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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126910941 | 12691094 | 1 | I | 201601 | 20160701 | 20160826 | 20160826 | EXP | US-BAXTER-2016BAX035704 | BAXTER | 63.45 | YR | F | Y | 80.70000 | KG | 20160826 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 126910941 | 12691094 | 1 | PS | DIANEAL PD-2 WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
| 126910941 | 12691094 | 2 | SS | DIANEAL PD-2 WITH DEXTROSE | CALCIUM CHLORIDEDEXTROSEMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 17512 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
| 126910941 | 12691094 | 3 | SS | EXTRANEAL | CALCIUM CHLORIDEICODEXTRINMAGNESIUM CHLORIDESODIUM CHLORIDESODIUM LACTATE | 1 | Intraperitoneal | 21321 | SOLUTION FOR PERITONEAL DIALYSIS | ||||||||||
| 126910941 | 12691094 | 4 | C | AMLODIPINE BESYLATE. | AMLODIPINE BESYLATE | 1 | Oral | 0 | 10 | MG | TABLET | ||||||||
| 126910941 | 12691094 | 5 | C | ARANESP | DARBEPOETIN ALFA | 1 | Subcutaneous | 0 | 25 | UG | |||||||||
| 126910941 | 12691094 | 6 | C | ARANESP | DARBEPOETIN ALFA | 1 | Subcutaneous | 0 | |||||||||||
| 126910941 | 12691094 | 7 | C | ASA | ASPIRIN | 1 | Oral | 0 | TABLET | ||||||||||
| 126910941 | 12691094 | 8 | C | BYSTOLIC | NEBIVOLOL HYDROCHLORIDE | 1 | Oral | 0 | |||||||||||
| 126910941 | 12691094 | 9 | C | CALCITRIOL. | CALCITRIOL | 1 | Oral | 0 | .5 | UG | TIW | ||||||||
| 126910941 | 12691094 | 10 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Oral | 0 | |||||||||||
| 126910941 | 12691094 | 11 | C | DULCOLAX NOS | BISACODYL OR DOCUSATE SODIUM | 1 | Oral | 0 | 5 | MG | |||||||||
| 126910941 | 12691094 | 12 | C | HUMALOG | INSULIN LISPRO | 1 | Subcutaneous | 0 | |||||||||||
| 126910941 | 12691094 | 13 | C | LEVOTHYROXINE. | LEVOTHYROXINE | 1 | Oral | 0 | TABLET | QD | |||||||||
| 126910941 | 12691094 | 14 | C | LYRICA | PREGABALIN | 1 | Oral | 0 | 25 | MG | |||||||||
| 126910941 | 12691094 | 15 | C | METOPROLOL TARTRATE. | METOPROLOL TARTRATE | 1 | Oral | 0 | 25 | MG | BID | ||||||||
| 126910941 | 12691094 | 16 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Oral | 0 | 75 | MG | |||||||||
| 126910941 | 12691094 | 17 | C | RENVELA | SEVELAMER CARBONATE | 1 | Oral | 0 | TIW | ||||||||||
| 126910941 | 12691094 | 18 | C | ROPINIROLE. | ROPINIROLE | 1 | Oral | 0 | TABLET | ||||||||||
| 126910941 | 12691094 | 19 | C | SODIUM BICARBONATE. | SODIUM BICARBONATE | 1 | Oral | 0 | TABLET | BID | |||||||||
| 126910941 | 12691094 | 20 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | Oral | 0 | TABLET | ||||||||||
| 126910941 | 12691094 | 21 | C | VENOFER | IRON SUCROSE | 1 | Intravenous (not otherwise specified) | 0 | 100 | MG | |||||||||
| 126910941 | 12691094 | 22 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Oral | 0 | CAPSULE | QD | |||||||||
| 126910941 | 12691094 | 23 | C | GENTAMICIN SULFATE. | GENTAMICIN SULFATE | 1 | Topical | 0 | .1 | PCT | |||||||||
| 126910941 | 12691094 | 24 | C | ATORVASTATIN | ATORVASTATIN | 1 | Oral | 0 | 40 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 126910941 | 12691094 | 1 | Peritoneal dialysis |
