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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125853591 | 12585359 | 1 | I | 20160713 | 20160724 | 20160724 | EXP | US-JNJFOC-20160711501 | JOHNSON AND JOHNSON | 0.00 | A | F | Y | 68.04000 | KG | 20160724 | CN | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 125853591 | 12585359 | 1 | PS | TYLENOL | ACETAMINOPHEN | 1 | Unknown | U | U | 19872 | UNSPECIFIED | ||||||||
| 125853591 | 12585359 | 2 | SS | TYLENOL | ACETAMINOPHEN | 1 | Unknown | U | U | 19872 | UNSPECIFIED | ||||||||
| 125853591 | 12585359 | 3 | SS | BICILLIN L-A | PENICILLIN G BENZATHINE | 1 | Intramuscular | 1.2 MILLION UNITS INJECTED ONCE A MONTH IM | 73703 | 0 | UNKNOWN | ||||||||
| 125853591 | 12585359 | 4 | SS | BICILLIN L-A | PENICILLIN G BENZATHINE | 1 | Intramuscular | 1.2 MILLION UNITS INJECTED ONCE A MONTH IM | 73703 | 0 | UNKNOWN | ||||||||
| 125853591 | 12585359 | 5 | SS | ALL OTHER THERAPEUTIC PRODUCTS | UNSPECIFIED INGREDIENT | 1 | Unknown | U | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 125853591 | 12585359 | 2 | Product used for unknown indication |
| 125853591 | 12585359 | 3 | Encephalitis autoimmune |
| 125853591 | 12585359 | 4 | Rheumatic fever |
| 125853591 | 12585359 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 125853591 | 12585359 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 125853591 | 12585359 | Cerebrovascular insufficiency | |
| 125853591 | 12585359 | Headache | |
| 125853591 | 12585359 | Metabolic disorder | |
| 125853591 | 12585359 | Neurological symptom | |
| 125853591 | 12585359 | Seizure | |
| 125853591 | 12585359 | Stress |
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 |
|---|---|---|---|---|---|---|
| 125853591 | 12585359 | 3 | 201402 | 0 | ||
| 125853591 | 12585359 | 4 | 201402 | 0 |