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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103418162 | 10341816 | 2 | F | 20130321 | 20140710 | 20140725 | 20160720 | EXP | US-JNJFOC-20140712644 | JANSSEN | 67.18 | YR | E | M | Y | 0.00000 | 20160720 | CN | US | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103418162 | 10341816 | 1 | PS | ULTRAM ER | TRAMADOL HYDROCHLORIDE | 1 | Unknown | U | U | 21692 | SUSTAINED RELEASE TABLETS | ||||||||
| 103418162 | 10341816 | 2 | SS | WELCHOL | COLESEVELAM HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 3 | SS | DILAUDID | HYDROMORPHONE HYDROCHLORIDE | 1 | Intrathecal | 40MG/ 2% | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 4 | SS | PRAVACHOL | PRAVASTATIN SODIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 5 | SS | AMITRIPTYLINE HYDROCHLORIDE. | AMITRIPTYLINE HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 6 | SS | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 7 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 8 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 9 | SS | LISINOPRIL. | LISINOPRIL | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 10 | SS | NORVASC | AMLODIPINE BESYLATE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 103418162 | 10341816 | 11 | SS | BUPIVACAINE. | BUPIVACAINE | 1 | Unknown | 0 | 20 | ML | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103418162 | 10341816 | 1 | Product used for unknown indication |
| 103418162 | 10341816 | 2 | Product used for unknown indication |
| 103418162 | 10341816 | 3 | Pain |
| 103418162 | 10341816 | 4 | Product used for unknown indication |
| 103418162 | 10341816 | 5 | Product used for unknown indication |
| 103418162 | 10341816 | 6 | Product used for unknown indication |
| 103418162 | 10341816 | 7 | Product used for unknown indication |
| 103418162 | 10341816 | 8 | Product used for unknown indication |
| 103418162 | 10341816 | 9 | Product used for unknown indication |
| 103418162 | 10341816 | 10 | Product used for unknown indication |
| 103418162 | 10341816 | 11 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 103418162 | 10341816 | OT |
| 103418162 | 10341816 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103418162 | 10341816 | Arthralgia | |
| 103418162 | 10341816 | Back pain | |
| 103418162 | 10341816 | Blindness | |
| 103418162 | 10341816 | Brain injury | |
| 103418162 | 10341816 | Cardiac arrest | |
| 103418162 | 10341816 | Cerebrovascular accident | |
| 103418162 | 10341816 | Neck pain | |
| 103418162 | 10341816 | Phantom pain | |
| 103418162 | 10341816 | Respiratory arrest |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |