Questions 1 & 2: Tepadina® stop date
Indicate if Tepadina® stop date is “Known” or “Unknown” in question 1. Start date is reported on F2400 in the conditioning regimen section. Report the final administration date of Tepadina® in question 2. If the stop date is partially known, use the process for reporting partial or unknown dates as described in the General Instructions, General Guidelines for Completing Forms.
If the date therapy stopped is “Unknown,” go to question 3.
|Question Number||Date of Change||Add/Remove/Modify||Description||Reasoning (If applicable)|
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