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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119390063 | 11939006 | 3 | F | 2014 | 20160729 | 20160122 | 20160809 | EXP | JP-RECORDATI RARE DISEASES-JP-R13005-16-00012 | RECORDATI | SHIRAI T. A CASE OF LIMITED INTESTINAL PERFORATION WITH A RAPID FATAL CLINICAL COURSES. JOURNAL OF THE JAPANESE SOCIETY OF PEDIATRIC SURGEONS 2015 DEC;51(7):1281. | 0.01 | YR | M | Y | 1.23000 | KG | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119390063 | 11939006 | 1 | PS | INDOMETHACIN. | INDOMETHACIN | 1 | Intravenous (not otherwise specified) | 18878 | 1 | MG | UNKNOWN | ||||||||
| 119390063 | 11939006 | 2 | SS | INDOMETHACIN. | INDOMETHACIN | 1 | 18878 | ||||||||||||
| 119390063 | 11939006 | 3 | C | SOLU-CORTEF | HYDROCORTISONE SODIUM SUCCINATE | 1 | Intravenous (not otherwise specified) | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119390063 | 11939006 | 1 | Haemorrhage prophylaxis |
| 119390063 | 11939006 | 2 | Patent ductus arteriosus |
| 119390063 | 11939006 | 3 | Circulatory collapse |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119390063 | 11939006 | OT |
| 119390063 | 11939006 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119390063 | 11939006 | Disseminated intravascular coagulation | |
| 119390063 | 11939006 | Hepatic haemorrhage | |
| 119390063 | 11939006 | Obstructive defaecation | |
| 119390063 | 11939006 | Off label use | |
| 119390063 | 11939006 | Small intestinal perforation |
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 |
|---|---|---|---|---|---|---|
| 119390063 | 11939006 | 1 | 20140627 | 0 | ||
| 119390063 | 11939006 | 3 | 20140627 | 20140627 | 0 |