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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5794787 | 6546305 | F | 5794787-3 | 20060322 | 20080624 | 20080630 | EXP | A0662910A | GLAXOSMITHKLINE | F | Y | 2.5 | KG | 20080630 | PH | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 5794787 | 1010109999 | PS | PAXIL CR | 1 | 25MG PER DAY | 020936 | |||||
| 5794787 | 1010110000 | C | AMBIEN | 1 | 10MG PER DAY | ||||||
| 5794787 | 1010110001 | C | HYDROCODONE | 2 | 500MG AS REQUIRED | ||||||
| 5794787 | 1010110002 | C | VITAMIN TAB | 1 | |||||||
| 5794787 | 1010110003 | C | PRENATE | 2 | |||||||
| 5794787 | 1010110004 | C | XANAX | 1 | .25MG AS REQUIRED | ||||||
| 5794787 | 1010110005 | C | AMOXICILLIN | 1 | |||||||
| 5794787 | 1010110006 | C | ALBUTEROL | 1 | 90MCG AS REQUIRED | ||||||
| 5794787 | 1010110007 | C | LEXAPRO | 1 | |||||||
| 5794787 | 1010110008 | C | CEPHALEXIN | 1 | |||||||
| 5794787 | 1010110009 | C | FLONASE | 1 | |||||||
| 5794787 | 1010110010 | C | ABILIFY | 1 | |||||||
| 5794787 | 1010110011 | C | LUNESTA | 1 | 3MG PER DAY | ||||||
| 5794787 | 1010110012 | C | DEPAKOTE ER | 1 | |||||||
| 5794787 | 1010110013 | C | LOXAPINE | 1 | |||||||
| 5794787 | 1010110014 | C | METOCLOPRAMIDE | 1 | |||||||
| 5794787 | 1010110015 | C | PROMETHAZINE | 1 | 25MG PER DAY | ||||||
| 5794787 | 1010110016 | C | APAP W/ CODEINE | 1 | 30MG PER DAY | ||||||
| 5794787 | 1010110017 | C | MEDICATION FOR HIGH BLOOD PRESSURE | 2 | |||||||
| 5794787 | 1010110018 | C | FISH OIL | 2 | 1000MG PER DAY | ||||||
| 5794787 | 1010110019 | C | SEROQUEL | 1 | |||||||
| 5794787 | 1010110020 | C | LABETALOL HCL | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 5794787 | 1010109999 | BIPOLAR DISORDER |
| 5794787 | 1010110000 | INSOMNIA |
| 5794787 | 1010110001 | ARTHRITIS |
| 5794787 | 1010110002 | PREGNANCY |
| 5794787 | 1010110004 | ANXIETY |
| 5794787 | 1010110005 | INFECTION |
| 5794787 | 1010110006 | ASTHMA |
| 5794787 | 1010110007 | DEPRESSION |
| 5794787 | 1010110012 | BIPOLAR DISORDER |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 5794787 | CA |
| 5794787 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 5794787 | ATRIAL SEPTAL DEFECT |
| 5794787 | CARDIAC MURMUR |
| 5794787 | CARDIOMEGALY |
| 5794787 | CONGENITAL ANOMALY |
| 5794787 | DRUG EXPOSURE DURING PREGNANCY |
| 5794787 | PULMONARY ARTERY STENOSIS CONGENITAL |
| 5794787 | TRICUSPID VALVE INCOMPETENCE |
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 |
|---|---|---|---|---|---|
| 5794787 | 1010109999 | 20050901 | 20051001 | ||
| 5794787 | 1010110000 | 20050101 | |||
| 5794787 | 1010110001 | 20050608 | |||
| 5794787 | 1010110002 | 19930101 | 20061001 | ||
| 5794787 | 1010110003 | 20050701 | 20060801 | ||
| 5794787 | 1010110004 | 20051206 | 20051220 | 15 | DAY |
| 5794787 | 1010110005 | 20051130 | |||
| 5794787 | 1010110006 | 20050101 | |||
| 5794787 | 1010110007 | 20050101 | |||
| 5794787 | 1010110008 | 20050608 | |||
| 5794787 | 1010110009 | 20050608 | |||
| 5794787 | 1010110010 | 20050609 | |||
| 5794787 | 1010110011 | 20050610 | |||
| 5794787 | 1010110012 | 20050623 | |||
| 5794787 | 1010110013 | 20050624 | |||
| 5794787 | 1010110014 | 20050630 | |||
| 5794787 | 1010110015 | 20051017 | |||
| 5794787 | 1010110016 | 20051103 | |||
| 5794787 | 1010110019 | 20050101 |