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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127902951 | 12790295 | 1 | I | 20160224 | 20160914 | 20160928 | 20160928 | EXP | US-ASTRAZENECA-2016SE98361 | ASTRAZENECA | 197.00 | DY | Y | 6.90000 | KG | 20160929 | PH | MY | MY |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127902951 | 12790295 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15 MG/KG, 5 DOSES | D | 0 | INJECTION | ||||||||
| 127902951 | 12790295 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15 MG/KG, 5 DOSES | D | 0 | INJECTION | ||||||||
| 127902951 | 12790295 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 15 MG/KG, 5 DOSES | D | 0 | INJECTION | ||||||||
| 127902951 | 12790295 | 4 | C | PENTAXIM | 2 | 0 | |||||||||||||
| 127902951 | 12790295 | 5 | C | ROTARIX | HUMAN ROTAVIRUS A TYPE G1P(8) STRAIN RIX4414 LIVE ANTIGEN | 1 | 0 | ||||||||||||
| 127902951 | 12790295 | 6 | C | PREVENAR | PNEUMOCOCCAL 7-VALENT CONJUGATE VACCINE (DIPHTHERIA CRM197 PROTEIN) | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127902951 | 12790295 | 1 | Respiratory syncytial virus infection |
| 127902951 | 12790295 | 2 | Premature baby |
| 127902951 | 12790295 | 3 | Bronchopulmonary dysplasia |
| 127902951 | 12790295 | 4 | Product used for unknown indication |
| 127902951 | 12790295 | 5 | Product used for unknown indication |
| 127902951 | 12790295 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127902951 | 12790295 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127902951 | 12790295 | Bronchial hyperreactivity | |
| 127902951 | 12790295 | Drug ineffective | |
| 127902951 | 12790295 | Pneumonia respiratory syncytial viral |
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 |
|---|---|---|---|---|---|---|
| 127902951 | 12790295 | 1 | 201510 | 201602 | 0 | |
| 127902951 | 12790295 | 2 | 201510 | 201602 | 0 | |
| 127902951 | 12790295 | 3 | 201510 | 201602 | 0 |