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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123518113 | 12351811 | 3 | F | 201601 | 20160803 | 20160510 | 20160815 | EXP | US-BAXALTA-2016BLT003085 | BAXALTA | 78.02 | YR | M | Y | 0.00000 | 20160815 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123518113 | 12351811 | 1 | PS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | 45 G, 1X A MONTH | 125105 | 45 | G | SOLUTION FOR INFUSION | /month | ||||||
| 123518113 | 12351811 | 2 | SS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | 45 G, 1X A MONTH | 125105 | 45 | G | SOLUTION FOR INFUSION | /month | ||||||
| 123518113 | 12351811 | 3 | SS | VICTOZA | LIRAGLUTIDE | 1 | Unknown | UNK | N | 0 | |||||||||
| 123518113 | 12351811 | 4 | C | PREDNISONE. | PREDNISONE | 1 | Unknown | 60 MG, 1X A DAY | U | 0 | 60 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123518113 | 12351811 | 1 | Immunodeficiency common variable |
| 123518113 | 12351811 | 3 | Diabetes mellitus |
| 123518113 | 12351811 | 4 | Visual impairment |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123518113 | 12351811 | OT |
| 123518113 | 12351811 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123518113 | 12351811 | Atrial fibrillation | |
| 123518113 | 12351811 | Functional gastrointestinal disorder | |
| 123518113 | 12351811 | Kidney infection | |
| 123518113 | 12351811 | Nausea | |
| 123518113 | 12351811 | Renal failure | |
| 123518113 | 12351811 | Sepsis | |
| 123518113 | 12351811 | Urinary 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 |
|---|---|---|---|---|---|---|
| 123518113 | 12351811 | 1 | 201310 | 0 | ||
| 123518113 | 12351811 | 2 | 20160701 | 0 |