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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126265291 | 12626529 | 1 | I | 201406 | 20160729 | 20160805 | 20160805 | EXP | FR-ASTELLAS-2016US030084 | ASTELLAS | 66.00 | YR | M | Y | 0.00000 | 20160805 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126265291 | 12626529 | 1 | PS | AMBISOME | AMPHOTERICIN B | 1 | Intravenous (not otherwise specified) | U | 50740 | 200 | MG | INJECTION | QD | ||||||
| 126265291 | 12626529 | 2 | SS | AMBISOME | AMPHOTERICIN B | 1 | Intravenous (not otherwise specified) | U | 50740 | 450 | MG | INJECTION | QD | ||||||
| 126265291 | 12626529 | 3 | SS | AMBISOME | AMPHOTERICIN B | 1 | Intravenous (not otherwise specified) | N | 50740 | 250 | MG | INJECTION | QD | ||||||
| 126265291 | 12626529 | 4 | C | VFEND | VORICONAZOLE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 5 | C | ZARZIO | FILGRASTIM | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 6 | C | VANCOMYCINE | VANCOMYCIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 7 | C | VITAMIN K1 | PHYTONADIONE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 8 | C | PARACETAMOL | ACETAMINOPHEN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 9 | C | SPASFON /00765801/ | PHLOROGLUCINOL1,3,5-TRIMETHOXYBENZENE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 10 | C | TAZOCILLINE | PIPERACILLIN SODIUMTAZOBACTAM SODIUM | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 11 | C | TAVANIC | LEVOFLOXACIN | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 12 | C | BRICANYL | TERBUTALINE SULFATE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 13 | C | ATROVENT | IPRATROPIUM BROMIDE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 14 | C | INEXIUM /01479302/ | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 15 | C | LASILIX /00032601/ | FUROSEMIDE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN | ||||||||
| 126265291 | 12626529 | 16 | C | TIAPRIDAL /00435701/ | TIAPRIDE HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN FREQ. | U | 0 | FORMULATION UNKNOWN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126265291 | 12626529 | 1 | Bronchopulmonary aspergillosis |
| 126265291 | 12626529 | 4 | Product used for unknown indication |
| 126265291 | 12626529 | 5 | Product used for unknown indication |
| 126265291 | 12626529 | 6 | Product used for unknown indication |
| 126265291 | 12626529 | 7 | Product used for unknown indication |
| 126265291 | 12626529 | 8 | Product used for unknown indication |
| 126265291 | 12626529 | 9 | Product used for unknown indication |
| 126265291 | 12626529 | 10 | Product used for unknown indication |
| 126265291 | 12626529 | 11 | Product used for unknown indication |
| 126265291 | 12626529 | 12 | Product used for unknown indication |
| 126265291 | 12626529 | 13 | Product used for unknown indication |
| 126265291 | 12626529 | 14 | Product used for unknown indication |
| 126265291 | 12626529 | 15 | Product used for unknown indication |
| 126265291 | 12626529 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126265291 | 12626529 | HO |
| 126265291 | 12626529 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126265291 | 12626529 | Cholestasis |
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 |
|---|---|---|---|---|---|---|
| 126265291 | 12626529 | 1 | 20140617 | 20140619 | 0 | |
| 126265291 | 12626529 | 2 | 20140619 | 0 | ||
| 126265291 | 12626529 | 3 | 20140627 | 0 |