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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127564251 | 12756425 | 1 | I | 20091120 | 20111130 | 20160916 | 20160916 | EXP | US-ASTRAZENECA-2016SE98522 | ASTRAZENECA | 189.00 | DY | M | Y | 1.10000 | KG | 20160917 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127564251 | 12756425 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 70 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 80 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 100 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 100 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 115 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 120 MG | UNKNOWN | 0 | INJECTION | ||||||||
| 127564251 | 12756425 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 120 MG | UNKNOWN | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127564251 | 12756425 | 1 | Premature baby |
| 127564251 | 12756425 | 2 | Premature baby |
| 127564251 | 12756425 | 3 | Premature baby |
| 127564251 | 12756425 | 4 | Premature baby |
| 127564251 | 12756425 | 5 | Premature baby |
| 127564251 | 12756425 | 6 | Premature baby |
| 127564251 | 12756425 | 7 | Premature baby |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127564251 | 12756425 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127564251 | 12756425 | Bronchitis | |
| 127564251 | 12756425 | Restlessness |
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 |
|---|---|---|---|---|---|---|
| 127564251 | 12756425 | 1 | 20091001 | 20091001 | 0 | |
| 127564251 | 12756425 | 2 | 20091029 | 20091029 | 0 | |
| 127564251 | 12756425 | 3 | 20091126 | 20091126 | 0 | |
| 127564251 | 12756425 | 4 | 20091228 | 20091228 | 0 | |
| 127564251 | 12756425 | 5 | 20100202 | 20100202 | 0 | |
| 127564251 | 12756425 | 6 | 20100302 | 20100302 | 0 | |
| 127564251 | 12756425 | 7 | 20100331 | 20100331 | 0 |