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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100055242 | 10005524 | 2 | F | 20140319 | 20140313 | 20140331 | EXP | US-BEH-2014040944 | CSL BEHRING | 0.00 | M | Y | 29.00000 | KG | 20140331 | N | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100055242 | 10005524 | 1 | PS | Privigen | 1 | INTRAVENOUS | 1 TIME DAILY X 2 DAYS | D | 4323400245 | 125201 | 30 | G | QD | ||||||
| 100055242 | 10005524 | 2 | SS | Privigen | 1 | INTRAVENOUS | 1 TIME DAILY X 2 DAYS | D | 4350900344 | 125201 | 30 | G | QD | ||||||
| 100055242 | 10005524 | 3 | SS | Dexamethasone | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 4 | C | Zoloft | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 5 | C | Amox-TR-K CLV | 2 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 6 | C | Motrin | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 7 | C | Acetaminophen | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 8 | C | Diphenhydramine | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 9 | C | Melatonin | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 10 | C | Omega-3 with DHA | 2 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 11 | C | Multi-vit gummies | 2 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 12 | C | Culturelle | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 13 | C | Abilify | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 14 | C | Sodium chloride | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 15 | C | Heparin | 1 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 16 | C | Lidocaine/prilocaine | 2 | D | 0 | ||||||||||||
| 100055242 | 10005524 | 17 | C | Epipen | 1 | D | 0 |
Indications of drugs used
| no results found |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100055242 | 10005524 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100055242 | 10005524 | Abnormal behaviour | |
| 100055242 | 10005524 | Aggression | |
| 100055242 | 10005524 | Anger | |
| 100055242 | 10005524 | Dizziness |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |