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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126326872 | 12632687 | 2 | F | 20151201 | 20160808 | 20160808 | PER | US-BEH-2015056512 | CSL BEHRING | 0.00 | F | Y | 51.00000 | KG | 20160804 | OT | US | US |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
126326872 | 12632687 | 1 | PS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 4323800085 | 0 | ||||||||||
126326872 | 12632687 | 2 | SS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 4349300310 | 0 | ||||||||||
126326872 | 12632687 | 3 | SS | HIZENTRA | HUMAN IMMUNOGLOBULIN G | 1 | Subcutaneous | 0 | 6 | G | /wk | ||||||||
126326872 | 12632687 | 4 | SS | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
126326872 | 12632687 | 5 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | 0 | ||||||||||||
126326872 | 12632687 | 6 | C | DIPHENHYDRAMINE. | DIPHENHYDRAMINE | 1 | 0 | ||||||||||||
126326872 | 12632687 | 7 | C | LIDOCAINE. | LIDOCAINE | 1 | 0 | ||||||||||||
126326872 | 12632687 | 8 | C | EPIPEN | EPINEPHRINE | 1 | 0 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
126326872 | 12632687 | 3 | Immunodeficiency common variable |
Outcome of event
no results found |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
126326872 | 12632687 | Feeling abnormal | |
126326872 | 12632687 | Nausea |
Reporting Sources (this data is often not reported and may therefore be missing here)
no results found |
Therapies reported
no results found |