Person who experienced the adverse event (patient)
| Event ID | CASE | I F COD | FOLL SEQ | IMAGE | EVENT DT | MFR DT | FDA DT | REPT COD | MFR NUM | MFR SNDR | AGE | AGE COD | GNDR COD | E SUB | WT | WT COD | REPT DT | OCCP COD | DEATH DT | TO MFR | CONFID | REPORTER COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4747901 | 5865837 | I | 4747901-2 | 20050719 | 20050817 | DIR | 43 | YR | M | N | 80 | KG | 20050816 | PH | N | N | UNITED STATES |
Drug(s) used by person
| Event ID | DRUG SEQ | ROLE COD | DRUGNAME | VAL VBM | ROUTE | DOSE VBM | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 4747901 | 1006332136 | PS | CARBAMAZEPINE | 1 | ORAL | 200MG TID ORAL | Y | D | |||
| 4747901 | 1006349045 | C | BUSPIRONE | 1 | |||||||
| 4747901 | 1006349046 | C | CODEINE/GUAIFENESIN SYRUP | 2 | |||||||
| 4747901 | 1006349047 | C | CYCLOBENZAPRINE HCL | 1 | |||||||
| 4747901 | 1006349048 | C | GUAIFENESIN/DM | 2 | |||||||
| 4747901 | 1006349050 | C | FOLIC ACID | 1 | |||||||
| 4747901 | 1006349051 | C | HYDROXYZINE | 1 | |||||||
| 4747901 | 1006349052 | C | INSULIN HUMAN | 2 | |||||||
| 4747901 | 1006349054 | C | MULTI-VITAMINS | 1 | |||||||
| 4747901 | 1006349055 | C | PANCREASE MT16 | 2 | |||||||
| 4747901 | 1006349056 | C | QUETIAPINE FUMARATE | 1 | |||||||
| 4747901 | 1006349057 | C | THIAMINE | 2 | |||||||
| 4747901 | 1006349058 | C | TRIAMCINOLONE CREAM | 2 | |||||||
| 4747901 | 1006349059 | C | TRIAMCINOLONE DENTAL PASTE | 2 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 4747901 | 1006332136 | BIPOLAR DISORDER |
| 4747901 | 1006332136 | SCHIZOAFFECTIVE DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 4747901 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 4747901 | BRONCHITIS |
| 4747901 | CHILLS |
| 4747901 | COUGH |
| 4747901 | DEHYDRATION |
| 4747901 | DRUG ERUPTION |
| 4747901 | DYSPHAGIA |
| 4747901 | EOSINOPHILIA |
| 4747901 | HYPERHIDROSIS |
| 4747901 | LIVER FUNCTION TEST ABNORMAL |
| 4747901 | MOUTH ULCERATION |
| 4747901 | PAIN |
| 4747901 | PYREXIA |
| 4747901 | SKIN EXFOLIATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 4747901 | 1006332136 | 20050614 | 20050719 |