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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
4394106 | 4162640 | F | 1 | 4394106-3 | 20040517 | 20040618 | 20040630 | EXP | 200410400BCA | BAYER PHARMACEUTICAL CORPORATION | 77 | YR | M | N | 150 | LBS | 20040625 |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|
4394106 | 1005002682 | PS | GAMIMUNE N 10% | 1 | 35 MG, INTRAVENOUS; SEE IMAGE | Y | Y | 26N3C11 | 20060819 | ||
4394106 | 1005022002 | SS | GAMIMUNE N | 1 | 26N3K41 | 20060926 | |||||
4394106 | 1005022003 | SS | GAMIMUNE N | 1 | 26N3C11 | 20060819 | |||||
4394106 | 1005022005 | C | GAMIMUNE N | 1 | 26N3C11 | 20060819 | |||||
4394106 | 1005022006 | C | METOPROLOL | 2 | |||||||
4394106 | 1005022007 | C | L-THYROXINE | 2 | |||||||
4394106 | 1005022008 | C | NAPROXEN | 1 | |||||||
4394106 | 1005022010 | C | ISOSORBIDE | 1 | |||||||
4394106 | 1005022012 | C | SERAX | 1 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
4394106 | 1005002682 | NERVOUS SYSTEM DISORDER |
4394106 | 1005002682 | NEUROPATHY PERIPHERAL |
Outcome of event
Event ID | OUTC COD |
---|---|
4394106 | LT |
4394106 | OT |
Reactions reported
Event ID | PT |
---|---|
4394106 | BRADYCARDIA |
4394106 | COMA |
4394106 | EYE ROLLING |
4394106 | HYPOTENSION |
4394106 | INFUSION RELATED REACTION |
4394106 | LOSS OF CONSCIOUSNESS |
4394106 | PALLOR |
4394106 | SKIN DISCOLOURATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
4394106 | FGN |
4394106 | HP |
4394106 | OTH |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
4394106 | 1005002682 | 20040614 |