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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111056843 | 11105684 | 3 | F | 20160831 | 20150512 | 20160901 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2015-028353 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111056843 | 11105684 | 1 | PS | ELIQUIS | APIXABAN | 1 | Unknown | U | 202155 | ||||||||||
| 111056843 | 11105684 | 2 | SS | COUMADIN | WARFARIN SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 3 | SS | BUSPAR | BUSPIRONE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 4 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 5 | SS | LIPITOR | ATORVASTATIN CALCIUM | 1 | Oral | 200 MG, QD @ BEDTIME | 0 | 200 | MG | QD | |||||||
| 111056843 | 11105684 | 6 | SS | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 7 | C | LOPRESSOR | METOPROLOL TARTRATE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 8 | C | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Unknown | UNK | U | 0 | |||||||||
| 111056843 | 11105684 | 9 | C | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 10 | C | NEURONTIN | GABAPENTIN | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 11 | C | LOZAR | 2 | Unknown | U | 0 | |||||||||||
| 111056843 | 11105684 | 12 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 13 | C | VITAMIN K | PHYTONADIONE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 14 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 15 | C | CA | 2 | Unknown | U | 0 | |||||||||||
| 111056843 | 11105684 | 16 | C | ANTIVERT /00007101/ | MECLIZINE MONOHYDROCHLORIDENIACIN | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 17 | C | AMBIEN | ZOLPIDEM TARTRATE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 18 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 19 | C | PRAVACHOL | PRAVASTATIN SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 20 | C | COZAAR | LOSARTAN POTASSIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 21 | C | COLACE | DOCUSATE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 22 | C | CYANOCOBALAMIN. | CYANOCOBALAMIN | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 23 | C | FISH OIL | FISH OIL | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 24 | C | HYDROCODONE | HYDROCODONE | 1 | Unknown | U | 0 | ||||||||||
| 111056843 | 11105684 | 25 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111056843 | 11105684 | 1 | Product used for unknown indication |
| 111056843 | 11105684 | 2 | Product used for unknown indication |
| 111056843 | 11105684 | 3 | Product used for unknown indication |
| 111056843 | 11105684 | 4 | Product used for unknown indication |
| 111056843 | 11105684 | 5 | Blood cholesterol |
| 111056843 | 11105684 | 6 | Product used for unknown indication |
| 111056843 | 11105684 | 7 | Product used for unknown indication |
| 111056843 | 11105684 | 8 | Product used for unknown indication |
| 111056843 | 11105684 | 9 | Product used for unknown indication |
| 111056843 | 11105684 | 10 | Product used for unknown indication |
| 111056843 | 11105684 | 11 | Product used for unknown indication |
| 111056843 | 11105684 | 12 | Product used for unknown indication |
| 111056843 | 11105684 | 13 | Product used for unknown indication |
| 111056843 | 11105684 | 14 | Product used for unknown indication |
| 111056843 | 11105684 | 15 | Product used for unknown indication |
| 111056843 | 11105684 | 16 | Product used for unknown indication |
| 111056843 | 11105684 | 17 | Product used for unknown indication |
| 111056843 | 11105684 | 18 | Product used for unknown indication |
| 111056843 | 11105684 | 19 | Product used for unknown indication |
| 111056843 | 11105684 | 20 | Product used for unknown indication |
| 111056843 | 11105684 | 21 | Product used for unknown indication |
| 111056843 | 11105684 | 22 | Product used for unknown indication |
| 111056843 | 11105684 | 23 | Product used for unknown indication |
| 111056843 | 11105684 | 24 | Product used for unknown indication |
| 111056843 | 11105684 | 25 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111056843 | 11105684 | Contraindicated product administered | |
| 111056843 | 11105684 | Drug hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 111056843 | 11105684 | 5 | 20011212 | 201109 | 0 |