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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123753562 | 12375356 | 2 | F | 20160719 | 20160517 | 20160720 | EXP | CA-BEH-2016062707 | CSL BEHRING | 53.00 | YR | A | F | Y | 0.00000 | 20160720 | CN | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 123753562 | 12375356 | 1 | PS | IVIG | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | 125201 | INFUSION | ||||||||||
| 123753562 | 12375356 | 2 | SS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 4G VIALS | 43584000261 | 0 | |||||||||
| 123753562 | 12375356 | 3 | SS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 4G VIALS | 4358100018 | 0 | |||||||||
| 123753562 | 12375356 | 4 | SS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 25 CC (CUBIC CENTIMETRES). ONGOING. PUMP. | 0 | BIW | |||||||||
| 123753562 | 12375356 | 5 | SS | TOPAMAX | TOPIRAMATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 123753562 | 12375356 | 1 | Product used for unknown indication |
| 123753562 | 12375356 | 2 | Primary immunodeficiency syndrome |
| 123753562 | 12375356 | 3 | Immunodeficiency common variable |
| 123753562 | 12375356 | 5 | Headache |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 123753562 | 12375356 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 123753562 | 12375356 | Depression | |
| 123753562 | 12375356 | Dizziness | |
| 123753562 | 12375356 | Headache | |
| 123753562 | 12375356 | Vena cava thrombosis |
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 |
|---|---|---|---|---|---|---|
| 123753562 | 12375356 | 4 | 201512 | 0 |