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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121556915 | 12155691 | 5 | F | 201602 | 20160623 | 20160307 | 20160704 | EXP | US-BAXTER-2016BAX010880 | BAXTER | 81.44 | YR | M | Y | 0.00000 | 20160704 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121556915 | 12155691 | 1 | PS | DIANEAL LOW CALCIUM PERITONEAL DIALYSIS SOLUTION WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | U | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | |||||||||
| 121556915 | 12155691 | 2 | SS | DIANEAL LOW CALCIUM PERITONEAL DIALYSIS SOLUTION WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | U | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | |||||||||
| 121556915 | 12155691 | 3 | SS | EXTRANEAL | CALCIUM CHLORIDEICODEXTRINMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 21321 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
| 121556915 | 12155691 | 4 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121556915 | 12155691 | 1 | Peritoneal dialysis |
| 121556915 | 12155691 | 2 | Peritoneal dialysis |
| 121556915 | 12155691 | 3 | Peritoneal dialysis |
| 121556915 | 12155691 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121556915 | 12155691 | HO |
| 121556915 | 12155691 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121556915 | 12155691 | Adverse drug reaction | |
| 121556915 | 12155691 | Dizziness | |
| 121556915 | 12155691 | Hypertension | |
| 121556915 | 12155691 | Hypotension | |
| 121556915 | 12155691 | Insomnia | |
| 121556915 | 12155691 | Rash pruritic | |
| 121556915 | 12155691 | Swelling |
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 |
|---|---|---|---|---|---|---|
| 121556915 | 12155691 | 4 | 20160212 | 20160223 | 0 |