| 126910941 | 12691094 | 2 | Peritoneal dialysis |
| 126910941 | 12691094 | 3 | Peritoneal dialysis |
| 126910941 | 12691094 | 4 | Product used for unknown indication |
| 126910941 | 12691094 | 5 | Product used for unknown indication |
| 126910941 | 12691094 | 7 | Product used for unknown indication |
| 126910941 | 12691094 | 8 | Product used for unknown indication |
| 126910941 | 12691094 | 9 | Product used for unknown indication |
| 126910941 | 12691094 | 10 | Product used for unknown indication |
| 126910941 | 12691094 | 11 | Constipation |
| 126910941 | 12691094 | 12 | Product used for unknown indication |
| 126910941 | 12691094 | 13 | Product used for unknown indication |
| 126910941 | 12691094 | 14 | Product used for unknown indication |
| 126910941 | 12691094 | 15 | Product used for unknown indication |
| 126910941 | 12691094 | 16 | Product used for unknown indication |
| 126910941 | 12691094 | 17 | Product used for unknown indication |
| 126910941 | 12691094 | 18 | Product used for unknown indication |
| 126910941 | 12691094 | 19 | Product used for unknown indication |
| 126910941 | 12691094 | 20 | Product used for unknown indication |
| 126910941 | 12691094 | 21 | Product used for unknown indication |
| 126910941 | 12691094 | 22 | Product used for unknown indication |
| 126910941 | 12691094 | 23 | Antibiotic therapy |
| 126910941 | 12691094 | 24 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 126910941 | 12691094 | HO |
| 126910941 | 12691094 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 126910941 | 12691094 | Cardiac failure congestive | |
| 126910941 | 12691094 | Catheter site injury | |
| 126910941 | 12691094 | Chest discomfort | |
| 126910941 | 12691094 | Coronary artery disease | |
| 126910941 | 12691094 | Diastolic dysfunction | |
| 126910941 | 12691094 | Fluid overload | |
| 126910941 | 12691094 | Hypertension | |
| 126910941 | 12691094 | Palpitations | |
| 126910941 | 12691094 | Peritonitis bacterial |
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 |
|---|---|---|---|---|---|---|
| 126910941 | 12691094 | 1 | 20150914 | 0 | ||
| 126910941 | 12691094 | 2 | 20150914 | 0 | ||
| 126910941 | 12691094 | 3 | 20150914 | 0 | ||
| 126910941 | 12691094 | 4 | 20150915 | 0 | ||
| 126910941 | 12691094 | 5 | 20160609 | 0 | ||
| 126910941 | 12691094 | 7 | 20160517 | 0 | ||
| 126910941 | 12691094 | 8 | 20150913 | 0 | ||
| 126910941 | 12691094 | 9 | 20160616 | 0 | ||
| 126910941 | 12691094 | 10 | 20160720 | 0 | ||
| 126910941 | 12691094 | 11 | 20160517 | 0 | ||
| 126910941 | 12691094 | 12 | 20150913 | 0 | ||
| 126910941 | 12691094 | 13 | 20150913 | 0 | ||
| 126910941 | 12691094 | 14 | 20160517 | 0 | ||
| 126910941 | 12691094 | 15 | 20160628 | 0 | ||
| 126910941 | 12691094 | 16 | 20160419 | 0 | ||
| 126910941 | 12691094 | 17 | 20160720 | 0 | ||
| 126910941 | 12691094 | 18 | 20160419 | 0 | ||
| 126910941 | 12691094 | 19 | 20160616 | 0 | ||
| 126910941 | 12691094 | 20 | 20150913 | 0 | ||
| 126910941 | 12691094 | 21 | 20160609 | 0 | ||
| 126910941 | 12691094 | 22 | 20160720 | 0 | ||
| 126910941 | 12691094 | 23 | 20150915 | 0 | ||
| 126910941 | 12691094 | 24 | 20160720 | 0 |