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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126395042 | 12639504 | 2 | F | 201607 | 20160817 | 20160810 | 20160826 | EXP | IL-BAXTER-2016BAX041468 | BAXTER | 0.60 | YR | F | Y | 0.00000 | 20160826 | OT | IL | IL |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126395042 | 12639504 | 1 | PS | STERILE WATER | WATER | 1 | Intravenous (not otherwise specified) | Y006619 | 18632 | SOLUTION FOR INFUSION | |||||||||
| 126395042 | 12639504 | 2 | SS | GLUCOSE 5% IV INFUSION BP VIAFLO | DEXTROSE | 1 | Intravenous (not otherwise specified) | 15G20BE | 16673 | SOLUTION FOR INFUSION | |||||||||
| 126395042 | 12639504 | 3 | SS | PRIM?NE 10% | AMINO ACIDS | 1 | Intravenous (not otherwise specified) | 15J0584 | 0 | SOLUTION FOR INFUSION | |||||||||
| 126395042 | 12639504 | 4 | SS | SOLUVIT | VITAMINS | 1 | Intravenous (not otherwise specified) | 395 | 0 | ||||||||||
| 126395042 | 12639504 | 5 | SS | CALCIUM GLUCONATE. | CALCIUM GLUCONATE | 1 | Intravenous (not otherwise specified) | 1512041 | 0 | ||||||||||
| 126395042 | 12639504 | 6 | SS | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | Intravenous (not otherwise specified) | 1504132 | 0 | ||||||||||
| 126395042 | 12639504 | 7 | SS | SODIUM GLYCEROPHOSPHATE | SODIUM GLYCEROPHOSPHATE | 1 | Intravenous (not otherwise specified) | 1507132 | 0 | ||||||||||
| 126395042 | 12639504 | 8 | SS | SODIUM CHLORIDE. | SODIUM CHLORIDE | 1 | Intravenous (not otherwise specified) | 1512111 | 0 | ||||||||||
| 126395042 | 12639504 | 9 | SS | MAGNESIUM SULFATE. | MAGNESIUM SULFATE | 1 | Intravenous (not otherwise specified) | 1412031 | 0 | ||||||||||
| 126395042 | 12639504 | 10 | SS | PEDITRACE | CUPRIC CHLORIDEMANGANESE CHLORIDEPOTASSIUM IODIDESODIUM FLUORIDESODIUM SELENITEINC CHLORIDE | 1 | Intravenous (not otherwise specified) | 399 | 0 | ||||||||||
| 126395042 | 12639504 | 11 | SS | RANITIDINE. | RANITIDINE | 1 | Intravenous (not otherwise specified) | 407 | 0 | ||||||||||
| 126395042 | 12639504 | 12 | SS | SMOFLIPID | FISH OILMEDIUM-CHAIN TRIGLYCERIDESOLIVE OILSOYBEAN OIL | 1 | Intravenous (not otherwise specified) | 16IK2539 | 0 | ||||||||||
| 126395042 | 12639504 | 13 | SS | VITALIPID N | ERGOCALCIFEROLPHYTONADIONETOCOPHEROLVITAMIN A PALMITATE | 1 | Intravenous (not otherwise specified) | 10HL3273 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126395042 | 12639504 | 1 | Parenteral nutrition |
| 126395042 | 12639504 | 2 | Parenteral nutrition |
| 126395042 | 12639504 | 3 | Parenteral nutrition |
| 126395042 | 12639504 | 4 | Parenteral nutrition |
| 126395042 | 12639504 | 5 | Parenteral nutrition |
| 126395042 | 12639504 | 6 | Parenteral nutrition |
| 126395042 | 12639504 | 7 | Parenteral nutrition |
| 126395042 | 12639504 | 8 | Parenteral nutrition |
| 126395042 | 12639504 | 9 | Parenteral nutrition |
| 126395042 | 12639504 | 10 | Parenteral nutrition |
| 126395042 | 12639504 | 11 | Parenteral nutrition |
| 126395042 | 12639504 | 12 | Parenteral nutrition |
| 126395042 | 12639504 | 13 | Parenteral nutrition |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126395042 | 12639504 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126395042 | 12639504 | Chills | |
| 126395042 | 12639504 | Pyrexia |
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 |
|---|---|---|---|---|---|---|
| 126395042 | 12639504 | 1 | 20160708 | 0 | ||
| 126395042 | 12639504 | 2 | 20160708 | 0 | ||
| 126395042 | 12639504 | 3 | 20160708 | 0 | ||
| 126395042 | 12639504 | 4 | 20160708 | 0 | ||
| 126395042 | 12639504 | 5 | 20160708 | 0 | ||
| 126395042 | 12639504 | 6 | 20160708 | 0 | ||
| 126395042 | 12639504 | 7 | 20160708 | 0 | ||
| 126395042 | 12639504 | 8 | 20160708 | 0 | ||
| 126395042 | 12639504 | 9 | 20160708 | 0 | ||
| 126395042 | 12639504 | 10 | 20160708 | 0 | ||
| 126395042 | 12639504 | 11 | 20160708 | 0 | ||
| 126395042 | 12639504 | 12 | 20160708 | 0 | ||
| 126395042 | 12639504 | 13 | 20160708 | 0 |