have been reported by a Consumer and a Physician, which belong to
different Reporter Groups; the Outcome of a suspected undesirable effect might have been reported
as ‘recovering’ at the time of the initial report and following an update it is now reported as ‘unknown’.

To address these eventualities and prevent an over-counting of the number of individual cases in the
web reports, the following rules are applied:



4.1. Rules for when an individual case has more than one reporter
If at least one of the reporters is indicated as being a ‘Physician’, ‘Pharmacist’ or ‘Other Health
Professional’, the Reporter Group is defined as ‘Healthcare Professional’. Otherwise, if the reporters are
indicated as being a ‘Lawyer’ or ‘Consumer or other non-Health Professional’, the Reporter Group is
defined as ‘Non-Healthcare Professional’.

                                                Reporter(s)                                     Reporter Group



Individual case #1            Pharmacist                                           Healthcare Professional



Individual case #2            Physician; Lawyer or Consumer                        Healthcare Professional



Individual case #3            Other non Health Professional                        Non-Healthcare Professional



4.2. Rules for when an individual case has more than one suspected
adverse reaction with different outcome
If at least one of the outcomes is fatal, the outcome for the individual case for the reported reaction is
defined as ‘Fatal’; if none of the outcomes is fatal, the outcome for the individual case for the reported
reaction is defined as ‘Unknown’.

                                    Reported Suspected Adverse                             Outcome in web report
                                     Reactions and Outcome(s)



                              The same reaction is not reported twice:
                              Reaction A -> Recovered/resolved                      Reaction A -> Recovered/resolved
Individual case #4
                              Reaction B -> Not Specified                           Reaction B -> Not Specified




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                                   Reported Suspected Adverse                              Outcome in web report
                                    Reactions and Outcome(s)

Individual case #5            The same reaction is reported twice:                  Reaction C -> Fatal
                              Reaction C -> Recovering/resolving
                              Reaction C -> Fatal



                              The same reaction is reported twice:
                              Reaction D -> Recovered/resolved                      Reaction D -> Unknown
Individual case #6
                              Reaction D -> Recovered/resolved with
                              sequelae




5. Layout

The web report is composed of 7 tabs.



5.1. Tab 1 - Number of individual cases
The tab provides the running total of individual cases identified in EudraVigilance up to the end of
the previous week.

The tab presents the information on the number of individual cases by Age Group, Sex and
Geographic Origin.




5.2. Tab 2 - Number of individual cases received over time
The tab displays the number of individual cases received over the last 12 months split by
geographic origin i.e. cases arising in EEA countries relative to those arising outside of the EEA.

The graph on this tab also contains a trend line to indicate the total number of individual cases
over time.


EudraVigilance - European database of suspected adverse reactions related to medicines: User Manual for
online access via the adrreports.eu portal
EMA/198270/2026                                                                                              Page 8/23

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Note that the legend for the total number of cases over time is express in K, i.e. 4K means 4000.


5.3. Tab 3 - Number of individual cases by EEA countries
The tab displays the number of individual cases in EEA countries for the selected medicinal
product/substance

The map view displays the percentage of total EEA cases in each country.

The graph view displays the total number of individual cases in each country.




For data privacy reasons and to avoid the risk of patient/reporter re-identification, a threshold is applied
if the number of individual cases available for a specific country is less or equal to 3. In this instance,
the distinct country is not displayed in the graph.

A colour coding has been applied according to the percentage of cases in a country.

5.4. Tab 4 - Number of individual cases by Reaction Group

The tab displays a graph that visualises the number of individual cases by Reaction Group.
Five distinct views are available, allowing users to split the Reaction Group data on this tab by Age Group,
Sex, Seriousness, Reporter Group and Geographic Origin.



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5.5. Tab 5 - Number of individual cases for a selected Reaction Group
The tab displays the number of individual cases for a selected Reaction Group defined by the user.

