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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634130 | 5937941 | F | 1 | 4634130-6 | 20041109 | 20050328 | 20050408 | EXP | 200410612BYL | TALECRIS BIOTHERAPEUTICS, INC. | 7 | MON | F | N | 7.5 | KG | 20050404 | JAPAN |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4634130 | 1005873428 | PS | GAMIMUNE N 5% | 1 | INTRAVENOUS | 2000 MG/KG INTRAVENOUS | D | D | 26N3CT1 | ||
| 4634130 | 1005890843 | SS | GAMIMUNE N 5% | 1 | 26N2WT1 | ||||||
| 4634130 | 1005890845 | C | ASPIRIN | 1 | |||||||
| 4634130 | 1005890846 | C | ASVERIN | 2 | |||||||
| 4634130 | 1005890850 | C | MUCODYNE | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4634130 | 1005873428 | KAWASAKI'S DISEASE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4634130 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 4634130 | HYPOTHERMIA |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 4634130 | FGN |
| 4634130 | HP |
| 4634130 | OTH |
| 4634130 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4634130 | 1005873428 | 20041108 | 20041109 | ||
| 4634130 | 1005890843 | 20041108 | 20041109 |