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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4542776 | 5706562 | F | 4542776-9 | 20040203 | 20041117 | 20041231 | EXP | 200413818JP | AVENTIS PHARMACEUTICALS, INC. | 1 | YR | F | Y | 11.6 | KG | 20041231 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4542776 | 1005546901 | PS | CLAFORAN | 1 | INTRAVENOUS | ||||||
| 4542776 | 1005546902 | SS | PHENOBARBITAL TAB | 1 | ORAL | ||||||
| 4542776 | 1005546903 | SS | LASIX | 1 | ORAL | ||||||
| 4542776 | 1005546904 | SS | ALDACTONE | 1 | ORAL | ||||||
| 4542776 | 1005546905 | C | PAPM/BP (PANIPENEM/BETAMIPRON) | 2 | |||||||
| 4542776 | 1005546906 | C | CORTICOSTEROIDS | 2 | |||||||
| 4542776 | 1005546907 | C | ANTITHROMBOTIC AGENTS | 2 | |||||||
| 4542776 | 1005546908 | C | I.V. SOLUTIONS | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4542776 | 1005546901 | MENINGITIS HAEMOPHILUS |
| 4542776 | 1005546902 | EPILEPSY |
| 4542776 | 1005546902 | PROPHYLAXIS |
| 4542776 | 1005546903 | CARDIAC FAILURE |
| 4542776 | 1005546904 | CARDIAC FAILURE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4542776 | HO |
| 4542776 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4542776 | CARDIAC FAILURE |
| 4542776 | DRUG ERUPTION |
| 4542776 | ENDOCARDITIS |
| 4542776 | RHABDOMYOLYSIS |
| 4542776 | SKIN PAPILLOMA |
| 4542776 | WHOLE BLOOD TRANSFUSION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4542776 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4542776 | 1005546901 | 20040202 | 20040223 | ||
| 4542776 | 1005546902 | 20040213 | 20040223 | ||
| 4542776 | 1005546903 | 20040216 | 20040223 | ||
| 4542776 | 1005546904 | 20040216 | 20040223 |