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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127505531 | 12750553 | 1 | I | 201511 | 20160906 | 20160916 | 20160916 | EXP | DE-BFARM-16306260 | DE-BAYER-2016-176038 | BAYER | 38.00 | YR | A | F | Y | 68.00000 | KG | 20160916 | CN | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127505531 | 12750553 | 1 | PS | GADOLINIUM IN UNSPECIFIED DRUG | GADOLINIUM | 1 | UNK, ONCE | 19596 | 1X | ||||||||||
127505531 | 12750553 | 2 | SS | GADOLINIUM IN UNSPECIFIED DRUG | GADOLINIUM | 1 | UNK, ONCE | 19596 | 1X | ||||||||||
127505531 | 12750553 | 3 | SS | GADOLINIUM IN UNSPECIFIED DRUG | GADOLINIUM | 1 | UNK, ONCE | 19596 | 1X | ||||||||||
127505531 | 12750553 | 4 | SS | MAGNEVIST | GADOPENTETATE DIMEGLUMINE | 1 | 12 ML, ONCE | 0 | 12 | ML | SOLUTION FOR INJECTION | 1X | |||||||
127505531 | 12750553 | 5 | SS | MAGNEVIST | GADOPENTETATE DIMEGLUMINE | 1 | 11 ML, ONCE | 0 | 11 | ML | SOLUTION FOR INJECTION | 1X | |||||||
127505531 | 12750553 | 6 | SS | MAGNEVIST | GADOPENTETATE DIMEGLUMINE | 1 | 15 ML, ONCE | 0 | 15 | ML | SOLUTION FOR INJECTION | 1X | |||||||
127505531 | 12750553 | 7 | SS | Gadovist | GADOBUTROL | 1 | 7.5 ML, ONCE | 0 | 7.5 | ML | SOLUTION FOR INJECTION | 1X | |||||||
127505531 | 12750553 | 8 | SS | Gadovist | GADOBUTROL | 1 | 9 ML, ONCE | 0 | 9 | ML | SOLUTION FOR INJECTION | 1X | |||||||
127505531 | 12750553 | 9 | SS | DOTAREM | GADOTERATE MEGLUMINE | 1 | 10 ML, ONCE | 0 | 10 | ML | 1X | ||||||||
127505531 | 12750553 | 10 | SS | DOTAREM | GADOTERATE MEGLUMINE | 1 | 15 ML, ONCE | 0 | 15 | ML | 1X | ||||||||
127505531 | 12750553 | 11 | SS | DOTAREM | GADOTERATE MEGLUMINE | 1 | 10 ML, ONCE | 0 | 10 | ML | 1X | ||||||||
127505531 | 12750553 | 12 | SS | DOTAREM | GADOTERATE MEGLUMINE | 1 | 15 ML, ONCE | 0 | 15 | ML | 1X |
Indications of drugs used
no results found |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127505531 | 12750553 | DS |
127505531 | 12750553 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127505531 | 12750553 | Small fibre neuropathy |
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 |
---|---|---|---|---|---|---|
127505531 | 12750553 | 1 | 19990506 | 19990506 | 0 | |
127505531 | 12750553 | 2 | 20001006 | 20001006 | 0 | |
127505531 | 12750553 | 3 | 20010706 | 20010706 | 0 | |
127505531 | 12750553 | 4 | 20091103 | 20091103 | 0 | |
127505531 | 12750553 | 5 | 20100811 | 20100811 | 0 | |
127505531 | 12750553 | 6 | 20120716 | 20120716 | 0 | |
127505531 | 12750553 | 7 | 20121221 | 20121221 | 0 | |
127505531 | 12750553 | 8 | 20150330 | 20150330 | 0 | |
127505531 | 12750553 | 9 | 20131108 | 20131108 | 0 | |
127505531 | 12750553 | 10 | 20150225 | 20150225 | 0 | |
127505531 | 12750553 | 11 | 20150805 | 20150805 | 0 | |
127505531 | 12750553 | 12 | 20151005 | 20151005 | 0 |