Non Serious Adverse Drug Reactions Report
Start Date:2016-05-18 End Date:2016-05-19
Study :EMR700623-541	Investigator :NA		Country of Investigator :Korea	SiteNo:K01
Subject No :k01-0059	Subject Initials :LKH	DOB :08/05/1981	Sex:Female	Race:Asian	Height:153cm	Weight:74g
First administration date of batch :			Batch number :
Study Drug	Start Date		Dose	Change in Dose
Gonal-f New Pen Stimulation Treatment	06/02/2015		225
Adverse Event	Start Date	End Date	Time related to study treatment	Causality to study drug	Severity
OHSS	06/13/2015	07/02/2015		Related	Mild
Causality Factors		Action Taken with Study Treatment	Other action taken	Outcome	AE Special Interest	AE dose limiting toxicity
None(Othervalue:)		Dose not changed	None	Resolved
Event Description:
Subject received concomitant medications:
Does the subject have any relevant past or present medical conditions:No
Condition				Start Date	Related to study condition	Ongoing

Non Serious Adverse Drug Reactions Report
Start Date:2016-05-18 End Date:2016-05-19
Study :EMR700623-541	Investigator :NA		Country of Investigator :Korea	SiteNo:K01
Subject No :k01-036	Subject Initials :JSY	DOB :07/28/1981	Sex:Female	Race:Asian	Height:162cm	Weight:54g
First administration date of batch :			Batch number :
Study Drug	Start Date		Dose	Change in Dose
Gonal-f New Pen Stimulation Treatment	03/13/2015		225
Adverse Event	Start Date	End Date	Time related to study treatment	Causality to study drug	Severity
OHSS	03/24/2015	04/07/2015		Related	Moderate
Causality Factors		Action Taken with Study Treatment	Other action taken	Outcome	AE Special Interest	AE dose limiting toxicity
None(Othervalue:)		Dose not changed	None	Resolved
Event Description:
Subject received concomitant medications:
Does the subject have any relevant past or present medical conditions:No
Condition				Start Date	Related to study condition	Ongoing

Non Serious Adverse Drug Reactions Report
Start Date:2016-05-18 End Date:2016-05-19
Study :EMR700623-541	Investigator :NA		Country of Investigator :Korea	SiteNo:K01
Subject No :k01-040	Subject Initials :LBH	DOB :03/05/1985	Sex:Female	Race:Asian	Height:164cm	Weight:61g
First administration date of batch :			Batch number :
Study Drug	Start Date		Dose	Change in Dose
Gonal-f New Pen Stimulation Treatment	04/06/2015		225
Adverse Event	Start Date	End Date	Time related to study treatment	Causality to study drug	Severity
OHSS	04/15/2015	04/30/2015		Related	Mild
Causality Factors		Action Taken with Study Treatment	Other action taken	Outcome	AE Special Interest	AE dose limiting toxicity
None(Othervalue:)		Dose not changed	None	Resolved
Event Description:
Subject received concomitant medications:
Does the subject have any relevant past or present medical conditions:No
Condition				Start Date	Related to study condition	Ongoing

Non Serious Adverse Drug Reactions Report
Start Date:2016-05-18 End Date:2016-05-19
Study :EMR700623-541	Investigator :NA		Country of Investigator :Korea	SiteNo:K01
Subject No :k01-050	Subject Initials :KHG	DOB :04/22/1984	Sex:Female	Race:Asian	Height:150cm	Weight:46g
First administration date of batch :			Batch number :
Study Drug	Start Date		Dose	Change in Dose
Gonal-f New Pen Stimulation Treatment	05/03/2015		300
Adverse Event	Start Date	End Date	Time related to study treatment	Causality to study drug	Severity
OHSS	05/14/2015	05/29/2015		Related	Mild
Causality Factors		Action Taken with Study Treatment	Other action taken	Outcome	AE Special Interest	AE dose limiting toxicity
None(Othervalue:)		Dose not changed	Led to study termination	Resolved
Event Description:
Subject received concomitant medications:
Does the subject have any relevant past or present medical conditions:Yes
Condition				Start Date	Related to study condition	Ongoing
ovary cystectomy				UK-Jan-2014	Not on treatment/medication

Non Serious Adverse Drug Reactions Report