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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634029 | 5772226 | F | 1 | 4634029-5 | 20050309 | 20050324 | 20050407 | EXP | 200510338BBE | TALECRIS BIOTHERAPEUTICS, INC. | 50 | YR | M | N | 20050406 | MD | 20050309 | EGYPT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634029 | 1005872991 | PS | PLASBUMIN-20 | 1 | INTRAVENOUS DRIP | INTRAVENOUS DRIP | D | D | 26N3801 | 20060804 | |
| 4634029 | 1005898011 | C | VITAMIN K | 2 | |||||||
| 4634029 | 1005898013 | C | OMEPRAZOLE | 1 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4634029 | DE |
Reactions reported
| Event ID | PT |
|---|---|
| 4634029 | CARDIAC ARREST |
| 4634029 | MEDICATION ERROR |
| 4634029 | MEDICATION TAMPERING |
| 4634029 | PHARMACEUTICAL PRODUCT COMPLAINT |
| 4634029 | SUDDEN CARDIAC DEATH |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4634029 | FGN |
| 4634029 | HP |
| 4634029 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4634029 | 1005872991 | 20050309 |