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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127726921 | 12772692 | 1 | I | 20090108 | 20100203 | 20160922 | 20160922 | EXP | US-ASTRAZENECA-2016SF00510 | ASTRAZENECA | 59.00 | DY | F | Y | 1.20000 | KG | 20160922 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127726921 | 12772692 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 33 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 52.4 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 64 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 74 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 74 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 88 | MG | INJECTION | ||||||
| 127726921 | 12772692 | 7 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | 0 | 100 | MG | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127726921 | 12772692 | 1 | Premature baby |
| 127726921 | 12772692 | 2 | Premature baby |
| 127726921 | 12772692 | 3 | Premature baby |
| 127726921 | 12772692 | 4 | Premature baby |
| 127726921 | 12772692 | 5 | Premature baby |
| 127726921 | 12772692 | 6 | Premature baby |
| 127726921 | 12772692 | 7 | Premature baby |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127726921 | 12772692 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127726921 | 12772692 | Upper respiratory tract infection |
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 |
|---|---|---|---|---|---|---|
| 127726921 | 12772692 | 1 | 20081110 | 20081110 | 0 | |
| 127726921 | 12772692 | 2 | 20081208 | 20081208 | 0 | |
| 127726921 | 12772692 | 3 | 20090105 | 20090105 | 0 | |
| 127726921 | 12772692 | 4 | 20090202 | 20090202 | 0 | |
| 127726921 | 12772692 | 5 | 20090302 | 20090302 | 0 | |
| 127726921 | 12772692 | 6 | 20090330 | 20090330 | 0 | |
| 127726921 | 12772692 | 7 | 20090427 | 20090427 | 0 |