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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124153943 | 12415394 | 3 | F | 20160424 | 20160526 | 20160530 | 20160714 | EXP | US-ASTRAZENECA-2016SE50203 | ASTRAZENECA | 63.00 | DY | M | Y | 2.30000 | KG | 20160714 | CN | CO | CO |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124153943 | 12415394 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15 | MG/KG | Y | U | 0 | 15 | MG/KG | INJECTION | /month | |||
| 124153943 | 12415394 | 2 | C | FERROUS SULFATE. | FERROUS SULFATE | 1 | 0 | ||||||||||||
| 124153943 | 12415394 | 3 | C | PEDIAVIT | 2 | 0 | |||||||||||||
| 124153943 | 12415394 | 4 | C | KIDCAL | 2 | 0 | |||||||||||||
| 124153943 | 12415394 | 5 | C | NYSTATIN. | NYSTATIN | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124153943 | 12415394 | 1 | Bronchopulmonary dysplasia |
| 124153943 | 12415394 | 2 | Product used for unknown indication |
| 124153943 | 12415394 | 3 | Product used for unknown indication |
| 124153943 | 12415394 | 4 | Product used for unknown indication |
| 124153943 | 12415394 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124153943 | 12415394 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124153943 | 12415394 | Bronchiolitis | |
| 124153943 | 12415394 | Respiratory syncytial virus 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 |
|---|---|---|---|---|---|---|
| 124153943 | 12415394 | 1 | 20160405 | 20160405 | 0 |