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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127439891 | 12743989 | 1 | I | 200701 | 20070818 | 20160914 | 20160914 | EXP | US-ASTRAZENECA-2016SE97149 | ASTRAZENECA | 8.00 | MON | M | Y | 0.00000 | 20160914 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127439891 | 12743989 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 81 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 81 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 90 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 90 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 98 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 98 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 102 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 8 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 102 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 9 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 116 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 10 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 116 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 11 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 120 | MG | INJECTION | ||||||||
| 127439891 | 12743989 | 12 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 0 | 120 | MG | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127439891 | 12743989 | 1 | Premature baby |
| 127439891 | 12743989 | 2 | Heart disease congenital |
| 127439891 | 12743989 | 3 | Premature baby |
| 127439891 | 12743989 | 4 | Heart disease congenital |
| 127439891 | 12743989 | 5 | Premature baby |
| 127439891 | 12743989 | 6 | Heart disease congenital |
| 127439891 | 12743989 | 7 | Premature baby |
| 127439891 | 12743989 | 8 | Heart disease congenital |
| 127439891 | 12743989 | 9 | Premature baby |
| 127439891 | 12743989 | 10 | Heart disease congenital |
| 127439891 | 12743989 | 11 | Premature baby |
| 127439891 | 12743989 | 12 | Heart disease congenital |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127439891 | 12743989 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127439891 | 12743989 | Bronchiolitis |
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 |
|---|---|---|---|---|---|---|
| 127439891 | 12743989 | 1 | 20061024 | 20061024 | 0 | |
| 127439891 | 12743989 | 2 | 20061024 | 20061024 | 0 | |
| 127439891 | 12743989 | 3 | 20061121 | 20061121 | 0 | |
| 127439891 | 12743989 | 4 | 20061121 | 20061121 | 0 | |
| 127439891 | 12743989 | 5 | 20061215 | 20061215 | 0 | |
| 127439891 | 12743989 | 6 | 20061215 | 20061215 | 0 | |
| 127439891 | 12743989 | 7 | 20070112 | 20070112 | 0 | |
| 127439891 | 12743989 | 8 | 20070112 | 20070112 | 0 | |
| 127439891 | 12743989 | 9 | 20070212 | 20070212 | 0 | |
| 127439891 | 12743989 | 10 | 20070212 | 20070212 | 0 | |
| 127439891 | 12743989 | 11 | 20070309 | 20070309 | 0 | |
| 127439891 | 12743989 | 12 | 20070309 | 20070309 | 0 |