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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127818311 | 12781831 | 1 | I | 201103 | 20110721 | 20160926 | 20160926 | EXP | US-ASTRAZENECA-2016SF02084 | ASTRAZENECA | 11.00 | MON | M | Y | 0.00000 | 20160927 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
127818311 | 12781831 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 100 MG | U | U | 0 | INJECTION | |||||||
127818311 | 12781831 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 100 MG | U | U | 0 | INJECTION | |||||||
127818311 | 12781831 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 125 MG | U | U | 0 | INJECTION | |||||||
127818311 | 12781831 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 150 MG | U | U | 0 | INJECTION | |||||||
127818311 | 12781831 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 150 MG | U | U | 0 | INJECTION | |||||||
127818311 | 12781831 | 6 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 150 MG | U | U | 0 | INJECTION |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
127818311 | 12781831 | 1 | Bronchopulmonary dysplasia |
127818311 | 12781831 | 2 | Bronchopulmonary dysplasia |
127818311 | 12781831 | 3 | Bronchopulmonary dysplasia |
127818311 | 12781831 | 4 | Bronchopulmonary dysplasia |
127818311 | 12781831 | 5 | Bronchopulmonary dysplasia |
127818311 | 12781831 | 6 | Bronchopulmonary dysplasia |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
127818311 | 12781831 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
127818311 | 12781831 | Bronchitis | |
127818311 | 12781831 | Pneumonia | |
127818311 | 12781831 | 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 |
---|---|---|---|---|---|---|
127818311 | 12781831 | 1 | 20101014 | 20101014 | 0 | |
127818311 | 12781831 | 2 | 20101111 | 20101111 | 0 | |
127818311 | 12781831 | 3 | 20101209 | 20101209 | 0 | |
127818311 | 12781831 | 4 | 20110106 | 20110106 | 0 | |
127818311 | 12781831 | 5 | 20110203 | 20110203 | 0 | |
127818311 | 12781831 | 6 | 20110303 | 20110303 | 0 |