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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125558901 | 12555890 | 1 | I | 200901 | 20160629 | 20160714 | 20160714 | EXP | GB-SUN PHARMACEUTICAL INDUSTRIES LTD-2016RR-120176 | RANBAXY | 1.00 | MON | M | Y | 0.00000 | 20160714 | OT | GB | GB |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125558901 | 12555890 | 1 | PS | Codeine | CODEINE | 1 | Transmammary | UNK | Y | U | 0 | ||||||||
| 125558901 | 12555890 | 2 | SS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Intramuscular | U | 30395 | 0 | .5 | ML | |||||||
| 125558901 | 12555890 | 3 | SS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Intramuscular | U | 0 | .5 | ML | ||||||||
| 125558901 | 12555890 | 4 | SS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Intramuscular | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 5 | SS | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Intramuscular | UNK | U | 30395 | 0 | ||||||||
| 125558901 | 12555890 | 6 | SS | MENITORIX | HAEMOPHILUS INFLUENZAE TYPE BNEISSERIA MENINGITIDIS GROUP C CAPSULAR POLYSACCHARIDE ANTIGEN | 1 | Unknown | 0.5 ML, UNK | U | A76CA08 | 0 | .5 | ML | ||||||
| 125558901 | 12555890 | 7 | SS | REPEVAX | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED AND INACTIVATED POLIOVIRUS VACCINE | 1 | Intramuscular | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 8 | SS | PEDIACEL | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED, INACTIVATED POLIOVIRUS AND HAEMOPHILUS B CONJUGATE (TETANUS TOXOID CONJUGATE) VACCINE | 1 | Intramuscular | 0.5 ML, UNK | U | CD945AA | 0 | .5 | ML | ||||||
| 125558901 | 12555890 | 9 | SS | PEDIACEL | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED, INACTIVATED POLIOVIRUS AND HAEMOPHILUS B CONJUGATE (TETANUS TOXOID CONJUGATE) VACCINE | 1 | Intramuscular | 0.5 ML, UNK | U | 0 | .5 | ML | |||||||
| 125558901 | 12555890 | 10 | SS | PEDIACEL | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED, INACTIVATED POLIOVIRUS AND HAEMOPHILUS B CONJUGATE (TETANUS TOXOID CONJUGATE) VACCINE | 1 | Intramuscular | 0.5 ML, UNK | U | 0 | .5 | ML | |||||||
| 125558901 | 12555890 | 11 | SS | MENJUGATE | MENINGOCOCCAL POLYSACCHARIDE VACCINE C | 1 | Intramuscular | 0.5 ML, UNK | U | 0 | .5 | ML | |||||||
| 125558901 | 12555890 | 12 | SS | MENJUGATE | MENINGOCOCCAL POLYSACCHARIDE VACCINE C | 1 | Intramuscular | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 13 | SS | PRIORIX | MEASLES-MUMPS-RUBELLA VIRUS VACCINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 14 | SS | M-M-RVAXPRO | MEASLES VIRUS STRAIN ENDERS' ATTENUATED EDMONSTON LIVE ANTIGENMUMPS VIRUS STRAIN B LEVEL JERYL LYNN LIVE ANTIGENRUBELLA VIRUS STRAIN WISTAR RA 27/3 LIVE ANTIGEN | 1 | Unknown | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 15 | SS | DTPA IPV HIB VACCINE | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED, INACTIVATED POLIOVIRUS AND HAEMOPHILUS B CONJUGATE (TETANUS TOXOID CONJUGATE) VACCINE | 1 | Unknown | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 16 | SS | MENINGOCOCCAL POLYSACCHARIDE VACCINE C NOS | MENINGOCOCCAL POLYSACCHARIDE VACCINE CNEISSERIA MENINGITIDIS GROUP C CAPSULAR POLYSACCHARIDE ANTIGEN | 1 | Unknown | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 17 | SS | ANAESTHETIC | UNSPECIFIED INGREDIENT | 1 | Unknown | UNK | U | 0 | |||||||||
