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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126407091 | 12640709 | 1 | I | 20160715 | 20160803 | 20160810 | 20160810 | EXP | FR-AFSSAPS-LM20160770 | FR-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-51349FF | BOEHRINGER INGELHEIM | 60.52 | YR | M | Y | 0.00000 | 20160810 | OT | FR | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126407091 | 12640709 | 1 | PS | ATROVENT | IPRATROPIUM BROMIDE | 1 | Respiratory (inhalation) | U | 21527 | NEBULISER LIQUID | |||||||||
| 126407091 | 12640709 | 2 | SS | PENTACARINAT | PENTAMIDINE ISETHIONATE | 1 | Respiratory (inhalation) | STRENGTH:300 MG | U | 0 | INHALATION POWDER, TABLET | ||||||||
| 126407091 | 12640709 | 3 | SS | OXOMEMAZINE | OXOMEMAZINE | 1 | Oral | 5 MG | U | 0 | 5 | MG | QD | ||||||
| 126407091 | 12640709 | 4 | SS | SOLU-MEDROL | METHYLPREDNISOLONE SODIUM SUCCINATE | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
| 126407091 | 12640709 | 5 | SS | POLARAMINE | DEXCHLORPHENIRAMINE MALEATE | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
| 126407091 | 12640709 | 6 | SS | BRICANYL | TERBUTALINE SULFATE | 1 | Respiratory (inhalation) | U | 0 | ||||||||||
| 126407091 | 12640709 | 7 | SS | VENTOLINE | ALBUTEROL | 1 | Respiratory (inhalation) | 2 PUF | U | 0 | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126407091 | 12640709 | 1 | Premedication |
| 126407091 | 12640709 | 2 | Antifungal prophylaxis |
| 126407091 | 12640709 | 3 | Premedication |
| 126407091 | 12640709 | 4 | Premedication |
| 126407091 | 12640709 | 5 | Premedication |
| 126407091 | 12640709 | 6 | Premedication |
| 126407091 | 12640709 | 7 | Premedication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126407091 | 12640709 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126407091 | 12640709 | Altered state of consciousness | |
| 126407091 | 12640709 | Bronchospasm | |
| 126407091 | 12640709 | Respiratory distress |
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 |
|---|---|---|---|---|---|---|
| 126407091 | 12640709 | 2 | 20160715 | 0 | ||
| 126407091 | 12640709 | 3 | 20160715 | 0 |