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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5122855 | 6314734 | I | 5122855-8 | 20051114 | 20060921 | 20061004 | EXP | MEDI-004950 | MEDIMMUNE, INC. | 2 | MON | UNK | N | 2.3 | KG | 20061003 | FRANCE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5122855 | 1007740189 | PS | SYNAGIS | 1 | INTRAMUSCULAR | SEE IMAGE | D |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5122855 | 1007740189 | ANTIVIRAL PROPHYLAXIS |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5122855 | HO |
| 5122855 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5122855 | MALAISE |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5122855 | CSM |
| 5122855 | FGN |
| 5122855 | SDY |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5122855 | 1007740189 | 20051107 | 20051107 | ||
| 5122855 | 1007740189 | 20051205 | |||
| 5122855 | 1007740189 | 20060105 | |||
| 5122855 | 1007740189 | 20060206 | |||
| 5122855 | 1007740189 | 20060306 |