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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 79579343 | 7957934 | 3 | F | 2011 | 0 | 20110505 | 20120426 | EXP | 2011GW000266 | MEDICIS | 65.00 | YR | M | N | 175.00000 | LBS | 20120307 | OT | US |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 79579343 | 7957934 | 1 | PS | ZYCLARA | 1 | TOPICAL | 3.75 PCT;QD;TOP | D | D | 22483 | |||||||||
| 79579343 | 7957934 | 2 | C | ASPIRIN | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 3 | C | HYDROCHLOROTHIAZIDE W/LISINOPRIL | 2 | 0 | |||||||||||||
| 79579343 | 7957934 | 4 | C | METFORMIN HYDROCHLORIDE | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 5 | C | METHYLPREDNISOLONE | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 6 | C | SINGULAIR | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 7 | C | MULTIVITAMINS | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 8 | C | PROTONIX | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 9 | C | PRAVASTATIN | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 10 | C | RAPAFLO | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 11 | C | TRAMADOL HYDROCHLORIDE | 1 | 0 | |||||||||||||
| 79579343 | 7957934 | 12 | C | INSULIN | 2 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 79579343 | 7957934 | 1 | ACTINIC KERATOSIS |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 79579343 | 7957934 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 79579343 | 7957934 | Abdominal pain | |
| 79579343 | 7957934 | Anxiety | |
| 79579343 | 7957934 | Asthenia | |
| 79579343 | 7957934 | Blister | |
| 79579343 | 7957934 | Cellulitis | |
| 79579343 | 7957934 | Chest discomfort | |
| 79579343 | 7957934 | Chest pain | |
| 79579343 | 7957934 | Chills | |
| 79579343 | 7957934 | Decreased appetite | |
| 79579343 | 7957934 | Dermatitis contact | |
| 79579343 | 7957934 | Diastolic dysfunction | |
| 79579343 | 7957934 | Dizziness | |
| 79579343 | 7957934 | Dyspepsia | |
| 79579343 | 7957934 | Dyspnoea | |
| 79579343 | 7957934 | Dyspnoea exertional | |
| 79579343 | 7957934 | Electrocardiogram ST segment abnormal | |
| 79579343 | 7957934 | Erythema | |
| 79579343 | 7957934 | Fatigue | |
| 79579343 | 7957934 | Headache | |
| 79579343 | 7957934 | Hyperhidrosis | |
| 79579343 | 7957934 | Hypersensitivity | |
| 79579343 | 7957934 | Hypokalaemia | |
| 79579343 | 7957934 | Infection | |
| 79579343 | 7957934 | Malaise | |
| 79579343 | 7957934 | Nausea | |
| 79579343 | 7957934 | Panic attack | |
| 79579343 | 7957934 | Pyrexia | |
| 79579343 | 7957934 | Rash pustular | |
| 79579343 | 7957934 | Skin disorder | |
| 79579343 | 7957934 | Staphylococcal infection | |
| 79579343 | 7957934 | Vomiting |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 79579343 | 7957934 | CR |
| 79579343 | 7957934 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 79579343 | 7957934 | 1 | 20110328 | 20110414 | 0 |