| 125558901 | 12555890 | 18 | SS | ANALGESIC | UNSPECIFIED INGREDIENT | 1 | Transmammary | UNK | Y | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125558901 | 12555890 | 1 | Product used for unknown indication |
| 125558901 | 12555890 | 2 | Immunisation |
| 125558901 | 12555890 | 6 | Immunisation |
| 125558901 | 12555890 | 7 | Immunisation |
| 125558901 | 12555890 | 8 | Immunisation |
| 125558901 | 12555890 | 11 | Immunisation |
| 125558901 | 12555890 | 13 | Immunisation |
| 125558901 | 12555890 | 14 | Immunisation |
| 125558901 | 12555890 | 15 | Immunisation |
| 125558901 | 12555890 | 16 | Immunisation |
| 125558901 | 12555890 | 17 | Tonsillectomy |
| 125558901 | 12555890 | 18 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125558901 | 12555890 | DS |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125558901 | 12555890 | Abnormal behaviour | |
| 125558901 | 12555890 | Aggression | |
| 125558901 | 12555890 | Autism | |
| 125558901 | 12555890 | Condition aggravated | |
| 125558901 | 12555890 | Coordination abnormal | |
| 125558901 | 12555890 | Cough | |
| 125558901 | 12555890 | Cow's milk intolerance | |
| 125558901 | 12555890 | Crepitations | |
| 125558901 | 12555890 | Decreased appetite | |
| 125558901 | 12555890 | Dyspraxia | |
| 125558901 | 12555890 | Ear infection | |
| 125558901 | 12555890 | Eye disorder | |
| 125558901 | 12555890 | Feeling drunk | |
| 125558901 | 12555890 | Food intolerance | |
| 125558901 | 12555890 | Hand-eye coordination impaired | |
| 125558901 | 12555890 | Hypermobility syndrome | |
| 125558901 | 12555890 | Hypersensitivity | |
| 125558901 | 12555890 | Inappropriate schedule of drug administration | |
| 125558901 | 12555890 | Infection | |
| 125558901 | 12555890 | Muscular weakness | |
| 125558901 | 12555890 | Mydriasis | |
| 125558901 | 12555890 | Obsessive-compulsive symptom | |
| 125558901 | 12555890 | Psychomotor hyperactivity | |
| 125558901 | 12555890 | Pyrexia | |
| 125558901 | 12555890 | Reaction to drug excipients | |
| 125558901 | 12555890 | Screaming | |
| 125558901 | 12555890 | Somnolence | |
| 125558901 | 12555890 | Tonsillitis | |
| 125558901 | 12555890 | Upper respiratory tract 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 |
|---|---|---|---|---|---|---|
| 125558901 | 12555890 | 2 | 20080910 | 20080910 | 0 | |
| 125558901 | 12555890 | 3 | 20081106 | 20081106 | 0 | |
| 125558901 | 12555890 | 4 | 20090811 | 20090811 | 0 | |
| 125558901 | 12555890 | 5 | 20080729 | 20080729 | 0 | |
| 125558901 | 12555890 | 6 | 20090720 | 20090720 | 0 | |
| 125558901 | 12555890 | 7 | 20111117 | 20111117 | 0 | |
| 125558901 | 12555890 | 8 | 20080910 | 20080910 | 0 | |
| 125558901 | 12555890 | 9 | 20081106 | 20081106 | 0 | |
| 125558901 | 12555890 | 10 | 20081009 | 20081009 | 0 | |
| 125558901 | 12555890 | 11 | 20081009 | 20081009 | 0 | |
| 125558901 | 12555890 | 12 | 20081106 | 20081106 | 0 | |
| 125558901 | 12555890 | 13 | 20090811 | 20090811 | 0 | |
| 125558901 | 12555890 | 14 | 20111117 | 20111117 | 0 | |
| 125558901 | 12555890 | 15 | 20080729 | 20080729 | 0 | |
| 125558901 | 12555890 | 16 | 20080729 | 20080729 | 0 |