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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5294031 | 6124407 | F | 3 | 5294031-X | 20060628 | 20070323 | 20070405 | EXP | 007998 | BARR LABORATORIES | 1 | DY | M | N | 3 | KG | 20070404 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5294031 | 1008358145 | PS | CLARAVIS | 1 | D | D | 76135 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5294031 | CA |
| 5294031 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5294031 | ANOTIA |
| 5294031 | ATRIAL SEPTAL DEFECT |
| 5294031 | CEREBELLAR HYPOPLASIA |
| 5294031 | COARCTATION OF THE AORTA |
| 5294031 | CONGENITAL JOINT MALFORMATION |
| 5294031 | DANDY-WALKER SYNDROME |
| 5294031 | DRUG EXPOSURE DURING PREGNANCY |
| 5294031 | DYSKINESIA |
| 5294031 | FORCEPS DELIVERY |
| 5294031 | HEART DISEASE CONGENITAL |
| 5294031 | INTERRUPTION OF AORTIC ARCH |
| 5294031 | MITRAL VALVE HYPOPLASIA |
| 5294031 | SEPSIS NEONATAL |
| 5294031 | SINGLE FUNCTIONAL KIDNEY |
| 5294031 | TAKAYASU'S ARTERITIS |
| 5294031 | TERATOGENICITY |
| 5294031 | VENTRICULAR INTERNAL DIAMETER ABNORMAL |
| 5294031 | VENTRICULAR SEPTAL DEFECT |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5294031 | CSM |
| 5294031 | HP |
| 5294031 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5294031 | 1008358145 | 20051025 | 20051110 |