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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103558733 | 10355873 | 3 | F | 20160825 | 20140801 | 20160826 | EXP | CA-ROCHE-1442547 | ROCHE | 64.00 | YR | F | Y | 69.00000 | KG | 20160826 | PH | CA | CA |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 103558733 | 10355873 | 1 | PS | CELLCEPT | MYCOPHENOLATE MOFETILMYCOPHENOLATE MOFETIL HYDROCHLORIDE | 1 | Unknown | U | 50722 | ||||||||||
| 103558733 | 10355873 | 2 | SS | ACIDOPHILUS | LACTOBACILLUS ACIDOPHILUS | 1 | Unknown | U | 0 | CAPSULE | |||||||||
| 103558733 | 10355873 | 3 | SS | ALENDRONATE | ALENDRONATE SODIUM | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 4 | SS | APO-K | POTASSIUM CHLORIDE | 1 | Unknown | U | 0 | 600 | MG | TABLET | |||||||
| 103558733 | 10355873 | 5 | SS | APO-SULFATRIM | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 6 | SS | ATIVAN | LORAZEPAM | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 7 | SS | B-100 COMPLEX | DEXPANTHENOLNIACINAMIDEPYRIDOXINE HYDROCHLORIDERIBOFLAVIN 5'-PHOSPHATE SODIUMTHIAMINE HYDROCHLORIDE | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 8 | SS | APO-BACLOFEN | BACLOFEN | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 9 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Oral | U | 0 | 3 | MG | QD | |||||||
| 103558733 | 10355873 | 10 | SS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Oral | U | 0 | 1 | DF | QD | |||||||
| 103558733 | 10355873 | 11 | SS | DOCUSATE SODIUM. | DOCUSATE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 12 | SS | FISH OIL | FISH OIL | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 13 | SS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 14 | SS | HYDROMORPHONE | HYDROMORPHONE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 15 | SS | IMMUNE GLOBULIN, INTRAVENOUS | HUMAN IMMUNOGLOBULIN G | 1 | Intravenous (not otherwise specified) | U | 0 | ||||||||||
| 103558733 | 10355873 | 16 | SS | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 17 | SS | LYRICA | PREGABALIN | 1 | Unknown | U | 0 | CAPSULE | |||||||||
| 103558733 | 10355873 | 18 | SS | MELATONIN | MELATONIN | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 19 | SS | NASONEX | MOMETASONE FUROATE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 20 | SS | NORTRIPTYLINE | NORTRIPTYLINE | 1 | Unknown | U | 0 | CAPSULE | |||||||||
| 103558733 | 10355873 | 21 | SS | NOVO-HYDRAZIDE | HYDROCHLOROTHIAZIDE | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 22 | SS | PREDNISONE. | PREDNISONE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 23 | SS | SENNOSIDES. | SENNOSIDES | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 24 | SS | SENOKOT | SENNOSIDES | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 25 | SS | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 26 | SS | VITAMIN C | ASCORBIC ACID | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 27 | SS | WARFARIN | WARFARIN | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 28 | SS | ZANTAC | RANITIDINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 103558733 | 10355873 | 29 | SS | ZOPICLONE | ZOPICLONE | 1 | Unknown | U | 0 | TABLET | |||||||||
| 103558733 | 10355873 | 30 | SS | LORATADINE. | LORATADINE | 1 | Unknown | U | 0 | 10 | MG | ||||||||
| 103558733 | 10355873 | 31 | SS | TIZANIDINE. | TIZANIDINE | 1 | Unknown | U | 0 | TABLET |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 103558733 | 10355873 | 1 | Product used for unknown indication |
| 103558733 | 10355873 | 2 | Product used for unknown indication |
| 103558733 | 10355873 | 3 | Product used for unknown indication |
| 103558733 | 10355873 | 4 | Product used for unknown indication |
| 103558733 | 10355873 | 5 | Product used for unknown indication |
| 103558733 | 10355873 | 6 | Product used for unknown indication |
| 103558733 | 10355873 | 7 | Product used for unknown indication |
| 103558733 | 10355873 | 8 | Product used for unknown indication |
| 103558733 | 10355873 | 9 | Product used for unknown indication |
| 103558733 | 10355873 | 11 | Product used for unknown indication |
| 103558733 | 10355873 | 12 | Product used for unknown indication |
| 103558733 | 10355873 | 13 | Product used for unknown indication |
| 103558733 | 10355873 | 14 | Product used for unknown indication |
| 103558733 | 10355873 | 15 | Product used for unknown indication |
| 103558733 | 10355873 | 16 | Product used for unknown indication |
| 103558733 | 10355873 | 17 | Product used for unknown indication |
| 103558733 | 10355873 | 18 | Product used for unknown indication |
| 103558733 | 10355873 | 19 | Product used for unknown indication |
| 103558733 | 10355873 | 20 | Product used for unknown indication |
| 103558733 | 10355873 | 21 | Product used for unknown indication |
| 103558733 | 10355873 | 22 | Product used for unknown indication |
| 103558733 | 10355873 | 23 | Product used for unknown indication |
| 103558733 | 10355873 | 24 | Product used for unknown indication |
| 103558733 | 10355873 | 25 | Product used for unknown indication |
| 103558733 | 10355873 | 26 | Product used for unknown indication |
| 103558733 | 10355873 | 27 | Product used for unknown indication |
| 103558733 | 10355873 | 28 | Product used for unknown indication |
| 103558733 | 10355873 | 29 | Product used for unknown indication |
| 103558733 | 10355873 | 30 | Product used for unknown indication |
| 103558733 | 10355873 | 31 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 103558733 | 10355873 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 103558733 | 10355873 | Coma | |
| 103558733 | 10355873 | Gastrooesophageal reflux disease | |
| 103558733 | 10355873 | Pneumonia aspiration | |
| 103558733 | 10355873 | Somnolence |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |