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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5848975 | 6735073 | I | 5848975-8 | 20080814 | 20080818 | DIR | M | N | 160 | LBS | 20080815 | MD | N | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5848975 | 1010321456 | PS | TUBERSOL | 1 | INTRADERMAL | 0.1 ML ONE TIME ID | D | D | C2910AA | 20101206 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5848975 | 1010321456 | TUBERCULIN TEST |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5848975 | OT |
Reactions reported
| Event ID | PT |
|---|---|
| 5848975 | ERYTHEMA MULTIFORME |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 5848975 | 1010321456 | 20080812 | 20080812 |