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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5212202 | 6237364 | I | 5212202-5 | 20060720 | 20061120 | PER | US-2006-020156 | BERLEX INC. | 39 | YR | M | N | 20061111 | OT | UNITED STATES |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5212202 | 1008054955 | PS | ULTRAVIST (PHARMACY BULK) | 1 | INTRAVENOUS | 120 ML, 1 DOSE, INTRAVENOUS | D | D | 54520A | 20081001 | 21425 |
| 5212202 | 1008145674 | C | READI-CAT | 2 | |||||||
| 5212202 | 1008145675 | C | PREDNISONE | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5212202 | 1008054955 | COMPUTERISED TOMOGRAM ABDOMEN |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5212202 | HO |
| 5212202 | LT |
Reactions reported
| Event ID | PT |
|---|---|
| 5212202 | DYSPNOEA |
| 5212202 | LIP SWELLING |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5212202 | HP |
Therapies reported
| no results found |