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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7220321 | 8163052 | I | 7220321-7 | 20101214 | 20110104 | 20110111 | EXP | US-BRACCO-005777 | BRACCO DIAGNOSTICS INC. | 55 | YR | F | Y | 20110111 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 7220321 | 1015505065 | PS | ISOVUE-M 200 | 1 | INTRATHECAL | 0C57552 | 18735 | ||||
| 7220321 | 1015505066 | SS | ISOVUE-M 200 | 1 | INTRATHECAL | 0C57552 | 018735 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 7220321 | 1015505065 | BACK PAIN |
| 7220321 | 1015505066 | SPINAL MYELOGRAM |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 7220321 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 7220321 | DEHYDRATION |
| 7220321 | NAUSEA |
| 7220321 | VOMITING |
| 7220321 | HEADACHE |
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 |
|---|---|---|---|---|---|
| 7220321 | 1015505065 | 20101214 | 20101214 | ||
| 7220321 | 1015505066 | 20101214 | 20101214 |