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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125243724 | 12524372 | 4 | F | 20150913 | 20160802 | 20160704 | 20160812 | EXP | US-ASTRAZENECA-2016SE72202 | ASTRAZENECA | 515.00 | DY | F | Y | 0.00000 | 20160812 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125243724 | 12524372 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 90.0MG UNKNOWN | U | U | 0 | 90 | MG | INJECTION | |||||
| 125243724 | 12524372 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 90.0MG UNKNOWN | U | U | 0 | 90 | MG | INJECTION | |||||
| 125243724 | 12524372 | 3 | C | FERRIC PYROPHOSPHATE | FERRIC PYROPHOSPHATE | 1 | Oral | 0 | SYRUP | ||||||||||
| 125243724 | 12524372 | 4 | C | FAMOTIDINE. | FAMOTIDINE | 1 | Oral | 0 | |||||||||||
| 125243724 | 12524372 | 5 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 0 | GRANULES | ||||||||||
| 125243724 | 12524372 | 6 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | Oral | 0 | GRANULES |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125243724 | 12524372 | 1 | Antiviral prophylaxis |
| 125243724 | 12524372 | 2 | Bronchopulmonary dysplasia |
| 125243724 | 12524372 | 3 | Product used for unknown indication |
| 125243724 | 12524372 | 4 | Product used for unknown indication |
| 125243724 | 12524372 | 5 | Product used for unknown indication |
| 125243724 | 12524372 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125243724 | 12524372 | OT |
| 125243724 | 12524372 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125243724 | 12524372 | Bronchitis | |
| 125243724 | 12524372 | Pneumonia | |
| 125243724 | 12524372 | Respiratory failure |
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 |
|---|---|---|---|---|---|---|
| 125243724 | 12524372 | 1 | 20150902 | 0 | ||
| 125243724 | 12524372 | 2 | 20150902 | 0 |