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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127685431 | 12768543 | 1 | I | 20100305 | 20110330 | 20160921 | 20160921 | EXP | US-ASTRAZENECA-2016SF00112 | ASTRAZENECA | 215.00 | DY | F | Y | 0.00000 | 20160921 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127685431 | 12768543 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 107 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 100 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 95 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 86 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 80 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 69 MG | 0 | INJECTION | |||||||||
| 127685431 | 12768543 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 58 MG | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127685431 | 12768543 | 1 | Heart disease congenital |
| 127685431 | 12768543 | 2 | Heart disease congenital |
| 127685431 | 12768543 | 3 | Heart disease congenital |
| 127685431 | 12768543 | 4 | Heart disease congenital |
| 127685431 | 12768543 | 5 | Heart disease congenital |
| 127685431 | 12768543 | 6 | Heart disease congenital |
| 127685431 | 12768543 | 7 | Heart disease congenital |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127685431 | 12768543 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127685431 | 12768543 | Cardiovascular disorder | |
| 127685431 | 12768543 | Pneumonia |
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 |
|---|---|---|---|---|---|---|
| 127685431 | 12768543 | 1 | 20100518 | 20100518 | 0 | |
| 127685431 | 12768543 | 2 | 20100406 | 20100406 | 0 | |
| 127685431 | 12768543 | 3 | 20100302 | 20100302 | 0 | |
| 127685431 | 12768543 | 4 | 20100202 | 20100202 | 0 | |
| 127685431 | 12768543 | 5 | 20100104 | 20100104 | 0 | |
| 127685431 | 12768543 | 6 | 20091202 | 20091202 | 0 | |
| 127685431 | 12768543 | 7 | 20091104 | 20091104 | 0 |