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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126104121 | 12610412 | 1 | I | 20160725 | 20160728 | 20160728 | EXP | CA-ALSI-201600205 | AIR LIQUIDE | 62.00 | YR | M | N | 195.00000 | KG | 20160727 | N | COUNTRY NOT SPECIFIED |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126104121 | 12610412 | 1 | PS | OXYGEN. | OXYGEN | 1 | Respiratory (inhalation) | D | D | 0 | |||||||||
| 126104121 | 12610412 | 2 | SS | DIANEAL LOW CALCIUM PERITONEAL DIALYSIS SOLUTION WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | D | D | 0 | |||||||||
| 126104121 | 12610412 | 4 | C | INSULIN | INSULIN NOS | 1 | 0 | ||||||||||||
| 126104121 | 12610412 | 5 | SS | EXTRANEAL | CALCIUM CHLORIDEICODEXTRINMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126104121 | 12610412 | 1 | Pneumonia |
| 126104121 | 12610412 | 2 | Peritoneal dialysis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126104121 | 12610412 | DE |
| 126104121 | 12610412 | OT |
| 126104121 | 12610412 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126104121 | 12610412 | Acute respiratory failure | |
| 126104121 | 12610412 | Condition aggravated | |
| 126104121 | 12610412 | Cough | |
| 126104121 | 12610412 | Lung disorder | |
| 126104121 | 12610412 | Pneumonia | |
| 126104121 | 12610412 | Ultrafiltration failure |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 126104121 | 12610412 | CSM |
Therapies reported
| no results found |