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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109528672 | 10952867 | 2 | F | 20160629 | 20150325 | 20160711 | PER | US-ELI_LILLY_AND_COMPANY-US201406008806 | ELI LILLY AND CO | 0.00 | F | Y | 0.00000 | 20160711 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 109528672 | 10952867 | 1 | PS | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | U | 21427 | CAPSULE | |||||||
| 109528672 | 10952867 | 2 | C | NEUROTIN /00949202/ | ACETYLCARNITINE HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 3 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 4 | C | AMITRIPTYLINE HCL | AMITRIPTYLINE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 5 | C | IBUPROFEN. | IBUPROFEN | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 6 | C | LYRICA | PREGABALIN | 1 | Oral | 75 MG, BID | U | U | 0 | 75 | MG | BID | |||||
| 109528672 | 10952867 | 7 | C | QUESTRAN | CHOLESTYRAMINE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 8 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 20 MG, UNKNOWN | U | U | 0 | 20 | MG | ||||||
| 109528672 | 10952867 | 9 | C | BACLOFEN. | BACLOFEN | 1 | Oral | 20 MG, UNKNOWN | U | U | 0 | 20 | MG | ||||||
| 109528672 | 10952867 | 10 | C | DICYCLOMINE HCL | DICYCLOMINE HYDROCHLORIDE | 1 | Oral | 10 MG, UNK | U | U | 0 | 10 | MG | ||||||
| 109528672 | 10952867 | 11 | C | LOPERAMIDE | LOPERAMIDE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 12 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 13 | C | ROPINIROLE HYDROCHLORIDE. | ROPINIROLE HYDROCHLORIDE | 1 | Oral | 0.25 MG, QD | U | U | 0 | .25 | MG | QD | |||||
| 109528672 | 10952867 | 14 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Oral | 40 MG, UNKNOWN | U | U | 0 | 40 | MG | ||||||
| 109528672 | 10952867 | 15 | C | VESICARE | SOLIFENACIN SUCCINATE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 16 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | Oral | 15 MG, QD | U | U | 0 | 15 | MG | QD | |||||
| 109528672 | 10952867 | 17 | C | REQUIP | ROPINIROLE HYDROCHLORIDE | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 18 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 19 | C | ESCITALOPRAM OXALATE. | ESCITALOPRAM OXALATE | 1 | Oral | 10 MG, QD | U | U | 0 | 10 | MG | QD | |||||
| 109528672 | 10952867 | 20 | C | CYANOCOBALAMIN. | CYANOCOBALAMIN | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 21 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | UNK UNK, UNKNOWN | U | U | 0 | ||||||||
| 109528672 | 10952867 | 22 | C | ATENOLOL. | ATENOLOL | 1 | Oral | 50 MG, UNKNOWN | U | U | 0 | 50 | MG | ||||||
| 109528672 | 10952867 | 23 | C | FENTANYL. | FENTANYL | 1 | Unknown | UNK, UNKNOWN | 0 | ||||||||||
| 109528672 | 10952867 | 24 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Respiratory (inhalation) | 18 UG, QD | 0 | 18 | UG | QD | |||||||
| 109528672 | 10952867 | 25 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Respiratory (inhalation) | UNK UNK, BID | 0 | BID | |||||||||
| 109528672 | 10952867 | 26 | C | ATORVASTATIN CALCIUM. | ATORVASTATIN CALCIUM | 1 | Oral | 10 UNK, UNK | 0 | 10 | MG | ||||||||
| 109528672 | 10952867 | 27 | C | BACTRIM DS | SULFAMETHOXAZOLETRIMETHOPRIM | 1 | Oral | 800 MG, UNK | 0 | 800 | MG | ||||||||
| 109528672 | 10952867 | 28 | C | LIDOCAINE /00033402/ | LIDOCAINE | 1 | Unknown | 5 %, UNK | 0 | 5 | PCT | ||||||||
| 109528672 | 10952867 | 29 | C | PERCOCET /00446701/ | ACETAMINOPHENOXYCODONE HYDROCHLORIDEOXYCODONE TEREPHTHALATE | 1 | Oral | 0 | |||||||||||
| 109528672 | 10952867 | 30 | C | PREVALITE | CHOLESTYRAMINE | 1 | Oral | 4 MG, UNK | 0 | 4 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 109528672 | 10952867 | 1 | Product used for unknown indication |
| 109528672 | 10952867 | 2 | Product used for unknown indication |
| 109528672 | 10952867 | 3 | Product used for unknown indication |
| 109528672 | 10952867 | 4 | Product used for unknown indication |
| 109528672 | 10952867 | 5 | Product used for unknown indication |
| 109528672 | 10952867 | 6 | Product used for unknown indication |
| 109528672 | 10952867 | 7 | Product used for unknown indication |
| 109528672 | 10952867 | 8 | Product used for unknown indication |
| 109528672 | 10952867 | 9 | Product used for unknown indication |
| 109528672 | 10952867 | 10 | Product used for unknown indication |
| 109528672 | 10952867 | 11 | Product used for unknown indication |
| 109528672 | 10952867 | 12 | Product used for unknown indication |
| 109528672 | 10952867 | 13 | Product used for unknown indication |
| 109528672 | 10952867 | 14 | Product used for unknown indication |
| 109528672 | 10952867 | 15 | Product used for unknown indication |
| 109528672 | 10952867 | 16 | Product used for unknown indication |
| 109528672 | 10952867 | 17 | Restless legs syndrome |
| 109528672 | 10952867 | 18 | Product used for unknown indication |
| 109528672 | 10952867 | 19 | Product used for unknown indication |
| 109528672 | 10952867 | 20 | Product used for unknown indication |
| 109528672 | 10952867 | 21 | Product used for unknown indication |
| 109528672 | 10952867 | 22 | Product used for unknown indication |
| 109528672 | 10952867 | 26 | Product used for unknown indication |
| 109528672 | 10952867 | 27 | Product used for unknown indication |
| 109528672 | 10952867 | 28 | Product used for unknown indication |
| 109528672 | 10952867 | 29 | Product used for unknown indication |
| 109528672 | 10952867 | 30 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 109528672 | 10952867 | Depression | |
| 109528672 | 10952867 | Drug hypersensitivity |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |