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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127836112 | 12783611 | 2 | F | 20101230 | 20160919 | 20160927 | 20160928 | EXP | FR-009507513-2011SP017388 | MERCK | 68.00 | YR | F | Y | 90.00000 | KG | 20160928 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127836112 | 12783611 | 1 | PS | CELESTENE 4mg/1ml | BETAMETHASONE | 1 | Intravenous (not otherwise specified) | 4 MG, ONCE, INTRAVENOUS BOLUS | D | 14215 | 4 | MG | INJECTION | 1X | |||||
| 127836112 | 12783611 | 2 | SS | CELOCURINE | SUCCINYLCHOLINE CHLORIDE | 1 | Intravenous (not otherwise specified) | 100 MG, ONCE, INTRAVENOUS BOLUS | D | 0 | 100 | MG | 1X | ||||||
| 127836112 | 12783611 | 3 | SS | LIDOCAINE. | LIDOCAINE | 1 | Intravenous (not otherwise specified) | 40 MG, ONCE, INTRAVENOUS BOLUS | D | 0 | 40 | MG | 1X | ||||||
| 127836112 | 12783611 | 4 | SS | SUFENTANIL | SUFENTANIL | 1 | Intravenous (not otherwise specified) | 10 MICROGRAM, UNK | D | 0 | 10 | UG | |||||||
| 127836112 | 12783611 | 5 | SS | KETAMINE HYDROCHLORIDE. | KETAMINE HYDROCHLORIDE | 1 | Intravenous (not otherwise specified) | 15 MG, ONCE, INTRAVENOUS BOLUS | D | 0 | 15 | MG | 1X | ||||||
| 127836112 | 12783611 | 6 | SS | ISOSULFAN BLUE. | ISOSULFAN BLUE | 1 | Subcutaneous | 1 AMPOULE, UNK | D | 0 | 1 | DF | |||||||
| 127836112 | 12783611 | 7 | SS | PROPOFOL. | PROPOFOL | 1 | Intravenous (not otherwise specified) | 200 MG, ONCE, INTRAVENOUS BOLUS | D | 0 | 200 | MG | INFUSION | 1X | |||||
| 127836112 | 12783611 | 8 | C | BISOPROLOL | BISOPROLOL | 1 | Oral | 0.5 TABLET, QD | 0 | .5 | DF | QD | |||||||
| 127836112 | 12783611 | 9 | C | CARDEGIC | ASPIRIN LYSINE | 1 | 160 MG, QD | 0 | 160 | MG | QD | ||||||||
| 127836112 | 12783611 | 10 | C | FLECAINE | FLECAINIDE | 1 | 200 MG, QD | 0 | 200 | MG | QD | ||||||||
| 127836112 | 12783611 | 11 | C | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | 1 DF, QD | 0 | 1 | DF | QD | ||||||||
| 127836112 | 12783611 | 12 | C | FUROSEMIDE. | FUROSEMIDE | 1 | Oral | 40 MG, QD | 0 | 40 | MG | TABLET | QD | ||||||
| 127836112 | 12783611 | 13 | C | KENZEN | CANDESARTAN | 1 | 16 MG, QD | 0 | 16 | MG | QD | ||||||||
| 127836112 | 12783611 | 14 | C | DIFFU-K | POTASSIUM CHLORIDE | 1 | 600 MG, TID | 0 | 600 | MG | TID | ||||||||
| 127836112 | 12783611 | 15 | C | INEXIUM | ESOMEPRAZOLE | 1 | 20 MG, QD | 0 | 20 | MG | QD |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127836112 | 12783611 | 1 | Product used for unknown indication |
| 127836112 | 12783611 | 2 | Product used for unknown indication |
| 127836112 | 12783611 | 3 | Product used for unknown indication |
| 127836112 | 12783611 | 4 | Product used for unknown indication |
| 127836112 | 12783611 | 5 | Product used for unknown indication |
| 127836112 | 12783611 | 6 | Product used for unknown indication |
| 127836112 | 12783611 | 7 | Product used for unknown indication |
| 127836112 | 12783611 | 8 | Product used for unknown indication |
| 127836112 | 12783611 | 10 | Product used for unknown indication |
| 127836112 | 12783611 | 11 | Product used for unknown indication |
| 127836112 | 12783611 | 12 | Product used for unknown indication |
| 127836112 | 12783611 | 13 | Product used for unknown indication |
| 127836112 | 12783611 | 14 | Product used for unknown indication |
| 127836112 | 12783611 | 15 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127836112 | 12783611 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127836112 | 12783611 | Anaphylactic shock |
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 |
|---|---|---|---|---|---|---|
| 127836112 | 12783611 | 1 | 20101230 | 20101230 | 0 | |
| 127836112 | 12783611 | 2 | 20101230 | 20101230 | 0 | |
| 127836112 | 12783611 | 3 | 20101230 | 20101230 | 0 | |
| 127836112 | 12783611 | 4 | 20101230 | 0 | ||
| 127836112 | 12783611 | 5 | 20101230 | 20101230 | 0 | |
| 127836112 | 12783611 | 6 | 20101230 | 20101230 | 0 | |
| 127836112 | 12783611 | 7 | 20101230 | 0 |