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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126573811 | 12657381 | 1 | I | 1989 | 20160811 | 20160816 | 20160816 | EXP | US-ALLERGAN-1665778US | ALLERGAN | 12.00 | YR | M | Y | 68.27000 | KG | 20160816 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126573811 | 12657381 | 1 | PS | SUCRALFATE Unk | SUCRALFATE | 1 | UNK | 19183 | |||||||||||
| 126573811 | 12657381 | 2 | C | DIAMOX SEQUELS | ACETAZOLAMIDE | 1 | U | 0 | |||||||||||
| 126573811 | 12657381 | 3 | C | ALBUTEROL SULFATE. | ALBUTEROL SULFATE | 1 | UNK | U | 0 | ||||||||||
| 126573811 | 12657381 | 4 | C | PROVENTIL | ALBUTEROL | 1 | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126573811 | 12657381 | 1 | Product used for unknown indication |
| 126573811 | 12657381 | 2 | Pyrexia |
| 126573811 | 12657381 | 3 | Asthma |
| 126573811 | 12657381 | 4 | Asthma |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126573811 | 12657381 | OT |
| 126573811 | 12657381 | HO |
| 126573811 | 12657381 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126573811 | 12657381 | Anuria | |
| 126573811 | 12657381 | Asthma | |
| 126573811 | 12657381 | Bronchial hyperreactivity | |
| 126573811 | 12657381 | Coagulopathy | |
| 126573811 | 12657381 | Duodenal ulcer | |
| 126573811 | 12657381 | Ecchymosis | |
| 126573811 | 12657381 | Gastrointestinal haemorrhage | |
| 126573811 | 12657381 | Gastrointestinal necrosis | |
| 126573811 | 12657381 | Hyperkalaemia | |
| 126573811 | 12657381 | Hyperphosphataemia | |
| 126573811 | 12657381 | Hyperuricaemia | |
| 126573811 | 12657381 | Hypotension | |
| 126573811 | 12657381 | Lactic acidosis | |
| 126573811 | 12657381 | Multiple organ dysfunction syndrome | |
| 126573811 | 12657381 | Oedema peripheral | |
| 126573811 | 12657381 | Pyrexia | |
| 126573811 | 12657381 | Respiratory acidosis | |
| 126573811 | 12657381 | Respiratory failure | |
| 126573811 | 12657381 | Septic shock | |
| 126573811 | 12657381 | Tachycardia |
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 |
|---|---|---|---|---|---|---|
| 126573811 | 12657381 | 3 | 199609 | 0 | ||
| 126573811 | 12657381 | 4 | 1989 | 0 |