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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127964991 | 12796499 | 1 | I | 20110721 | 20160929 | 20160929 | EXP | US-ASTRAZENECA-2016SF03177 | ASTRAZENECA | 6.00 | MON | M | Y | 2.20000 | KG | 20160929 | MD | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 127964991 | 12796499 | 1 | PS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 51 MG | D | UNKNOWN | 0 | INJECTION | |||||||
| 127964991 | 12796499 | 2 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 68 MG | D | 0 | INJECTION | ||||||||
| 127964991 | 12796499 | 3 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 68 MG | D | 0 | INJECTION | ||||||||
| 127964991 | 12796499 | 4 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 75 MG | D | 0 | INJECTION | ||||||||
| 127964991 | 12796499 | 5 | SS | SYNAGIS | PALIVIZUMAB | 1 | Intramuscular | 82 MG | D | 0 | INJECTION |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 127964991 | 12796499 | 1 | Premature baby |
| 127964991 | 12796499 | 2 | Premature baby |
| 127964991 | 12796499 | 3 | Premature baby |
| 127964991 | 12796499 | 4 | Premature baby |
| 127964991 | 12796499 | 5 | Premature baby |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 127964991 | 12796499 | DE |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 127964991 | 12796499 | Death |
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 |
|---|---|---|---|---|---|---|
| 127964991 | 12796499 | 1 | 20101008 | 20101008 | 0 | |
| 127964991 | 12796499 | 2 | 20101104 | 20101104 | 0 | |
| 127964991 | 12796499 | 3 | 20101207 | 20101207 | 0 | |
| 127964991 | 12796499 | 4 | 20110106 | 20110106 | 0 | |
| 127964991 | 12796499 | 5 | 20110208 | 20110208 | 0 |