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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127029591 | 12702959 | 1 | I | 20160810 | 20160824 | 20160831 | 20160831 | EXP | CH-SM-2016-06682 | CH-GLAXOSMITHKLINE-CH2016123239 | GLAXOSMITHKLINE | 82.94 | YR | F | Y | 75.00000 | KG | 20160831 | PH | CH | CH |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127029591 | 12702959 | 1 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 35 MG, UNK, 50 MG SINGLE DOSE | U | 0 | 35 | MG | SOLUTION FOR INJECTION | ||||||
| 127029591 | 12702959 | 2 | PS | Tavegyl | CLEMASTINE FUMARATE | 1 | Intravenous bolus | 4 MG, UNK, 4 MG SINGLE DOSE FOR ABOUT 5 MIN | 20925 | 4 | MG | ||||||||
| 127029591 | 12702959 | 3 | SS | SOLU-MEDROL | METHYLPREDNISOLONE SODIUM SUCCINATE | 1 | Intravenous bolus | 125 MG, UNK | 0 | 125 | MG | SOLUTION FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127029591 | 12702959 | 1 | Allergy prophylaxis |
| 127029591 | 12702959 | 2 | Allergy prophylaxis |
| 127029591 | 12702959 | 3 | Allergy prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127029591 | 12702959 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127029591 | 12702959 | Hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 127029591 | 12702959 | 1 | 20160810 | 20160810 | 0 | |
| 127029591 | 12702959 | 2 | 20160810 | 20160810 | 0 | |
| 127029591 | 12702959 | 3 | 20160810 | 20160810 | 0 |