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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127132541 | 12713254 | 1 | I | 2016 | 20160511 | 20160902 | 20160902 | EXP | US-ASTRAZENECA-2016SE52227 | ASTRAZENECA | 1.00 | YR | M | Y | 0.00000 | 20160903 | MD | DE | DE |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127132541 | 12713254 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION | ||||||||
| 127132541 | 12713254 | 8 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15MG /1 KG BODY WEIGHT | 381655,381663,381635,381592 | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127132541 | 12713254 | 1 | Premature baby |
| 127132541 | 12713254 | 2 | Premature baby |
| 127132541 | 12713254 | 3 | Premature baby |
| 127132541 | 12713254 | 4 | Premature baby |
| 127132541 | 12713254 | 5 | Premature baby |
| 127132541 | 12713254 | 6 | Premature baby |
| 127132541 | 12713254 | 7 | Premature baby |
| 127132541 | 12713254 | 8 | Premature baby |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127132541 | 12713254 | OT |
| 127132541 | 12713254 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127132541 | 12713254 | Asthma | |
| 127132541 | 12713254 | Pneumonia respiratory syncytial viral |
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 |
|---|---|---|---|---|---|---|
| 127132541 | 12713254 | 1 | 20151022 | 20151022 | 0 | |
| 127132541 | 12713254 | 2 | 20151120 | 20151120 | 0 | |
| 127132541 | 12713254 | 3 | 20151228 | 20151228 | 0 | |
| 127132541 | 12713254 | 4 | 20160115 | 20160115 | 0 | |
| 127132541 | 12713254 | 5 | 20160211 | 20160211 | 0 | |
| 127132541 | 12713254 | 6 | 20160311 | 20160311 | 0 | |
| 127132541 | 12713254 | 7 | 20160408 | 20160408 | 0 | |
| 127132541 | 12713254 | 8 | 20160429 | 0 |