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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127814411 | 12781441 | 1 | I | 200911 | 20110330 | 20160926 | 20160926 | EXP | US-ASTRAZENECA-2016SF02224 | ASTRAZENECA | 11.00 | MON | M | Y | 0.00000 | 20160926 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127814411 | 12781441 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | UNKNOWN | 0 | 100 | MG | INJECTION | /month | ||||
| 127814411 | 12781441 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | U | U | UNKNOWN | 0 | 100 | MG | INJECTION | /month |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127814411 | 12781441 | 1 | Antiviral prophylaxis |
| 127814411 | 12781441 | 2 | Antiviral prophylaxis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127814411 | 12781441 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127814411 | 12781441 | Bronchitis | |
| 127814411 | 12781441 | Respiratory syncytial virus test positive |
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 |
|---|---|---|---|---|---|---|
| 127814411 | 12781441 | 1 | 20091009 | 20091202 | 0 | |
| 127814411 | 12781441 | 2 | 20100114 | 20100224 | 0 |