Three web reports for a selected Reaction Group are available; the first web report presents the data by
Age Group & Sex, the second by Reporter Group and the third by Geographic Origin.




EudraVigilance - European database of suspected adverse reactions related to medicines: User Manual for online access via the
adrreports.eu portal
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5.6. Tab 6 - Number of individual cases for a selected Reaction
This tab displays the number of individual cases for a selected Reaction which is defined by the user.

Three web reports for a selected Reaction are available: the first report presents the data by Age Group
& Sex, the second by Reporter Group and the third by Outcome.




5.7. Tab 7 – Line Listing
The tab displays the line listing of individual cases reported to EudraVigilance for a specified
product or substance. Data elements are displayed as per the level of access granted to the public in
the EudraVigilance Access Policy.

The data elements listed below can be used to filter the line listing:
•   Seriousness
•   Geographic Origin
•   Reporter Group
•   Sex
•   Age Group
•   Reaction Groups
•   Reporter Suspected Reaction
•   Gateway Date

See section 7.6. for detailed instructions on filtering the line listing.

Data elements reflected in the Line Listings are summarised in the table below:

                           ICH
Line Listing Data          E2B(R3)
                           Element            Description                                                    Example
Elements
                           References

                                              EudraVigilance local number, which is an
EU local number            N/A                identifier assigned to the ICSR in EudraVigilance              EU-EC-12345

                                              EudraVigilance Gateway Date, which is the date
EV Gateway
                           N/A                of receipt of the                                              01/01/2014
Receipt Date
                                              ICSR in EudraVigilance
Report type                C.1.3              Type of Report                                                 Spontaneous




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                          ICH
Line Listing Data         E2B(R3)
                          Element            Description                                                    Example
Elements
                          References

                                             Primary source Qualification: grouped as
Primary source                                                                                              Healthcare
                          C.2.r.4            Healthcare Professional or Non-Healthcare
qualification                                                                                               Professional
                                             Professional
Primary source                               Primary Source for Regulatory Purposes,
country for                                  displayed as EEA/non EEA.
                          C.2.r.5                                                                           EEA
regulatory
purposes
                                                                                                            Tolerable pain
                                                                                                            reduces
                                                                                                            gastric fundal
                                                                                                            accommodation and
                                                                                                            gastric motility in
                                                                                                            healthy subjects: a
                                             The literature reference(s) for suspected adverse              crossover
Literature                                   reactions described in the literature and the                  ultrasonographic
                          C.4.r.1
Reference(s)                                 corresponding ICSRs in                                         study. Hasuo H1,
                                             EudraVigilance                                                 Kusunoki
                                                                                                            H2, Kanbara K1,
                                                                                                            Abe T1, Yunoki N3,
                                                                                                            Haruma K2,
                                                                                                            Fukunaga M1.
                                                                                                            Biopsychosoc Med.
                                                                                                            2015 Feb
                                             Mapped against the ‘Age at Time of Onset of
                                             Reaction / Event’, based on the reported patient
                                             age or calculated based on difference between
                          D.2.2a             ‘Date of Birth’ and ‘First Reaction Start Date’ (if
Patient age group                            available in a valid date format dd/mm/yyyy)                   18-64 Years


                                             ‘Age at Time of Onset of Reaction /
                          D.2.2b
                                             Event (unit)’
Patient Age Group                            ‘Patient Age Group’ (as per reporter)
                          D.2.3                                                                             Adult
(as per reporter)
Patient sex               D.5                ‘Sex’ (gender of the patient)                                  Female
                                             To indicated if this is a report that relates to a
Parent/Child              N/A                                                                               Yes
                                             parent and a child
                                             ‘Reaction / Event MedDRA
                          E.i.2.1b                                                                          Rash (3d – Resolved
                                             Preferred term’ description
                          E.i.6a/b           ‘Duration of Reaction / Event’                                 -
                                             ‘Outcome of Reaction / Event at the Time of Last               Life Threatening,
Reaction List PT          E.i.7
                                             Observation’                                                   Caused / Prolonged
(Duration –
                                             The seriousness criteria of the reported reaction,             Hospitalisation)
Outcome -
                          E.i.3.2a,          e.g. Results in Death, Life Threatening, Caused /
seriousness
                          E.i.3.2b,          Prolonged Hospitalisation,                                     Nausea (1d -
criteria)
                          E.i.3.2c,          Disabling / Incapacitating,                                    Resolved)
                          E.i.3.2d,          Congenital Anomaly / Birth Defect,
                          E.i.3.2e,          Other Medically Important                                      Headache (3d – Not
                          E.i.3.2f           Condition                                                      resolved)




