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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111874204 | 11187420 | 4 | F | 20140131 | 20160622 | 20150615 | 20160725 | PER | US-JNJFOC-20150517610 | JANSSEN | 57.17 | YR | A | F | Y | 0.00000 | 20160725 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111874204 | 11187420 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 0 | 20 | MG | TABLET | BID | ||||
| 111874204 | 11187420 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 0 | 20 | MG | TABLET | QD | ||||
| 111874204 | 11187420 | 3 | SS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 0 | 20 | MG | TABLET | BID | ||||
| 111874204 | 11187420 | 4 | SS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 0 | 20 | MG | TABLET | QD | ||||
| 111874204 | 11187420 | 5 | SS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 0 | 20 | MG | TABLET | BID | ||||
| 111874204 | 11187420 | 6 | PS | XARELTO | RIVAROXABAN | 1 | Oral | Y | N | UNKNOWN | 202439 | 20 | MG | TABLET | QD | ||||
| 111874204 | 11187420 | 7 | SS | IBUPROFEN. | IBUPROFEN | 1 | Unknown | U | U | 19012 | UNSPECIFIED | ||||||||
| 111874204 | 11187420 | 8 | SS | IBUPROFEN. | IBUPROFEN | 1 | Unknown | U | U | 19012 | UNSPECIFIED | ||||||||
| 111874204 | 11187420 | 9 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 111874204 | 11187420 | 10 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | 0 | 20 | MG | UNSPECIFIED | ||||||||
| 111874204 | 11187420 | 11 | C | KLOR-CON | POTASSIUM CHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 111874204 | 11187420 | 12 | C | PACERONE | AMIODARONE HYDROCHLORIDE | 1 | Unknown | 0 | 200 | MG | UNSPECIFIED | ||||||||
| 111874204 | 11187420 | 13 | C | HCTZ | HYDROCHLOROTHIAZIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 111874204 | 11187420 | 14 | C | LOSARTAN. | LOSARTAN | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 111874204 | 11187420 | 15 | C | NIFEDIPINE. | NIFEDIPINE | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111874204 | 11187420 | 1 | Thrombosis prophylaxis |
| 111874204 | 11187420 | 2 | Thrombosis prophylaxis |
| 111874204 | 11187420 | 3 | Cerebrovascular accident prophylaxis |
| 111874204 | 11187420 | 4 | Cerebrovascular accident prophylaxis |
| 111874204 | 11187420 | 5 | Atrial fibrillation |
| 111874204 | 11187420 | 6 | Atrial fibrillation |
| 111874204 | 11187420 | 8 | Product used for unknown indication |
| 111874204 | 11187420 | 9 | Product used for unknown indication |
| 111874204 | 11187420 | 10 | Product used for unknown indication |
| 111874204 | 11187420 | 11 | Product used for unknown indication |
| 111874204 | 11187420 | 12 | Product used for unknown indication |
| 111874204 | 11187420 | 13 | Product used for unknown indication |
| 111874204 | 11187420 | 14 | Product used for unknown indication |
| 111874204 | 11187420 | 15 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111874204 | 11187420 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111874204 | 11187420 | Gastrointestinal haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 111874204 | 11187420 | 1 | 20130808 | 20140131 | 0 | |
| 111874204 | 11187420 | 2 | 20140715 | 0 | ||
| 111874204 | 11187420 | 3 | 20130808 | 20140131 | 0 | |
| 111874204 | 11187420 | 4 | 20140715 | 0 | ||
| 111874204 | 11187420 | 5 | 20130808 | 20140131 | 0 | |
| 111874204 | 11187420 | 6 | 20140715 | 0 |