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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127572571 | 12757257 | 1 | I | 20151016 | 20160919 | 20160919 | PER | US-ALVOGEN-2015-ALVOGEN-020358 | ALVOGEN | 47.00 | YR | A | F | Y | 0.00000 | 20160919 | MD | US | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127572571 | 12757257 | 1 | PS | CLINDAMYCIN | CLINDAMYCINCLINDAMYCIN PHOSPHATE | 1 | U | 62800 | INJECTION | ||||||||||
| 127572571 | 12757257 | 2 | SS | PETHIDINE HYDROCHLORIDE | MEPERIDINE HYDROCHLORIDE | 1 | U | 0 | INJECTION | ||||||||||
| 127572571 | 12757257 | 3 | SS | CEFACLOR. | CEFACLOR | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127572571 | 12757257 | 1 | Product used for unknown indication |
| 127572571 | 12757257 | 2 | Product used for unknown indication |
| 127572571 | 12757257 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127572571 | 12757257 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127572571 | 12757257 | Anaphylactic reaction | |
| 127572571 | 12757257 | Drug hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 127572571 | 12757257 | 1 | 2004 | 0 | ||
| 127572571 | 12757257 | 2 | 2004 | 0 | ||
| 127572571 | 12757257 | 3 | 2004 | 0 |