Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 92942591 | 9294259 | 1 | I | 20120630 | 20121024 | 20130516 | 20130516 | EXP | US-BAXTER-2012BAX021039 | BAXTER | 70.19 | YR | F | Y | 0.00000 | 20130516 | PH | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 92942591 | 9294259 | 1 | PS | GAMMAGARD LIQUID | 1 | INTRAVENOUS | D | LE12M076AB,UNKNOWN | 13591 | 20 | G | SOLUTION FOR INFUSION | |||||||
| 92942591 | 9294259 | 2 | SS | GAMMAGARD LIQUID | 1 | INTRAVENOUS | D | LE12M076AB,UNKNOWN | 13591 | 200 | MG | SOLUTION FOR INFUSION | /month | ||||||
| 92942591 | 9294259 | 3 | C | PRADAXA | 1 | ORAL | D | UNKNOWN | 0 | 180 | MG | ||||||||
| 92942591 | 9294259 | 4 | C | CYMBALTA | 1 | ORAL | D | UNKNOWN | 0 | 60 | MG | ||||||||
| 92942591 | 9294259 | 5 | C | OMEPRAZOLE | 1 | ORAL | D | UNKNOWN | 0 | 40 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 92942591 | 9294259 | 1 | Immunodeficiency common variable |
| 92942591 | 9294259 | 3 | Anticoagulant therapy |
| 92942591 | 9294259 | 4 | Depression |
| 92942591 | 9294259 | 5 | Gastrooesophageal reflux disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 92942591 | 9294259 | HO |
| 92942591 | 9294259 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 92942591 | 9294259 | Transient ischaemic attack |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 92942591 | 9294259 | 1 | 20120614 | 20120614 | 0 |