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Drug List (Drug                              Characterisation of ‘Drug Role’, defined as                    PRODUCT
Char -                                       suspect, interacting, concomitant or drug not                  [Substance]
Indication PT –                              administered.                                                  (S -Dental pain,
Action taken –            G.k.1              Based on this data element, 2 different ‘Drug’                 Headache – Drug
[Duration - Dose -                           (medicines) lists will be created:                             withdrawn – [1d –
Route])                                      - for suspect and interacting drugs                            0.5mg – oral])
                                             - for concomitant or drug not administered
Or                                                                                                          Or
                                             Reported medicinal product, displayed as
Drug List (Drug                              recoded against the Extended EudraVigilance                    PRODUCT
Char -                    G.k.2.2            Medicinal Product Dictionary for centrally                     [Substance]
Indication PT –                              authorised products (for non- centrally                        (S - Dental pain,
Action taken –                               authorised products, only the recoded substance                Headache – Drug
[Duration - Dose -                           will be displayed where reported)                              withdrawn – [1d –
                                             Substance / Specified Substance Name,                          0.5mg – oral – More
Route– More in
                                             displayed as recoded against the Extended                      in
ICSR])                    G.k.2.3.r .1       EudraVigilance Medicinal Product Dictionary (if                ICSR])
                                             not, it will be displayed as reported)

                                             Indication of the medicinal product described as
                          G.k.7.r.2 b        MedDRA Preferred
                                             Term
                                             ‘Duration of Drug Administration’, as reported or
                                             based on ‘Drug Administration Start Date’ and
                          G.k.4.r.6 a        ‘End Date’


                          G.k.4.r.1 a/b      Dose of the medicine
                          G.k.4.r.1          Route of administration of the medicine
                          0.2

Missing data will be displayed ‘blank’ or ‘not available’.

By default the individual cases are sorted in descending order based on the ‘EV Gateway Receipt Date’
i.e. the most recently received case meeting the filtering conditions is the first one returned in the line
listing. Users wishing to sort the line listing differently should do so by exporting the data into an
appropriate application (See section 7.6. instructions on exporting the line listing).




As it is not possible to include all data elements for an ICSR in the line listing, an ICSR form is also
available for further review.

The ICSR form presents the data elements for an individual case as per the EudraVigilance Access Policy
(public access).


Data elements in the form are grouped into logical sections (e.g. drug, reaction, medical history) so that
the user can easily visualise the available information.




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6. Interpretation of web reports

The running total of individual cases available in Tab 1- Number of individual cases and Tab 2 –
Number of individual cases received over time is the value that should be used to quantify the total
number of spontaneous individual cases that have been reported to EudraVigilance for a selected
medicine or active substance.

The information available in Tab 3, Tab 4, Tab 5 and Tab 6 takes into account the suspected
undesirable effect(s) (adverse reactions) reported in an individual case; as an individual case may refer
to more than one suspected undesirable effect, the information shown in Tab 3, 4, 5 and 6 does NOT
represent the total number of individual cases that have been reported to EudraVigilance, but the number
of related undesirable effects.

