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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107290822 | 10729082 | 2 | F | 1999 | 20150109 | 20150122 | 20160831 | EXP | US-JNJFOC-20150108726 | JANSSEN | 0.00 | F | Y | 0.00000 | 20160831 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 107290822 | 10729082 | 1 | PS | PEPCID | FAMOTIDINE | 1 | Unknown | U | U | 20325 | UNSPECIFIED | ||||||||
| 107290822 | 10729082 | 2 | SS | PEPCID | FAMOTIDINE | 1 | Unknown | U | U | 20325 | UNSPECIFIED | ||||||||
| 107290822 | 10729082 | 3 | SS | FENTANYL. | FENTANYL | 1 | Unknown | U | 19813 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 4 | SS | LEVAQUIN | LEVOFLOXACIN | 1 | Unknown | U | U | 20634 | UNSPECIFIED | ||||||||
| 107290822 | 10729082 | 5 | SS | MIDRIN | ACETAMINOPHENDICHLORALPHENAZONEISOMETHEPTENE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 6 | SS | METAMUCIL | PLANTAGO SEED | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 7 | SS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 8 | SS | DANTROLENE | DANTROLENE | 1 | Unknown | ONE CAPSULE | U | 0 | 25 | MG | CAPSULE | ||||||
| 107290822 | 10729082 | 9 | SS | ZANAFLEX | TIZANIDINE HYDROCHLORIDE | 1 | Unknown | ONE IN THE MORNING AND ONE AT NIGHT | U | 0 | 2 | MG | TABLETS | BID | |||||
| 107290822 | 10729082 | 10 | SS | METHADONE | METHADONE HYDROCHLORIDE | 1 | Unknown | 2 PILLS | U | 0 | UNSPECIFIED | ||||||||
| 107290822 | 10729082 | 11 | SS | CLINDAMYCIN | CLINDAMYCINCLINDAMYCIN PHOSPHATE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 12 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 13 | SS | NEURONTIN | GABAPENTIN | 1 | Unknown | U | 0 | 100 | MG | UNSPECIFIED | |||||||
| 107290822 | 10729082 | 14 | SS | PAXIL | PAROXETINE HYDROCHLORIDE | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 15 | SS | CIPROFLOXACIN. | CIPROFLOXACIN | 1 | Unknown | U | 0 | UNSPECIFIED | |||||||||
| 107290822 | 10729082 | 16 | SS | UNSPECIFIED ROBITUSSIN | GUAIFENESIN | 1 | Unknown | U | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 107290822 | 10729082 | 2 | Product used for unknown indication |
| 107290822 | 10729082 | 3 | Product used for unknown indication |
| 107290822 | 10729082 | 4 | Product used for unknown indication |
| 107290822 | 10729082 | 5 | Product used for unknown indication |
| 107290822 | 10729082 | 6 | Product used for unknown indication |
| 107290822 | 10729082 | 7 | Product used for unknown indication |
| 107290822 | 10729082 | 8 | Product used for unknown indication |
| 107290822 | 10729082 | 9 | Product used for unknown indication |
| 107290822 | 10729082 | 10 | Product used for unknown indication |
| 107290822 | 10729082 | 11 | Product used for unknown indication |
| 107290822 | 10729082 | 12 | Product used for unknown indication |
| 107290822 | 10729082 | 13 | Product used for unknown indication |
| 107290822 | 10729082 | 14 | Product used for unknown indication |
| 107290822 | 10729082 | 15 | Product used for unknown indication |
| 107290822 | 10729082 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 107290822 | 10729082 | OT |
| 107290822 | 10729082 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 107290822 | 10729082 | Abasia | |
| 107290822 | 10729082 | Abdominal pain upper | |
| 107290822 | 10729082 | Asthenia | |
| 107290822 | 10729082 | Biliary colic | |
| 107290822 | 10729082 | Eye swelling | |
| 107290822 | 10729082 | Malaise | |
| 107290822 | 10729082 | Meningitis aseptic | |
| 107290822 | 10729082 | Multiple allergies | |
| 107290822 | 10729082 | Oedema | |
| 107290822 | 10729082 | Oxygen saturation decreased | |
| 107290822 | 10729082 | Pneumonia | |
| 107290822 | 10729082 | Pruritus | |
| 107290822 | 10729082 | Sedation | |
| 107290822 | 10729082 | Vision blurred |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 107290822 | 10729082 | 3 | 201409 | 0 | ||
| 107290822 | 10729082 | 10 | 201409 | 0 | ||
| 107290822 | 10729082 | 12 | 199911 | 0 | ||
| 107290822 | 10729082 | 13 | 1999 | 0 |