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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100677474 | 10067747 | 4 | F | 20140116 | 20140314 | 20140311 | 20150930 | EXP | 1713747-2014-99918 | FRESENIUS MEDICAL CARE | 70.00 | YR | M | N | 82.00000 | KG | 20150929 | N | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100677474 | 10067747 | 1 | PS | DELFLEX WITH DEXTROSE 4.25% | CALCIUM CHLORIDEDEXTROSE MONOHYDRATEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | 12.5L OVERNIGHT CYCLING | N | D | 13NU02049,13JU01010,12KU03014 | 201504,2 | 20171 | 12.5 | L | |||||
| 100677474 | 10067747 | 3 | C | LIBERTY CYCLER | DEVICE | 1 | 0 | ||||||||||||
| 100677474 | 10067747 | 5 | C | LIBERTY CYCLER SET | DEVICE | 1 | 0 | ||||||||||||
| 100677474 | 10067747 | 7 | C | VANCOMYCIN | VANCOMYCIN | 1 | 0 | ||||||||||||
| 100677474 | 10067747 | 9 | C | CEFEPIME | CEFEPIME HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100677474 | 10067747 | 1 | Chronic kidney disease |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100677474 | 10067747 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100677474 | 10067747 | Breath sounds abnormal | |
| 100677474 | 10067747 | Candida test positive | |
| 100677474 | 10067747 | Catheter site ulcer | |
| 100677474 | 10067747 | Fungal peritonitis | |
| 100677474 | 10067747 | Hypotension | |
| 100677474 | 10067747 | Peritonitis | |
| 100677474 | 10067747 | Rales |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 100677474 | 10067747 | UF |
| 100677474 | 10067747 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 100677474 | 10067747 | 1 | 20140108 | 20140123 | 0 |