Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4263711 | 4061902 | I | 4263711-7 | 20031201 | 20031216 | 20040102 | EXP | GBS031214176 | ELI LILLY AND COMPANY | 56 | YR | M | N | 20031223 | MD |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4263711 | 1004492611 | PS | XIGRIS | 1 | OTHER | 24 UG/KG/HR/ OTHER | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4263711 | 1004492611 | SEPSIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4263711 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4263711 | ACUTE RESPIRATORY DISTRESS SYNDROME |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4263711 | CR |
| 4263711 | FGN |
| 4263711 | HP |
| 4263711 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4263711 | 1004492611 | 20031201 | 4 | DAY |