CODEBOOK V2018: Prospective Cohort Study of Kidney Disease in Children 7-28-2020 ADVR - Adverse Event Form Start ____Field____ Section/ Column Len Format Variable Question Description Code ------ --- --------- ---------------- ------------ ------------------------------ ------------------------------ 1 6 6.0 CASEID A.1 Participant ID 100000= 100000 . . 699999= 699999 7 3 3.0 VISIT A.2 Visit # 000= 000 . . 990= 990 10 8 $ VERSAE A.3 Form version 09/01/04= 09/01/04 . . 12/31/18= 12/31/18 18 7 7.3 AEDATE A.4 Date of adverse event in 0.000= 0.000 years duration of year from the . baseline visit . 50.000= 50.000 years -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 25 7 7.3 AEDTCOMP A.5 Date form completed in 0.000= 0.000 years duration of year from the . baseline visit . 50.000= 50.000 years -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 32 3 $ AEINITL A.6 Initials of person completing Character form 35 2 2.0 ACCELVIS OldA.7 Old: Accelerated visit 1= Yes 2= No -1= NA (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 37 2 2.0 AEUNRLTD A.7 Adverse Event completely 1= Yes unrelated to study procedure 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 39 2 2.0 AEIOHEXR B.1 Suspected iohexol reaction 1= Yes 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 41 2 2.0 AEIRRASH B.2.a Iohexol reaction - rash 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 43 2 2.0 AEIRDSBP B.2.b Iohexol reaction - decreased 1= YES systolic BP 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 45 2 2.0 AEIRDDBP B.2.c Iohexol reaction - decreased 1= YES diastolic BP 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 47 2 2.0 AEIRIPLS B.2.d Iohexol reaction - increased 1= YES pulse 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 49 2 2.0 AEIRDPLS B.2.e Iohexol reaction - decreased 1= YES pulse 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 51 2 2.0 AEIROTHR B.2.f Iohexol reaction - other 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 53 60 $ AEIRSPOT B.2.f.i Specify other iohexol reaction Character 113 2 2.0 AEIRLKLY B.3 Likelihood that reaction due 1= Most Probably to iohexol 2= Probably 3= Possibly 4= Probably Not -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 115 2 2.0 AEBLDRAW B.4 Suspected blood draw adverse 1= Yes event 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 117 2 2.0 AEBDINFC B.5.a Blood draw adverse event - 1= YES infection 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 119 2 2.0 AEBDOTHR B.5.b Blood draw adverse event - 1= YES other 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 121 60 $ AEBDSPOT B.5.b.i Specify other blood draw Character adverse event 181 2 2.0 AEBDLKLY B.6 Likelihood that adverse event 1= Most Probably related to blood draw 2= Probably 3= Possibly 4= Probably Not -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 183 2 2.0 AEABPM B.7 Suspected ABPM adverse event 1= Yes 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 185 2 2.0 AEBPBRUS B.8.a ABPM adverse event - bruising 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 187 2 2.0 AEBPOTHR B.8.b ABPM adverse event - other 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 189 60 $ AEBPSPOT B.8.b.i Specify other ABPM adverse Character event 249 2 2.0 AEBPLKLY B.9 Likelihood that adverse event 1= Most Probably related to ABPM 2= Probably 3= Possibly 4= Probably Not -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 251 2 2.0 AEPRLOBS B.10.a Adverse event resulted in - 1= Yes prolonged observational period 2= No 3= Other -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 253 2 2.0 AEPOERVS B.10.b Adverse event resulted in - 1= Yes emergency room visit 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 255 2 2.0 AEPOHOSP B.10.c Adverse event resulted in - 1= Yes hospitalization 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 257 2 2.0 AEPOOTHR B.10.d Adverse event resulted in - 1= Yes other adverse event 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 259 60 $ AEPROBSP B.10.d.i Specify other adverse event Character 319 2 2.0 AEWTHDRW B.11 Adverse event caused 1= Yes participant to withdraw 2= No -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 321 2 2.0 AENSHEAD C.1.1 Non-study event - headache 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 323 2 2.0 AENSDIZZ C.1.2 Non-study event - dizziness 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 325 2 2.0 AENSGIPB C.1.3 Non-study event - GI problem/ 1= YES vomiting 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 327 2 2.0 AENSLWBP C.1.4 Non-study event - Low blood 1= YES pressure 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 329 2 2.0 AENSCOLD C.1.5 Non-study event - cold/flu 1= YES symptoms 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 331 2 2.0 AENSDEHY C.1.6 Non-study event - dehydration 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 333 2 2.0 AENSMUSC C.1.7 Non-study event - 1= YES musculoskeletal injuries 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 335 2 2.0 AENSOTHR C.1.8 Non-study event - other 1= YES 2= NO -1= N.A. (Skipped) -7= Refusal -8= Don't know -9 or Blank= Missing 337 60 $ AENSOTSP C.1.8.i Specify other non-study event Character 397 1 $ ESTAT Edit status A.0 D= Dirty C= Clean P= Pending 398 6 $ VERSION Version number of data P01= Version 01 . . P99= Version 99