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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123766112 | 12376611 | 2 | F | 20150504 | 20150508 | 20160517 | 20160517 | PER | US-MALLINCKRODT-T201502519 | MALLINCKRODT | 69.07 | YR | M | Y | 0.00000 | 20160517 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123766112 | 12376611 | 1 | PS | H.P. ACTHAR | CORTICOTROPIN | 1 | Subcutaneous | 40 UNITS, TWICE WKLY | U | UNKNOWN | 8372 | INJECTION | |||||||
| 123766112 | 12376611 | 2 | SS | H.P. ACTHAR | CORTICOTROPIN | 1 | Subcutaneous | 20 UNITS, TWICE WKLY | U | UNKNOWN | 8372 | INJECTION | |||||||
| 123766112 | 12376611 | 3 | SS | H.P. ACTHAR | CORTICOTROPIN | 1 | Subcutaneous | 80 UNITS, TWICE WKLY | U | UNKNOWN | 8372 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123766112 | 12376611 | 1 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123766112 | 12376611 | Blood glucose increased | |
| 123766112 | 12376611 | Incorrect dose administered |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |