If you’re drunk and bump your head into a lantern, would you say that haematomas are a side-effect of alcohol consumption?
So if you have a treatment for moles, and a patient (trial participant) has a mole on their back treated and then falls down the stairs or is run over by a trolley the agency wants you to do an analysis to see if the treatment might have had something to do with getting run over or not taking the lift.
Note: this is not an exaggeration. I have written phase I and phase II clinical trial protocols earlier in my career.