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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126247641 | 12624764 | 1 | I | 20160719 | 20160805 | 20160805 | EXP | CA-BAXTER-2016BAX039262 | BAXTER | 65.00 | YR | F | Y | 0.00000 | 20160805 | CN | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126247641 | 12624764 | 1 | PS | DIANEAL LOW CALCIUM PERITONEAL DIALYSIS SOLUTION WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
126247641 | 12624764 | 2 | SS | DIANEAL LOW CALCIUM PERITONEAL DIALYSIS SOLUTION WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | 17512 | ||||||||||||
126247641 | 12624764 | 3 | SS | DIANEAL W/ DEXTROSE 2.5% | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
126247641 | 12624764 | 4 | SS | DIANEAL W/ DEXTROSE 2.5% | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | 17512 | ||||||||||||
126247641 | 12624764 | 5 | SS | EXTRANEAL | CALCIUM CHLORIDEICODEXTRINMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 21321 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
126247641 | 12624764 | 6 | SS | EXTRANEAL | CALCIUM CHLORIDEICODEXTRINMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | 21321 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126247641 | 12624764 | 1 | Peritoneal dialysis |
126247641 | 12624764 | 2 | Peritoneal dialysis |
126247641 | 12624764 | 3 | Peritoneal dialysis |
126247641 | 12624764 | 4 | Peritoneal dialysis |
126247641 | 12624764 | 5 | Peritoneal dialysis |
126247641 | 12624764 | 6 | Peritoneal dialysis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126247641 | 12624764 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126247641 | 12624764 | Cardiac disorder | |
126247641 | 12624764 | Circulatory collapse | |
126247641 | 12624764 | Thrombosis |
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 |
---|---|---|---|---|---|---|
126247641 | 12624764 | 1 | 201509 | 0 | ||
126247641 | 12624764 | 3 | 201509 | 0 | ||
126247641 | 12624764 | 5 | 201509 | 0 |