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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127733111 | 12773311 | 1 | I | 20160312 | 20160315 | 20160922 | 20160922 | PER | US-BANPHARM-20164763 | BIONPHARMA | 39.00 | YR | A | F | Y | 56.70000 | KG | 0 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127733111 | 12773311 | 1 | PS | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | 1-2 DF, QD, | 42603554 | 22429 | CAPSULE, SOFT | ||||||||
| 127733111 | 12773311 | 2 | C | CHILDRENS BENADRYL ALLERGY | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 7.5ML 3-4X, QD, | N | 0 | ||||||||||
| 127733111 | 12773311 | 3 | C | BENADRYL ALLERGY LIQUI-GELS | DIPHENHYDRAMINE HYDROCHLORIDE | 1 | 1 CAP 3-4X, QD, | N | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127733111 | 12773311 | 2 | Multiple allergies |
| 127733111 | 12773311 | 3 | Multiple allergies |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127733111 | 12773311 | Drug ineffective | |
| 127733111 | 12773311 | Incorrect dose administered | |
| 127733111 | 12773311 | Pruritus | |
| 127733111 | 12773311 | Rash erythematous |
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 |
|---|---|---|---|---|---|---|
| 127733111 | 12773311 | 2 | 20160311 | 0 | ||
| 127733111 | 12773311 | 3 | 20160311 | 0 |