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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127280751 | 12728075 | 1 | I | 20130909 | 20131021 | 20160909 | 20160909 | EXP | IT-GLAXOSMITHKLINE-B0933939A | GLAXOSMITHKLINE | 2.83 | MON | M | Y | 0.00000 | 20160909 | OT | IT | IT |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127280751 | 12728075 | 1 | SS | ROTARIX | HUMAN ROTAVIRUS A TYPE G1P(8) STRAIN RIX4414 LIVE ANTIGEN | 1 | Oral | AROLA540AB | 0 | ORAL DROPS | |||||||||
| 127280751 | 12728075 | 2 | PS | Salbutamol | ALBUTEROL | 1 | UNK | 20983 | |||||||||||
| 127280751 | 12728075 | 3 | SS | IPRATROPIUM BROMIDE. | IPRATROPIUM BROMIDE | 1 | UNK | 0 | |||||||||||
| 127280751 | 12728075 | 4 | C | INFANRIX HEXA | DIPHTHERIA AND TETANUS TOXOIDS AND ACELLULAR PERTUSSIS ADSORBED, INACTIVATED POLIOVIRUS AND HAEMOPHILUS B CONJUGATE AND HEPATITIS B VIRUS VACCINE | 1 | Unknown | 0 | SOLUTION FOR INJECTION | ||||||||||
| 127280751 | 12728075 | 5 | C | PREVNAR 13 | PNEUMOCOCCAL 13-VALENT CONJUGATE VACCINE | 1 | Unknown | 0 | SOLUTION FOR INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127280751 | 12728075 | 1 | Prophylaxis |
| 127280751 | 12728075 | 2 | Bronchospasm |
| 127280751 | 12728075 | 3 | Bronchospasm |
| 127280751 | 12728075 | 4 | Prophylaxis |
| 127280751 | 12728075 | 5 | Prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127280751 | 12728075 | HO |
| 127280751 | 12728075 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127280751 | 12728075 | Diarrhoea | |
| 127280751 | 12728075 | Haematochezia | |
| 127280751 | 12728075 | Intussusception | |
| 127280751 | 12728075 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 127280751 | 12728075 | 1 | 20130903 | 20130903 | 0 | |
| 127280751 | 12728075 | 2 | 20130909 | 0 | ||
| 127280751 | 12728075 | 3 | 20130909 | 0 | ||
| 127280751 | 12728075 | 4 | 20130903 | 20130903 | 0 | |
| 127280751 | 12728075 | 5 | 20130903 | 0 |