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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125497642 | 12549764 | 2 | F | 201602 | 20160708 | 20160712 | 20160720 | EXP | AR-BAXTER-2016BAX035857 | BAXTER | 80.00 | YR | M | Y | 67.50000 | KG | 20160720 | MD | AR | AR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125497642 | 12549764 | 1 | PS | DIANEAL PD-2 WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | R16B13V | 17512 | 2 | L | SOLUTION FOR PERITONEAL DIALYSIS | TID | ||||||
| 125497642 | 12549764 | 2 | SS | DIANEAL PD-2 WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | R16B13V | 17512 | |||||||||||
| 125497642 | 12549764 | 3 | SS | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 0 | |||||||||||
| 125497642 | 12549764 | 4 | SS | Amiodarone | AMIODARONE | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 5 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 6 | C | VITAMIN B COMPLEX | CYANOCOBALAMINDEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDEVITAMIN B COMPLEX | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 7 | C | ROSUVASTATIN. | ROSUVASTATIN | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 8 | C | Trimebutine | TRIMEBUTINE | 1 | Oral | 0 | BID | ||||||||||
| 125497642 | 12549764 | 9 | C | SIMETHICONE (DIMETHICONE) | DIMETHICONE | 1 | Oral | 0 | BID | ||||||||||
| 125497642 | 12549764 | 10 | C | Amiodarone | AMIODARONE | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 11 | C | ASPIRIN. | ASPIRIN | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 12 | C | ESCITALOPRAM | ESCITALOPRAM OXALATE | 1 | Oral | 0 | |||||||||||
| 125497642 | 12549764 | 13 | C | Leuprolide | LEUPROLIDE | 1 | Unknown | 0 | |||||||||||
| 125497642 | 12549764 | 14 | C | RANITIDINE. | RANITIDINE | 1 | Oral | 0 | QD | ||||||||||
| 125497642 | 12549764 | 15 | C | Erythropoietin | ERYTHROPOIETIN | 1 | Subcutaneous | 0 | |||||||||||
| 125497642 | 12549764 | 16 | C | red blood cells | HUMAN RED BLOOD CELL | 1 | Unknown | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125497642 | 12549764 | 1 | Chronic kidney disease |
| 125497642 | 12549764 | 2 | Peritoneal dialysis |
| 125497642 | 12549764 | 3 | Product used for unknown indication |
| 125497642 | 12549764 | 4 | Product used for unknown indication |
| 125497642 | 12549764 | 5 | Product used for unknown indication |
| 125497642 | 12549764 | 6 | Product used for unknown indication |
| 125497642 | 12549764 | 7 | Product used for unknown indication |
| 125497642 | 12549764 | 8 | Product used for unknown indication |
| 125497642 | 12549764 | 9 | Product used for unknown indication |
| 125497642 | 12549764 | 10 | Product used for unknown indication |
| 125497642 | 12549764 | 11 | Product used for unknown indication |
| 125497642 | 12549764 | 12 | Product used for unknown indication |
| 125497642 | 12549764 | 13 | Product used for unknown indication |
| 125497642 | 12549764 | 14 | Product used for unknown indication |
| 125497642 | 12549764 | 15 | Product used for unknown indication |
| 125497642 | 12549764 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125497642 | 12549764 | DE |
| 125497642 | 12549764 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125497642 | 12549764 | Anal incontinence | |
| 125497642 | 12549764 | Death | |
| 125497642 | 12549764 | Decreased appetite | |
| 125497642 | 12549764 | Diarrhoea | |
| 125497642 | 12549764 | Fall | |
| 125497642 | 12549764 | Gait disturbance | |
| 125497642 | 12549764 | Hypotension | |
| 125497642 | 12549764 | Peritonitis | |
| 125497642 | 12549764 | Urinary incontinence |
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 |
|---|---|---|---|---|---|---|
| 125497642 | 12549764 | 1 | 20140206 | 20160629 | 0 | |
| 125497642 | 12549764 | 16 | 20160610 | 0 |