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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125771161 | 12577116 | 1 | I | 20160711 | 20160720 | 20160720 | EXP | CA-BAXALTA-2016BLT005074 | BAXALTA | 29.00 | YR | F | Y | 0.00000 | 20160720 | OT | CA | CA |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
125771161 | 12577116 | 1 | PS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | U | 125105 | SOLUTION FOR INFUSION | |||||||||
125771161 | 12577116 | 2 | SS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | U | 125105 | SOLUTION FOR INFUSION | ||||||||||
125771161 | 12577116 | 3 | C | METHYLPREDNISOLONE. | METHYLPREDNISOLONE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
125771161 | 12577116 | 1 | Encephalitis autoimmune |
125771161 | 12577116 | 2 | Off label use |
125771161 | 12577116 | 3 | Product used for unknown indication |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
125771161 | 12577116 | OT |
125771161 | 12577116 | DE |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
125771161 | 12577116 | Coma | |
125771161 | 12577116 | Death | |
125771161 | 12577116 | Drug ineffective for unapproved indication | |
125771161 | 12577116 | Exposure during pregnancy |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |