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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126343571 | 12634357 | 1 | I | 20150803 | 20151005 | 20160809 | 20160809 | PER | US-WEST-WARD PHARMACEUTICALS CORP.-US-H14001-15-01806 | WESTWARD | 47.56 | YR | M | Y | 76.73000 | KG | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126343571 | 12634357 | 1 | PS | FENTANYL. | FENTANYL | 1 | Intravenous (not otherwise specified) | Y | 035367 | 19101 | 100 | UG | |||||||
| 126343571 | 12634357 | 2 | SS | VERSED | MIDAZOLAM HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 50391 DK | 0 | 2 | ML | ||||||||
| 126343571 | 12634357 | 3 | C | CELESTONE | BETAMETHASONE | 1 | Unknown | 0 | 9 | MG | |||||||||
| 126343571 | 12634357 | 4 | C | BUPIVACAINE HOSPIRA | BUPIVACAINE | 1 | Unknown | 0 | 3 | ML | |||||||||
| 126343571 | 12634357 | 5 | C | IOHEXOL | IOHEXOL | 1 | Unknown | 0 | 2 | ML | |||||||||
| 126343571 | 12634357 | 6 | C | LIDOCAINE. | LIDOCAINE | 1 | Unknown | 0 | 9 | ML | |||||||||
| 126343571 | 12634357 | 7 | C | NACL | SODIUM CHLORIDE | 1 | Unknown | 0 | 3 | ML |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126343571 | 12634357 | 1 | Pain |
| 126343571 | 12634357 | 2 | Anxiety |
| 126343571 | 12634357 | 3 | Inflammation |
| 126343571 | 12634357 | 4 | Pain |
| 126343571 | 12634357 | 5 | Investigation |
| 126343571 | 12634357 | 6 | Pain |
| 126343571 | 12634357 | 7 | Medication dilution |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126343571 | 12634357 | Feeling hot | |
| 126343571 | 12634357 | Heart rate decreased | |
| 126343571 | 12634357 | Hypotension |
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 |
|---|---|---|---|---|---|---|
| 126343571 | 12634357 | 3 | 20150803 | 0 | ||
| 126343571 | 12634357 | 4 | 20150803 | 0 | ||
| 126343571 | 12634357 | 5 | 20150803 | 0 | ||
| 126343571 | 12634357 | 6 | 20150803 | 0 | ||
| 126343571 | 12634357 | 7 | 20150803 | 0 |