The table provides an example of the number of running total of individual cases (Tab 1) and how this
information appears in Tab 3, 4, 5 and 6
Number of           Reported Suspected Adverse                Number of individual cases             Number of individual
  individual         Reaction and corresponding                 shown by Reaction Groups                 cases shown by
    cases                  Reaction Group(s)                                                           Reported Suspected
                                                                     (Tab 4 and Tab 5)
                                                                                                        Adverse Reaction
   (Tab 1)
                                                                                                              (Tab 6)




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1 individual      Reaction A -> Reaction Group X                                                     1 case for Reaction A
                                                              1 case for Reaction Group X
     case         Reaction B -> Reaction Group X                                                     1 case for Reaction B



1 individual      Reaction A -> Reaction Group X              1 case for Reaction Group X            1 case for Reaction A
     case         Reaction C -> Reaction Group Y              1 case for Reaction Group Y            1 case for Reaction C



In this example, the web report shows two individual cases for the medicine or active substance selected
in Tab 1; using the classification of the MedDRA dictionary, the suspected adverse reactions are
associated to the corresponding Reaction Groups.

In Tabs 3 and 4, the number of individual cases shown depends on the number of Reaction Groups in
each individual case; the same individual case appears as many times as there are distinct Reaction
Groups.

In Tab 6, the number of individual cases shown depends on the number of suspected adverse reactions
in each individual case; the same case appears as many times as there are distinct suspected adverse
reactions.




7. Web report functionalities
7.1. General Navigation
Users of the adrreports.eu portal can access details of the ICSRs submitted to EudraVigilance by name
of the medicine (for centrally authorised products), or by name of the active substance of a medicine for
non-centrally authorised products). Users can access reports via the Search page of the adrreports.eu
portal by selecting a product or active substance from the alphabetical overview menu.




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Once a product / active substance is selected, a corresponding web report is launched in the browser. To
navigate between tabs, click on the tab of interest at the top of the window.




7.1.1. Graph/Grid view

The web report allows to quickly change from a Graph view to a Grid view (and back) by clicking on
the icon.




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7.1.2. Legend
The Graph view allows visualising relevant information by hovering the mouse over the graph.




7.2. Navigation in Tab 2 – Number of individual cases received over time

Individual data points on the trend line available in Tab 2 can be viewed by hovering the mouse over
the trend line at a position corresponding to the desired month.




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7.3. Navigation in Tab 4 – Number of individual cases by reaction groups
This allows to select the variable for the reaction group data by using the relevant tab.




7.4. Navigation in Tab 5 – Number of individual cases for a selected
reaction group
This allows choosing and clicking on a Reaction Group to view the corresponding information.




7.5. Navigation in Tab 6 – Number of individual cases for a selected
adverse reaction
An interactive selector allows choosing a reaction group and a reported suspected adverse reaction. The
reaction group and the reported suspected adverse reaction can be selected from the MedDRA dictionary
and are part of the same classification:

1. This allows choosing and clicking on a Reaction Group:




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2. The list of reported suspected adverse reactions belonging to that group is updated
   accordingly;


3. This allows choosing and clicking on a Reported Suspected Reaction to see the corresponding
   information:




If a reaction group or a reported suspected reaction cannot be found, this means that no spontaneous
reports with the undesirable effect (adverse reaction) for this medicine or active substance have been
submitted so far to EudraVigilance, i.e. there are no individual cases available.




7.6. Navigation in Tab 7 – Line Listing

7.6.1. Filtering the Line Listing
A list of nine filtering conditions is available to create a customised line listing of individual cases relating
to the selected medicinal product or active substance. If more than one filtering condition is selected,
the logical condition will be an ‘AND’ condition. Clicking on a filtering condition will open a list of all
possible filtering options, which can be selected via the appropriate tick-box.




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Multiple filtering conditions can be specified using this view or alternatively through the advanced value
selection menu. This can be accessed by clicking the “Search…” field at the bottom of any filtering option
list (see the section in the red box in the figure above). If the option ‘Match Case’ is selected, the search
will be performed for the specific text string in the ‘Search’ box.

