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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100039432 | 10003943 | 2 | F | 20140325 | 20140312 | 20140331 | PER | US-BAXTER-2014BAX011618 | BAXTER | 0.00 | F | Y | 0.00000 | 20140331 | N | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100039432 | 10003943 | 1 | PS | DIANEAL PD2 (ULTRABAG) | 1 | INTRAPERITONEAL | D | 20163 | SOLUTION FOR PERITONEAL DIALYSIS |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100039432 | 10003943 | 1 | Peritoneal dialysis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100039432 | 10003943 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100039432 | 10003943 | Device malfunction | |
| 100039432 | 10003943 | Peritonitis |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |