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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5381309 | 6407260 | I | 5381309-4 | 20060825 | 20060906 | 20070629 | PER | VISP-PR-0609S-0593 | GE HEALTHCARE | 58 | YR | M | N | 20070613 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
5381309 | 1008674596 | PS | VISIPAQUE | 1 | INTRAVENOUS | 80 ML, SINGLE DOSE, I.V. | D | D | 10392579 | 20090501 | 20351 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
5381309 | 1008674596 | PULMONARY EMBOLISM |
Outcome of event
Event ID | OUTC COD |
---|---|
5381309 | OT |
Reactions reported
Event ID | PT |
---|---|
5381309 | ANAPHYLACTOID REACTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
5381309 | HP |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
5381309 | 1008674596 | 20060825 | 20060825 |