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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
100764422 | 10076442 | 2 | F | 20140328 | 20140922 | 20140414 | 20140930 | EXP | JP-MALLINCKRODT-T201401784 | MALLINCKRODT | 79.93 | YR | F | Y | 0.00000 | 20140930 | N | MD | JP | JP |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
100764422 | 10076442 | 1 | PS | OPTIRAY | IOVERSOL | 1 | INTRAVENOUS | 80 ML, SINGLE | D | UNKNOWN | 19710 | 80 | ML | SOLUTION FOR INJECTION | 1X |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
100764422 | 10076442 | 1 | Computerised tomogram |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
100764422 | 10076442 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
100764422 | 10076442 | Anaphylactic shock |
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 |
---|---|---|---|---|---|---|
100764422 | 10076442 | 1 | 20140328 | 20140328 | 0 |