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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1021304819 | 10213048 | 19 | F | 20140503 | 20160823 | 20140603 | 20160825 | EXP | US-ROCHE-1390857 | ROCHE | 32.59 | YR | F | Y | 45.40000 | KG | 20160825 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1021304819 | 10213048 | 1 | PS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 2 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | DATE OF MOST RECENT DOSE : 11/APR/2014 | 0592123,61126 | 5369 | 300 | MG | |||||||
1021304819 | 10213048 | 3 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 4 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 5 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 6 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 7 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 8 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 9 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 10 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 11 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 12 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 13 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 14 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 15 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 16 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 17 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 18 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 19 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 20 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | DATE OF MOST RECENT DOSE: 05/JUN/2015 | 0592123,61126 | 5369 | 300 | MG | |||||||
1021304819 | 10213048 | 21 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 22 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 23 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 24 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 25 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 26 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 27 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 28 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 29 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 30 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 31 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 32 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 33 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 34 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 35 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 36 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 37 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 38 | SS | Omalizumab | OMALIZUMAB | 1 | Subcutaneous | 0592123,61126 | 5369 | 300 | MG | ||||||||
1021304819 | 10213048 | 39 | C | FENTANIL | FENTANYL | 1 | 0 | ||||||||||||
1021304819 | 10213048 | 40 | C | TORADOL | KETOROLAC TROMETHAMINE | 1 | Intravenous (not otherwise specified) | 19645 | |||||||||||
1021304819 | 10213048 | 41 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
1021304819 | 10213048 | 42 | C | EPIPEN | EPINEPHRINE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
1021304819 | 10213048 | 1 | Asthma |
1021304819 | 10213048 | 2 | Urticaria |
1021304819 | 10213048 | 39 | Afterbirth pain |
1021304819 | 10213048 | 40 | Afterbirth pain |
1021304819 | 10213048 | 41 | Hypersensitivity |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
1021304819 | 10213048 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
1021304819 | 10213048 | Anaphylactic reaction | |
1021304819 | 10213048 | Maternal exposure during pregnancy | |
1021304819 | 10213048 | Upper respiratory tract infection |
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 |
---|---|---|---|---|---|---|
1021304819 | 10213048 | 1 | 20130606 | 0 | ||
1021304819 | 10213048 | 2 | 20140117 | 0 | ||
1021304819 | 10213048 | 3 | 20140214 | 0 | ||
1021304819 | 10213048 | 4 | 20140314 | 0 | ||
1021304819 | 10213048 | 5 | 20140411 | 0 | ||
1021304819 | 10213048 | 6 | 20140509 | 0 | ||
1021304819 | 10213048 | 7 | 20140606 | 0 | ||
1021304819 | 10213048 | 8 | 20140703 | 0 | ||
1021304819 | 10213048 | 9 | 20140801 | 0 | ||
1021304819 | 10213048 | 10 | 20140829 | 0 | ||
1021304819 | 10213048 | 11 | 20140926 | 0 | ||
1021304819 | 10213048 | 12 | 20141024 | 0 | ||
1021304819 | 10213048 | 13 | 20141121 | 0 | ||
1021304819 | 10213048 | 14 | 20141219 | 0 | ||
1021304819 | 10213048 | 15 | 20150116 | 0 | ||
1021304819 | 10213048 | 16 | 20150212 | 0 | ||
1021304819 | 10213048 | 17 | 20150313 | 0 | ||
1021304819 | 10213048 | 18 | 20150410 | 0 | ||
1021304819 | 10213048 | 19 | 20150508 | 0 | ||
1021304819 | 10213048 | 20 | 20150605 | 0 | ||
1021304819 | 10213048 | 21 | 20150703 | 0 | ||
1021304819 | 10213048 | 22 | 20150731 | 0 | ||
1021304819 | 10213048 | 23 | 20150828 | 0 | ||
1021304819 | 10213048 | 24 | 20150925 | 0 | ||
1021304819 | 10213048 | 25 | 20151023 | 0 | ||
1021304819 | 10213048 | 26 | 20151120 | 0 | ||
1021304819 | 10213048 | 27 | 20151218 | 0 | ||
1021304819 | 10213048 | 28 | 20150705 | 0 | ||
1021304819 | 10213048 | 29 | 20150708 | 0 | ||
1021304819 | 10213048 | 30 | 20150814 | 0 | ||
1021304819 | 10213048 | 31 | 20160115 | 0 | ||
1021304819 | 10213048 | 32 | 20160215 | 0 | ||
1021304819 | 10213048 | 33 | 20160324 | 0 | ||
1021304819 | 10213048 | 34 | 20160421 | 0 | ||
1021304819 | 10213048 | 35 | 20160520 | 0 | ||
1021304819 | 10213048 | 36 | 20160617 | 0 | ||
1021304819 | 10213048 | 37 | 20160715 | 0 | ||
1021304819 | 10213048 | 38 | 20160812 | 0 |