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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6163450 | 7206866 | I | 6163450-1 | 20071213 | 20071218 | 20090402 | PER | AE08-002 | GREER LABORATORIES, INC. | 47 | YR | F | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 6163450 | 1011462848 | PS | MIXTURE OF ALLERGENIC EXTRACTS - OFFICE PREPARED | 2 | SUBCUTANEOUS | SUBCUTANEOUS | D | N | MULTIPLE |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 6163450 | 1011462848 | HYPERSENSITIVITY |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 6163450 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 6163450 | ANAPHYLACTIC REACTION |
| 6163450 | HYPERSENSITIVITY |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 6163450 | HP |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 6163450 | 1011462848 | 20071213 |