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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5382432 | 6406735 | I | 5382432-0 | 20060618 | 20060731 | 20070629 | PER | VISP-PR-0607S-0492 | GE HEALTHCARE - | 53 | YR | F | N | 61.23 | KG | 20070613 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5382432 | 1008679299 | PS | VISIPAQUE | 1 | INTRAVENOUS | 125 ML, SINGLE DOSE, I.V. | D | D | 10341789 | 20081001 | 20351 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5382432 | 1008679299 | DYSPNOEA |
| 5382432 | 1008679299 | PULMONARY OEDEMA |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5382432 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5382432 | ANAPHYLACTOID SHOCK |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5382432 | CR |
| 5382432 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5382432 | 1008679299 | 20060618 | 20060618 |