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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125637131 | 12563713 | 1 | I | 20151219 | 20160706 | 20160716 | 20160716 | EXP | US-ASTRAZENECA-2016SE75243 | ASTRAZENECA | 418.00 | DY | M | Y | 9.20000 | KG | 20160716 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125637131 | 12563713 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 126.0MG ONCE/SINGLE ADMINISTRATION | 381164,381165 | 0 | 126 | MG | INJECTION | ||||||
| 125637131 | 12563713 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 134.0MG ONCE/SINGLE ADMINISTRATION | 381164,381165 | 0 | 134 | MG | INJECTION | ||||||
| 125637131 | 12563713 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 134.0MG ONCE/SINGLE ADMINISTRATION | 381164,381165 | 0 | 134 | MG | INJECTION | ||||||
| 125637131 | 12563713 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 140.0MG ONCE/SINGLE ADMINISTRATION | 381164,381165 | 0 | 140 | MG | INJECTION | ||||||
| 125637131 | 12563713 | 5 | C | MONTELUKAST | MONTELUKAST SODIUM | 1 | 0 | 4 | MG | ||||||||||
| 125637131 | 12563713 | 6 | C | SALBUTAMOL | ALBUTEROL | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125637131 | 12563713 | 1 | Premature baby |
| 125637131 | 12563713 | 2 | Premature baby |
| 125637131 | 12563713 | 3 | Premature baby |
| 125637131 | 12563713 | 4 | Premature baby |
| 125637131 | 12563713 | 5 | Product used for unknown indication |
| 125637131 | 12563713 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125637131 | 12563713 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125637131 | 12563713 | Bronchitis | |
| 125637131 | 12563713 | Viral 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 |
|---|---|---|---|---|---|---|
| 125637131 | 12563713 | 1 | 20150928 | 20150928 | 0 | |
| 125637131 | 12563713 | 2 | 20151026 | 20151026 | 0 | |
| 125637131 | 12563713 | 3 | 20151123 | 20151123 | 0 | |
| 125637131 | 12563713 | 4 | 20151221 | 20151221 | 0 | |
| 125637131 | 12563713 | 5 | 201511 | 201604 | 0 |