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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331052 | 4121325 | I | 4331052-5 | 20030801 | 20040325 | 20040331 | EXP | 2004UW05867 | ASTRAZENECA PHARMACEUTICALS | 24 | YR | M | N | 20040330 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4331052 | 1004758809 | PS | DIPRIVAN | 1 | INTRAVENOUS | 1000 MG/HR IV | D | D | 19627 | ||
| 4331052 | 1004767886 | C | RANITIDINE | 1 | |||||||
| 4331052 | 1004767887 | C | PEPERACILLIN | 2 | |||||||
| 4331052 | 1004767889 | C | VENTOLIN | 1 | |||||||
| 4331052 | 1004767891 | C | MANNITOL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4331052 | 1004758809 | SEDATION |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4331052 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4331052 | CIRCULATORY COLLAPSE |
| 4331052 | INFUSION RELATED REACTION |
| 4331052 | METABOLIC ACIDOSIS |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4331052 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4331052 | 1004758809 | 3 | DAY |