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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100342141 | 10034214 | 1 | I | 2007 | 20131217 | 20131231 | 20131231 | EXP | 2010S1000043 | CB FLEET | 40.00 | YR | F | N | 0.00000 | 20131230 | N | LW | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 100342141 | 10034214 | 1 | PS | FLEET PHOSPHO-SODA ORAL SALINE LAXATIVE, GINGER-LEMON FLAVOR | 1 | ORAL | D | D | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 100342141 | 10034214 | 1 | Colonoscopy |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 100342141 | 10034214 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 100342141 | 10034214 | Anxiety disorder | |
| 100342141 | 10034214 | Hypertension | |
| 100342141 | 10034214 | Renal failure | |
| 100342141 | 10034214 | Renal transplant |
Reporting Sources (this data is often not reported and may therefore be missing here)
| Event ID | CASEID | RPSR COD |
|---|---|---|
| 100342141 | 10034214 | HP |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 100342141 | 10034214 | 1 | 20061102 | 20061103 | 0 | |
| 100342141 | 10034214 | 1 | 20080518 | 20080519 | 0 |