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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5587769 | 6465179 | I | 5587769-8 | 20070927 | 20070928 | 20071231 | EXP | AEUSA200700224 | TALECRIS BIOTHERAPEUTICS, INC. | 54 | YR | F | N | 115 | LBS | 20071228 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5587769 | 1009383508 | PS | PROLASTIN | 1 | INTRAVENOUS | 1110 MG;QW;IV | D | D | 26N8WT1 | 20100523 | |
| 5587769 | 1009398867 | C | LEXAPRO | 1 | |||||||
| 5587769 | 1009398868 | C | LAMIVUDINE | 1 | |||||||
| 5587769 | 1009398869 | C | PROGRAF | 1 | |||||||
| 5587769 | 1009398870 | C | MYFORTIC | 1 | |||||||
| 5587769 | 1009398871 | C | PREDNISONE TAB | 1 | |||||||
| 5587769 | 1009398872 | C | VALTREX | 1 | |||||||
| 5587769 | 1009398873 | C | ZITHROMAX | 1 | |||||||
| 5587769 | 1009398874 | C | MEPRON | 1 | |||||||
| 5587769 | 1009398875 | C | IMMUNE GLOBULIN INTRAVENOUS (HUMAN) | 1 | |||||||
| 5587769 | 1009398876 | C | PRILOSEC | 1 | |||||||
| 5587769 | 1009398877 | C | PRENATAL VITAMINS | 2 | |||||||
| 5587769 | 1009398878 | C | VIACTIV | 2 | |||||||
| 5587769 | 1009398879 | C | MYCELEX | 1 | |||||||
| 5587769 | 1009398880 | C | OXYCODONE | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5587769 | 1009383508 | ALPHA-1 ANTI-TRYPSIN DEFICIENCY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5587769 | HO |
| 5587769 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5587769 | EAR PAIN |
| 5587769 | ERYTHEMA |
| 5587769 | HYPOAESTHESIA ORAL |
| 5587769 | MUSCLE SPASMS |
| 5587769 | PARAESTHESIA ORAL |
| 5587769 | SINUSITIS BACTERIAL |
| 5587769 | STAPHYLOCOCCAL INFECTION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 5587769 | CSM |
| 5587769 | HP |
| 5587769 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5587769 | 1009383508 | 20070901 | 20071004 |