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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6536826 | 7569607 | F | 1 | 6536826-8 | 20081201 | 20091230 | 20100107 | EXP | 2009029708 | CEPHALON | 58 | YR | F | N | 200 | LBS | 20100106 | MD | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
6536826 | 1012939894 | PS | PROVIGIL | 1 | ORAL | (200 MG), ORAL | D | D | 20717 | ||
6536826 | 1012972659 | C | OXYCONTIN | 1 | 20717 | ||||||
6536826 | 1012972660 | C | OXYCODONE HYDROCHLORIDE | 1 | 20717 | ||||||
6536826 | 1012972661 | C | SKELAXIN | 1 | 20717 | ||||||
6536826 | 1012972662 | C | SPIRONOLACTONE | 1 | 20717 | ||||||
6536826 | 1012972663 | C | BUMETANIDE | 1 | 20717 | ||||||
6536826 | 1012972664 | C | MIRAPEX | 1 | 20717 | ||||||
6536826 | 1012972665 | C | PRILOSEC (OMEPRAZOLE) | 2 | 20717 | ||||||
6536826 | 1012972666 | C | ALBUTEROL SULFATE | 1 | 20717 | ||||||
6536826 | 1012972667 | C | SYMBICORT | 1 | 20717 | ||||||
6536826 | 1012972668 | C | SAVELLA | 1 | 20717 | ||||||
6536826 | 1012972669 | C | SPIRIVA | 1 | 20717 | ||||||
6536826 | 1012972670 | C | ZYRTEC | 1 | 20717 | ||||||
6536826 | 1012972671 | C | SINGULAIR | 1 | 20717 | ||||||
6536826 | 1012972672 | C | PREMARIN | 1 | 20717 | ||||||
6536826 | 1012972673 | C | PROVERA | 1 | 20717 | ||||||
6536826 | 1012972674 | C | TOVIAZ | 1 | 20717 | ||||||
6536826 | 1012972675 | C | MUCINEX | 1 | 20717 | ||||||
6536826 | 1012972676 | C | VOLTAREN | 1 | 20717 | ||||||
6536826 | 1012972677 | C | HYDROCORTONE | 1 | 20717 | ||||||
6536826 | 1012972678 | C | BACTROBAN | 1 | 20717 | ||||||
6536826 | 1012972679 | C | PATANOL | 1 | 20717 | ||||||
6536826 | 1012972680 | C | SYSTANE (PROPYLENE GLYCOL, MACROGOL) | 2 | 20717 | ||||||
6536826 | 1012972681 | C | FLOVENT | 1 | 20717 |
Indications of drugs used
Event ID | DRUG SEQ | INDI PT |
---|---|---|
6536826 | 1012939894 | SOMNOLENCE |
Outcome of event
Event ID | OUTC COD |
---|---|
6536826 | HO |
Reactions reported
Event ID | PT |
---|---|
6536826 | BLISTER |
6536826 | CELLULITIS |
6536826 | CONDITION AGGRAVATED |
6536826 | DRUG INEFFECTIVE |
6536826 | FALL |
6536826 | PRURITUS |
6536826 | SCRATCH |
6536826 | SOMNOLENCE |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | RPSR COD |
---|---|
6536826 | HP |
Therapies reported
Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|
6536826 | 1012939894 | 20080101 | 20091214 |