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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8145219 | 7934836 | F | 1 | 8145219-1 | 20120203 | 20120214 | EXP | 2011MA003438 | ACTAVIS ELIZABETH LLC | YR | F | N | 161 | LBS | 20120213 | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 8145219 | 1018954435 | C | FOLIC ACID | 1 | |||||||
| 8145219 | 1018954448 | C | IPRATROPIUM BROMIDE AND ALBUTEROL SULFATE | 1 | |||||||
| 8145219 | 1018954454 | C | POTASSIUM CHLORIDE | 1 | |||||||
| 8145219 | 1018954462 | C | PROMETHAZINE | 1 | |||||||
| 8145219 | 1018954555 | C | ZOLPIDEM | 1 | |||||||
| 8145219 | 1018895367 | PS | METOCLOPRAMIDE | 1 | 10 MG;QID | 070581 | |||||
| 8145219 | 1018954408 | C | AMANTADINE HCL | 1 | |||||||
| 8145219 | 1018954424 | C | CLONIDINE | 1 | |||||||
| 8145219 | 1018954426 | C | DEMEROL | 1 | |||||||
| 8145219 | 1018954428 | C | D.H.E. 45 | 1 | |||||||
| 8145219 | 1018954423 | C | CLARITHROMYCIN | 1 | |||||||
| 8145219 | 1018954444 | C | IMIPRAMINE | 1 | |||||||
| 8145219 | 1018954460 | C | PROAIR HFA | 1 | |||||||
| 8145219 | 1018954390 | C | ADVAIR DISKUS 100/50 | 1 | |||||||
| 8145219 | 1018954417 | C | AMLODIPINE | 1 | |||||||
| 8145219 | 1018954449 | C | LEVAQUIN | 1 | |||||||
| 8145219 | 1018954458 | C | PREVACID | 1 | |||||||
| 8145219 | 1018954551 | C | VITAMIN A | 1 | |||||||
| 8145219 | 1018954431 | C | ESTRADIOL | 1 | |||||||
| 8145219 | 1018954432 | C | FLUOXETINE | 1 | |||||||
| 8145219 | 1018954440 | C | HYOSCYAMINE | 2 | |||||||
| 8145219 | 1018954441 | C | IBUPROFEN | 1 | |||||||
| 8145219 | 1018954468 | C | PSEUDOVENT | 2 | |||||||
| 8145219 | 1018954416 | C | AMITRIPTYLINE HCL | 1 | |||||||
| 8145219 | 1018954418 | C | AMOXICILLIN | 1 | |||||||
| 8145219 | 1018954421 | C | CIPROFLOXACIN | 1 | |||||||
| 8145219 | 1018954425 | C | CYMBALTA | 1 | |||||||
| 8145219 | 1018954450 | C | LISINOPRIL | 1 | |||||||
| 8145219 | 1018954451 | C | LUNESTA | 1 | |||||||
| 8145219 | 1018954456 | C | PRAVASTATIN | 1 | |||||||
| 8145219 | 1018954467 | C | PROPOXYPHENE HYDROCHLORIDE | 1 | |||||||
| 8145219 | 1018954486 | C | TIZANIDINE HCL | 1 | |||||||
| 8145219 | 1018954509 | C | TUSSIONEX | 1 | |||||||
| 8145219 | 1018954530 | C | VICODIN | 1 | |||||||
| 8145219 | 1018954453 | C | METRONIDAZOLE | 1 | |||||||
| 8145219 | 1018954477 | C | SULFAMETHOXAZOLE AND TRIMETHOPRIM | 1 | |||||||
| 8145219 | 1018954396 | C | ALBUTEROL | 1 | |||||||
| 8145219 | 1018954420 | C | BUSPIRONE HCL | 1 | |||||||
| 8145219 | 1018954430 | C | DIAZEPAM | 1 | |||||||
| 8145219 | 1018954436 | C | FUROSEMIDE | 1 | |||||||
| 8145219 | 1018954438 | C | HYDROCHLOROTHIAZIDE | 1 | |||||||
| 8145219 | 1018954469 | C | SPIRIVA | 1 |
Indications of drugs used
| Event ID | DRUG SEQ | INDI PT |
|---|---|---|
| 8145219 | 1018895367 | NAUSEA |
| 8145219 | 1018895367 | GASTROOESOPHAGEAL REFLUX DISEASE |
Outcome of event
| Event ID | OUTC COD |
|---|---|
| 8145219 | OT |
| 8145219 | HO |
Reactions reported
| Event ID | PT |
|---|---|
| 8145219 | TARDIVE DYSKINESIA |
| 8145219 | TREMOR |
| 8145219 | EMOTIONAL DISORDER |
| 8145219 | PULMONARY HYPERTENSION |
| 8145219 | SKELETAL INJURY |
| 8145219 | PAIN IN JAW |
| 8145219 | EXTRAPYRAMIDAL DISORDER |
| 8145219 | ALVEOLITIS ALLERGIC |
| 8145219 | JOINT DISLOCATION |
| 8145219 | FAMILY STRESS |
| 8145219 | DYSKINESIA |
| 8145219 | FALL |
| 8145219 | MENISCUS LESION |
| 8145219 | MOVEMENT DISORDER |
| 8145219 | ECONOMIC PROBLEM |
| 8145219 | LUNG CONSOLIDATION |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | RPSR COD |
|---|---|
| 8145219 | CSM |
| 8145219 | OTH |
Therapies reported
| Event ID | DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|
| 8145219 | 1018895367 | 20060420 | 20091101 |