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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127605611 | 12760561 | 1 | I | 20100213 | 20110330 | 20160919 | 20160919 | EXP | US-ASTRAZENECA-2016SE99638 | ASTRAZENECA | 0.00 | F | Y | 0.00000 | 20160919 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127605611 | 12760561 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 109 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 109 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 109 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 109 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 109 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 8 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 9 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 10 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 11 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 12 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 13 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 14 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 15 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 110 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 16 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 114 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 17 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 114 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 18 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 114 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 19 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 114 MG | 0 | INJECTION | |||||||||
| 127605611 | 12760561 | 20 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 114 MG | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127605611 | 12760561 | 1 | Premature baby |
| 127605611 | 12760561 | 2 | Bronchopulmonary dysplasia |
| 127605611 | 12760561 | 3 | Vocal cord paresis |
| 127605611 | 12760561 | 4 | Supraventricular tachycardia |
| 127605611 | 12760561 | 5 | Muscle atrophy |
| 127605611 | 12760561 | 6 | Premature baby |
| 127605611 | 12760561 | 7 | Bronchopulmonary dysplasia |
| 127605611 | 12760561 | 8 | Vocal cord paresis |
| 127605611 | 12760561 | 9 | Supraventricular tachycardia |
| 127605611 | 12760561 | 10 | Muscle atrophy |
| 127605611 | 12760561 | 11 | Premature baby |
| 127605611 | 12760561 | 12 | Bronchopulmonary dysplasia |
| 127605611 | 12760561 | 13 | Vocal cord paresis |
| 127605611 | 12760561 | 14 | Supraventricular tachycardia |
| 127605611 | 12760561 | 15 | Muscle atrophy |
| 127605611 | 12760561 | 16 | Premature baby |
| 127605611 | 12760561 | 17 | Bronchopulmonary dysplasia |
| 127605611 | 12760561 | 18 | Vocal cord paresis |
| 127605611 | 12760561 | 19 | Supraventricular tachycardia |
| 127605611 | 12760561 | 20 | Muscle atrophy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127605611 | 12760561 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127605611 | 12760561 | Bronchitis |
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 |
|---|---|---|---|---|---|---|
| 127605611 | 12760561 | 1 | 20091105 | 20091105 | 0 | |
| 127605611 | 12760561 | 2 | 20091105 | 20091105 | 0 | |
| 127605611 | 12760561 | 3 | 20091105 | 20091105 | 0 | |
| 127605611 | 12760561 | 4 | 20091105 | 20091105 | 0 | |
| 127605611 | 12760561 | 5 | 20091105 | 20091105 | 0 | |
| 127605611 | 12760561 | 6 | 20091203 | 20091203 | 0 | |
| 127605611 | 12760561 | 7 | 20091203 | 20091203 | 0 | |
| 127605611 | 12760561 | 8 | 20091203 | 20091203 | 0 | |
| 127605611 | 12760561 | 9 | 20091203 | 20091203 | 0 | |
| 127605611 | 12760561 | 10 | 20091203 | 20091203 | 0 | |
| 127605611 | 12760561 | 11 | 20091230 | 20091230 | 0 | |
| 127605611 | 12760561 | 12 | 20091230 | 20091230 | 0 | |
| 127605611 | 12760561 | 13 | 20091230 | 20091230 | 0 | |
| 127605611 | 12760561 | 14 | 20091230 | 20091230 | 0 | |
| 127605611 | 12760561 | 15 | 20091230 | 20091230 | 0 | |
| 127605611 | 12760561 | 16 | 20100127 | 20100127 | 0 | |
| 127605611 | 12760561 | 17 | 20100127 | 20100127 | 0 | |
| 127605611 | 12760561 | 18 | 20100127 | 20100127 | 0 | |
| 127605611 | 12760561 | 19 | 20100127 | 20100127 | 0 | |
| 127605611 | 12760561 | 20 | 20100127 | 20100127 | 0 |