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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125254781 | 12525478 | 1 | I | 20160109 | 20160629 | 20160704 | 20160704 | EXP | US-ASTRAZENECA-2016SE72267 | ASTRAZENECA | 322.00 | DY | M | Y | 8.60000 | KG | 20160705 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125254781 | 12525478 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 8 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION | QD | |||||
| 125254781 | 12525478 | 9 | C | SALBUTAMOL | ALBUTEROL | 1 | 0 | ||||||||||||
| 125254781 | 12525478 | 10 | C | FLUORETTE | 2 | 0 | 503 | MG | |||||||||||
| 125254781 | 12525478 | 11 | C | SULTANOL | ALBUTEROL SULFATE | 1 | 0 | ||||||||||||
| 125254781 | 12525478 | 12 | C | IPRATROPIUM BROMIDE. | IPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
| 125254781 | 12525478 | 13 | C | ATROVENT | IPRATROPIUM BROMIDE | 1 | 0 | ||||||||||||
| 125254781 | 12525478 | 14 | C | BUPARID | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125254781 | 12525478 | 1 | Antiviral prophylaxis |
| 125254781 | 12525478 | 2 | Premature baby |
| 125254781 | 12525478 | 3 | Antiviral prophylaxis |
| 125254781 | 12525478 | 4 | Premature baby |
| 125254781 | 12525478 | 5 | Antiviral prophylaxis |
| 125254781 | 12525478 | 6 | Premature baby |
| 125254781 | 12525478 | 7 | Antiviral prophylaxis |
| 125254781 | 12525478 | 8 | Premature baby |
| 125254781 | 12525478 | 9 | Product used for unknown indication |
| 125254781 | 12525478 | 10 | Product used for unknown indication |
| 125254781 | 12525478 | 11 | Product used for unknown indication |
| 125254781 | 12525478 | 12 | Product used for unknown indication |
| 125254781 | 12525478 | 13 | Product used for unknown indication |
| 125254781 | 12525478 | 14 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125254781 | 12525478 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125254781 | 12525478 | Bronchitis | |
| 125254781 | 12525478 | Oxygen saturation decreased | |
| 125254781 | 12525478 | Pseudocroup | |
| 125254781 | 12525478 | Respiratory failure | |
| 125254781 | 12525478 | Tracheitis |
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 |
|---|---|---|---|---|---|---|
| 125254781 | 12525478 | 1 | 20151208 | 20151208 | 0 | |
| 125254781 | 12525478 | 2 | 20151208 | 20151208 | 0 | |
| 125254781 | 12525478 | 3 | 20160106 | 20160106 | 0 | |
| 125254781 | 12525478 | 4 | 20160106 | 20160106 | 0 | |
| 125254781 | 12525478 | 5 | 20160202 | 20160202 | 0 | |
| 125254781 | 12525478 | 6 | 20160202 | 20160202 | 0 | |
| 125254781 | 12525478 | 7 | 20160406 | 20160406 | 0 | |
| 125254781 | 12525478 | 8 | 20160406 | 20160406 | 0 | |
| 125254781 | 12525478 | 12 | 20160111 | 0 |