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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124973992 | 12497399 | 2 | F | 20151219 | 20160627 | 20160624 | 20160701 | EXP | US-ASTRAZENECA-2016SE69397 | ASTRAZENECA | 222.00 | DY | M | Y | 4.30000 | KG | 20160702 | MD | DE | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 124973992 | 12497399 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 60 MG | U | U | 0 | INJECTION | |||||||
| 124973992 | 12497399 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 60 MG | U | U | 0 | INJECTION | |||||||
| 124973992 | 12497399 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 60 MG | U | U | 0 | INJECTION | |||||||
| 124973992 | 12497399 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 65 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 65 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 65 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 75 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 8 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 75 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 9 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 75 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 10 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 70 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 11 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 70 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 12 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 70 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 13 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 80 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 14 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 80 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 15 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 80 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 16 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 90 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 17 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 90 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 18 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 90 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 19 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 85 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 20 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 85 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 21 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 85 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 22 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 23 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 24 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | ||||||
| 124973992 | 12497399 | 25 | C | FERRO SANOL | FERROUS GLYCINE SULFATE | 1 | 0 | ||||||||||||
| 124973992 | 12497399 | 26 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 0 | 115 | UG | QD | ||||||||
| 124973992 | 12497399 | 27 | C | PNEUMOCOCCAL VACCINE POLYVALENT NOS | PNEUMOCOCCAL VACCINE POLYVALENT | 1 | Oral | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 124973992 | 12497399 | 1 | Antiviral prophylaxis |
| 124973992 | 12497399 | 2 | Premature baby |
| 124973992 | 12497399 | 3 | Oesophageal atresia |
| 124973992 | 12497399 | 4 | Antiviral prophylaxis |
| 124973992 | 12497399 | 5 | Premature baby |
| 124973992 | 12497399 | 6 | Oesophageal atresia |
| 124973992 | 12497399 | 7 | Antiviral prophylaxis |
| 124973992 | 12497399 | 8 | Premature baby |
| 124973992 | 12497399 | 9 | Oesophageal atresia |
| 124973992 | 12497399 | 10 | Antiviral prophylaxis |
| 124973992 | 12497399 | 11 | Premature baby |
| 124973992 | 12497399 | 12 | Oesophageal atresia |
| 124973992 | 12497399 | 13 | Antiviral prophylaxis |
| 124973992 | 12497399 | 14 | Premature baby |
| 124973992 | 12497399 | 15 | Oesophageal atresia |
| 124973992 | 12497399 | 16 | Antiviral prophylaxis |
| 124973992 | 12497399 | 17 | Premature baby |
| 124973992 | 12497399 | 18 | Oesophageal atresia |
| 124973992 | 12497399 | 19 | Antiviral prophylaxis |
| 124973992 | 12497399 | 20 | Premature baby |
| 124973992 | 12497399 | 21 | Oesophageal atresia |
| 124973992 | 12497399 | 22 | Antiviral prophylaxis |
| 124973992 | 12497399 | 23 | Premature baby |
| 124973992 | 12497399 | 24 | Oesophageal atresia |
| 124973992 | 12497399 | 25 | Anaemia |
| 124973992 | 12497399 | 26 | Hypothyroidism |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 124973992 | 12497399 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 124973992 | 12497399 | Bronchitis | |
| 124973992 | 12497399 | Inflammatory marker increased | |
| 124973992 | 12497399 | Influenza | |
| 124973992 | 12497399 | Rhinovirus infection | |
| 124973992 | 12497399 | Superinfection bacterial |
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 |
|---|---|---|---|---|---|---|
| 124973992 | 12497399 | 1 | 20150928 | 20150928 | 0 | |
| 124973992 | 12497399 | 2 | 20150928 | 20150928 | 0 | |
| 124973992 | 12497399 | 3 | 20150928 | 20150928 | 0 | |
| 124973992 | 12497399 | 4 | 20151027 | 20151027 | 0 | |
| 124973992 | 12497399 | 5 | 20151027 | 20151027 | 0 | |
| 124973992 | 12497399 | 6 | 20151027 | 20151027 | 0 | |
| 124973992 | 12497399 | 7 | 20151124 | 20151124 | 0 | |
| 124973992 | 12497399 | 8 | 20151124 | 20151124 | 0 | |
| 124973992 | 12497399 | 9 | 20151124 | 20151124 | 0 | |
| 124973992 | 12497399 | 10 | 20151229 | 20151229 | 0 | |
| 124973992 | 12497399 | 11 | 20151229 | 20151229 | 0 | |
| 124973992 | 12497399 | 12 | 20151229 | 20151229 | 0 | |
| 124973992 | 12497399 | 13 | 20160127 | 20160127 | 0 | |
| 124973992 | 12497399 | 14 | 20160127 | 20160127 | 0 | |
| 124973992 | 12497399 | 15 | 20160127 | 20160127 | 0 | |
| 124973992 | 12497399 | 16 | 20160224 | 20160224 | 0 | |
| 124973992 | 12497399 | 17 | 20160224 | 20160224 | 0 | |
| 124973992 | 12497399 | 18 | 20160224 | 20160224 | 0 | |
| 124973992 | 12497399 | 19 | 20160330 | 20160330 | 0 | |
| 124973992 | 12497399 | 20 | 20160330 | 20160330 | 0 | |
| 124973992 | 12497399 | 21 | 20160330 | 20160330 | 0 | |
| 124973992 | 12497399 | 22 | 20160427 | 20160427 | 0 | |
| 124973992 | 12497399 | 23 | 20160427 | 20160427 | 0 | |
| 124973992 | 12497399 | 24 | 20160427 | 20160427 | 0 | |
| 124973992 | 12497399 | 25 | 201505 | 0 | ||
| 124973992 | 12497399 | 26 | 201505 | 0 | ||
| 124973992 | 12497399 | 27 | 20150901 | 20150901 | 0 |