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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127901781 | 12790178 | 1 | I | 20160902 | 20160907 | 20160928 | 20160928 | PER | US-SHIRE-US201612343 | SHIRE | 47.53 | YR | F | Y | 0.00000 | 20160928 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127901781 | 12790178 | 1 | PS | FIRAZYR | ICATIBANT ACETATE | 1 | Subcutaneous | 30 MG, AS REQ'D | UNKNOWN | 22150 | 30 | MG | SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE | ||||||
| 127901781 | 12790178 | 2 | SS | REMERON | MIRTAZAPINE | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
| 127901781 | 12790178 | 3 | SS | REMERON | MIRTAZAPINE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127901781 | 12790178 | 1 | Hereditary angioedema |
| 127901781 | 12790178 | 2 | Depression |
| 127901781 | 12790178 | 3 | Anxiety |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127901781 | 12790178 | Drug hypersensitivity | |
| 127901781 | 12790178 | Hereditary angioedema | |
| 127901781 | 12790178 | Therapy non-responder |
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 |
|---|---|---|---|---|---|---|
| 127901781 | 12790178 | 1 | 20131111 | 0 | ||
| 127901781 | 12790178 | 2 | 20160901 | 20160906 | 0 |