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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
90600621 | 9060062 | 1 | I | 20120203 | 0 | 20130207 | 20130207 | DIR | 59.00 | YR | M | N | 8.00000 | KG | 20130205 | Y | CN | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
90600621 | 9060062 | 1 | PS | CIALIS 20 MG LILLY | 1 | ORAL | 1 DAILY PO | D | D | C026501A | 20150501 | 0 | 1 | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
90600621 | 9060062 | 1 | Ejaculation disorder |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
90600621 | 9060062 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
90600621 | 9060062 | Drug ineffective | |
90600621 | 9060062 | Headache | |
90600621 | 9060062 | Product counterfeit | |
90600621 | 9060062 | Product quality issue |
Reporting Sources (this data is often not reported and may therefore be missing here)
Event ID | CASEID | RPSR COD |
---|---|---|
90600621 | 9060062 | CSM |
Therapies reported
Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
---|---|---|---|---|---|---|
90600621 | 9060062 | 1 | 20130201 | 20130203 | 0 |