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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5382430 | 6406725 | I | 5382430-7 | 20060706 | 20060718 | 20070629 | PER | VISP-PR-0607S-0463 | GE HEALTHCARE - | 63 | YR | M | N | 155 | LBS | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
5382430 | 1008679297 | PS | VISIPAQUE | 1 | INTRACORONARY | 140 ML, SINGLE DOSE, CORONARY | D | D | 10381077 | 20090401 | 20351 |
5382430 | 1008784211 | C | METHYLPREDINSOLONE SODIUM SUCCINATE (SOLU-MEDROL) | 2 | |||||||
5382430 | 1008784212 | C | BENADRYL | 1 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
5382430 | 1008679297 | CORONARY ARTERY DISEASE |
Outcome of event
Event ID | OUTC COD |
---|---|
5382430 | OT |
Reactions reported
Event ID | PT |
---|---|
5382430 | ANAPHYLACTOID REACTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
5382430 | HP |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
5382430 | 1008679297 | 20060706 | 20060706 |