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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126300174 | 12630017 | 4 | F | 2016 | 20160914 | 20160808 | 20160928 | EXP | FR-MALLINCKRODT-T201603405 | MALLINCKRODT | 10.03 | YR | M | Y | 32.00000 | KG | 20160928 | CN | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126300174 | 12630017 | 1 | PS | OFIRMEV | ACETAMINOPHEN | 1 | Intravenous (not otherwise specified) | UNKNOWN DOSE/FREQUENCY | U | U | UNKNOWN | 22450 | INJECTION | ||||||
| 126300174 | 12630017 | 2 | SS | DOLIPRANE | ACETAMINOPHEN | 1 | Oral | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 3 | SS | AUGMENTIN | AMOXICILLINCLAVULANATE POTASSIUM | 1 | Intravenous (not otherwise specified) | FOR THREE DAYS | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 4 | SS | CIFLOX | CIPROFLOXACIN | 1 | Intravenous (not otherwise specified) | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 5 | SS | TAZOCILLINE | PIPERACILLIN SODIUMTAZOBACTAM SODIUM | 1 | Intravenous (not otherwise specified) | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 6 | SS | FORTUM | CEFTAZIDIME | 1 | Intravenous (not otherwise specified) | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 7 | SS | FORTUM | CEFTAZIDIME | 1 | Intravenous (not otherwise specified) | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 8 | SS | ADVIL | IBUPROFEN | 1 | Unknown | UNK | UNKNOWN | 0 | |||||||||
| 126300174 | 12630017 | 9 | SS | REMICADE | INFLIXIMAB | 1 | Unknown | UNK | U | UNKNOWN | 0 | ||||||||
| 126300174 | 12630017 | 10 | SS | ZECLAR | CLARITHROMYCIN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126300174 | 12630017 | 11 | SS | VANCOMYCINE | VANCOMYCIN | 1 | Unknown | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126300174 | 12630017 | 1 | Product used for unknown indication |
| 126300174 | 12630017 | 2 | Product used for unknown indication |
| 126300174 | 12630017 | 3 | Product used for unknown indication |
| 126300174 | 12630017 | 4 | Product used for unknown indication |
| 126300174 | 12630017 | 5 | Product used for unknown indication |
| 126300174 | 12630017 | 6 | Product used for unknown indication |
| 126300174 | 12630017 | 8 | Product used for unknown indication |
| 126300174 | 12630017 | 9 | Product used for unknown indication |
| 126300174 | 12630017 | 10 | Product used for unknown indication |
| 126300174 | 12630017 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126300174 | 12630017 | HO |
| 126300174 | 12630017 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126300174 | 12630017 | Cell death | |
| 126300174 | 12630017 | Cholestasis | |
| 126300174 | 12630017 | Device occlusion | |
| 126300174 | 12630017 | Encephalitis | |
| 126300174 | 12630017 | Eosinophilia | |
| 126300174 | 12630017 | Hepatitis | |
| 126300174 | 12630017 | Hyperbilirubinaemia | |
| 126300174 | 12630017 | Prothrombin time shortened | |
| 126300174 | 12630017 | Toxic epidermal necrolysis |
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 |
|---|---|---|---|---|---|---|
| 126300174 | 12630017 | 1 | 20160626 | 20160630 | 0 | |
| 126300174 | 12630017 | 2 | 20160624 | 20160625 | 0 | |
| 126300174 | 12630017 | 3 | 20160626 | 20160628 | 0 | |
| 126300174 | 12630017 | 4 | 20160627 | 20160703 | 0 | |
| 126300174 | 12630017 | 5 | 20160629 | 20160703 | 0 | |
| 126300174 | 12630017 | 6 | 20160710 | 20160715 | 0 | |
| 126300174 | 12630017 | 7 | 20160717 | 20160718 | 0 | |
| 126300174 | 12630017 | 9 | 20160628 | 0 | ||
| 126300174 | 12630017 | 10 | 20160701 | 20160711 | 0 | |
| 126300174 | 12630017 | 11 | 20160707 | 20160725 | 0 |