This view provides enhanced filtering criteria search functionality, including the ability to search for values
starting with, ending with, or containing stated characters, and the ability to select / deselect multiple
options. Users can also manually enter a filtering condition using this view by clicking on the pencil icon
(see the section in the green box in the figure below) and by typing the condition into the text box.




For numerical filtering conditions such as the EudraVigilance Gateway Date, the advanced value selection
menu enables users to search for all possible values within the stated parameters (see figure below).




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Once all desired filters are selected, users can access the line listing of all pertinent cases by clicking
“Run Line Listing Report”.


7.6.2. Line Listing and ICSR Form functionality
Once a user has submitted their filtering criteria, a corresponding line listing of cases submitted to
EudraVigilance will be returned. Details of the data provided in this line listing are explored in section
5.7. The returned line listing displays up to 25 reports matching the filtering criteria stipulated by the
user. If there are more than 25 cases, users can navigate through the dataset using the buttons at the
bottom of each page:




Users can also select other functions using the buttons situated at the bottom left of each page:




Return navigates the user back to the line listing filtering menu detailed in section 7.6.1.

Refresh prompts the system to re-apply the previously defined filtering conditions to the live
EudraVigilance data set.




Print presents the line listing in a printable format as either a PDF or html page, based on the user’s
preference.




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Export enables users to download the line listing data into one of file formats listed in the table below:

Export category                               Export option                                         File type

           PDF                 Adobe Portable Document Format                      .pdf

                               Excel 2003 compatible workbook                      .xls
          Excel
                               Excel 2007+ compatible workbook                     .xlsx

                               PowerPoint 2003 compatible
                                                                                   .ppt
                               presentation
      Powerpoint
                               PowerPoint 2007+ compatible
                                                                                   .pptx
                               presentation

     Web Archive               MIME HTML web archive file                          .mht

                               Comma-separated value file                          .csv

                               Tab delimited comma-separated value
           Data                                                                    .csv
                               file

                               XML Format                                          .xml


Downloads are limited to 13,000 rows for Excel 2003/2007 and PDF/PowerPoint; and 100,000 rows for
CSV, Tab delimited and XML. An ICSR form is also available for each report included within the queried
line listing, when clicking ICSR form in the last column of the line listing.




These can be downloaded as a .pdf file and contain data elements from the ICSR according to the
EudraVigilance Access Policy (public access). For further information regarding the data elements
included in the ICSR form, refer to section 5.7.




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8. List of acronyms used in the document
Acronym            Meaning

CSV                Comma-separated value file

EEA                European Economic Area

EMA                European Medicines Agency

EU                 European Union

EV                 EudraVigilance

ICSR               Individual case Safety Report

NCA                National Competent Authority of an EEA Member State

PT                 Preferred Term

SOC                System Organ Class

ICH                International Council for Harmonisation of Technical Requirements for Pharmaceuticals
                    for Human Use


PDF                Portable Document Format

XML                Extensible Markup Language

MedDRA             Medical Dictionary for Regulatory Activities

MIME               Multipurpose Internet Mail Extensions

HTML               HyperText Markup Language




9. Supporting documents
Guidance on the interpretation of spontaneous case reports of suspected adverse reactions
to medicines

https://www.ema.europa.eu/en/documents/report/guide-interpretation-spontaneous-case-reports-
suspected-adverse-reactions-medicines_en.pdf

EudraVigilance Access Policy -
https://www.ema.europa.eu/en/human-regulatory-overview/research-
development/pharmacovigilance-research-development/eudravigilance/access-eudravigilance-data

EU ICSR Implementation Guide -
http://www.ema.europa.eu/docs/en_GB/document_library/Regulatory_and_procedural_guideline/2014
/04/WC500165979.pdf




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来源:EMA Regulatory and Procedural Guidelines · ema.europa.eu