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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126302272 | 12630227 | 2 | F | 20160701 | 20160824 | 20160808 | 20160901 | EXP | US-ASTRAZENECA-2016SE84955 | ASTRAZENECA | 303.00 | DY | F | Y | 8.00000 | KG | 20160901 | OT | CL | CL |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126302272 | 12630227 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 1ST DOSE | U | 0 | INJECTION | ||||||||
126302272 | 12630227 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 120MG, 2ND DOSE, MORE THAN 30 DAYS FROM FIRST DOSE | U | 0 | INJECTION |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126302272 | 12630227 | 1 | Antiviral prophylaxis |
126302272 | 12630227 | 2 | Antiviral prophylaxis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
126302272 | 12630227 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126302272 | 12630227 | Bronchiolitis | |
126302272 | 12630227 | Circumstance or information capable of leading to medication error | |
126302272 | 12630227 | Respiratory syncytial virus infection |
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 |
---|---|---|---|---|---|---|
126302272 | 12630227 | 1 | 20160509 | 20160509 | 0 | |
126302272 | 12630227 | 2 | 20160630 | 20160630 | 0 |