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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126604641 | 12660464 | 1 | I | 20160512 | 20160808 | 20160817 | 20160817 | EXP | US-BAXALTA-2016BLT005838 | BAXALTA | 57.67 | YR | F | Y | 110.00000 | KG | 20160817 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126604641 | 12660464 | 1 | PS | GAMMAGARD LIQUID | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | UNK | 125105 | SOLUTION FOR INFUSION | |||||||||
| 126604641 | 12660464 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Unknown | UNK | U | 0 | |||||||||
| 126604641 | 12660464 | 3 | C | BENADRYL | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | Oral | 50 MG, UNK | 0 | 50 | MG | ||||||||
| 126604641 | 12660464 | 4 | C | LASIX | FUROSEMIDE | 1 | Intravenous (not otherwise specified) | 20 MG, UNK | 0 | 20 | MG | ||||||||
| 126604641 | 12660464 | 5 | C | TYLENOL | ACETAMINOPHEN | 1 | Oral | 1000 MG, UNK | 0 | 1000 | MG | ||||||||
| 126604641 | 12660464 | 6 | C | DIPROLENE | BETAMETHASONE DIPROPIONATE | 1 | UNK | 0 | |||||||||||
| 126604641 | 12660464 | 7 | C | ARMOUR THYROID | THYROID, PORCINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126604641 | 12660464 | 1 | Immunodeficiency common variable |
| 126604641 | 12660464 | 2 | Pulmonary embolism |
| 126604641 | 12660464 | 3 | Premedication |
| 126604641 | 12660464 | 4 | Premedication |
| 126604641 | 12660464 | 5 | Premedication |
| 126604641 | 12660464 | 6 | Product used for unknown indication |
| 126604641 | 12660464 | 7 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126604641 | 12660464 | HO |
| 126604641 | 12660464 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126604641 | 12660464 | Epistaxis | |
| 126604641 | 12660464 | Haemoglobin decreased | |
| 126604641 | 12660464 | Sinusitis |
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 |
|---|---|---|---|---|---|---|
| 126604641 | 12660464 | 1 | 2014 | 0 | ||
| 126604641 | 12660464 | 2 | 2012 | 0 | ||
| 126604641 | 12660464 | 3 | 2014 | 0 | ||
| 126604641 | 12660464 | 4 | 201508 | 0 | ||
| 126604641 | 12660464 | 5 | 2014 | 0 |