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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111875264 | 11187526 | 4 | F | 201410 | 20160802 | 20150615 | 20160809 | EXP | US-JNJFOC-20150519197 | JANSSEN | 71.81 | YR | E | M | Y | 0.00000 | 20160809 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111875264 | 11187526 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 0 | TABLET | |||||||
| 111875264 | 11187526 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 0 | TABLET | |||||||
| 111875264 | 11187526 | 3 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 0 | TABLET | |||||||
| 111875264 | 11187526 | 4 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 0 | TABLET | |||||||
| 111875264 | 11187526 | 5 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 0 | TABLET | |||||||
| 111875264 | 11187526 | 6 | PS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN;UNKNOWN | 22406 | TABLET | |||||||
| 111875264 | 11187526 | 7 | SS | ASPIRIN. | ASPIRIN | 1 | Oral | U | 0 | 81 | MG | TABLET | |||||||
| 111875264 | 11187526 | 8 | SS | COUMADIN | WARFARIN SODIUM | 1 | Unknown | U | 0 | 7.5 | MG | UNSPECIFIED | |||||||
| 111875264 | 11187526 | 9 | SS | LOVENOX | ENOXAPARIN SODIUM | 1 | Unknown | U | 0 | 60 | MG | UNSPECIFIED | |||||||
| 111875264 | 11187526 | 10 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Oral | 0 | 10 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 11 | C | AMLODIPINE | AMLODIPINE BESYLATE | 1 | Oral | 0 | 5 | MG | TABLET | QD | |||||||
| 111875264 | 11187526 | 12 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Oral | 0 | 25 | MG | TABLET | QD | |||||||
| 111875264 | 11187526 | 13 | C | LAC-HYDRIN | AMMONIUM LACTATE | 1 | Unknown | 0 | 12 | PCT | LOTION | ||||||||
| 111875264 | 11187526 | 14 | C | TAMSULOSIN | TAMSULOSIN | 1 | Oral | 0 | .4 | MG | CAPSULE | ||||||||
| 111875264 | 11187526 | 15 | C | SEROQUEL | QUETIAPINE FUMARATE | 1 | Oral | 0 | 50 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 16 | C | ERGOCALCIFEROL. | ERGOCALCIFEROL | 1 | Oral | 0 | CAPSULE | ||||||||||
| 111875264 | 11187526 | 17 | C | VOLTAREN | DICLOFENAC SODIUM | 1 | Topical | 0 | 1 | PCT | GEL | ||||||||
| 111875264 | 11187526 | 18 | C | CLONIDINE HCL | CLONIDINE HYDROCHLORIDE | 1 | Oral | 0 | .1 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 19 | C | DONEPEZIL. | DONEPEZIL | 1 | Oral | 0 | 5 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 20 | C | FOLIC ACID. | FOLIC ACID | 1 | Oral | 0 | 1 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 21 | C | LOVASTATIN. | LOVASTATIN | 1 | Oral | 0 | 20 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 22 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Oral | 0 | 325 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 23 | C | ZADITOR NOS | 2 | Ophthalmic | 0 | .025 | PCT | DROPS | |||||||||
| 111875264 | 11187526 | 24 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | 0 | 20 | MG | TABLET | ||||||||
| 111875264 | 11187526 | 25 | C | RANITIDINE. | RANITIDINE | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111875264 | 11187526 | 1 | Thrombosis prophylaxis |
| 111875264 | 11187526 | 2 | Thrombosis prophylaxis |
| 111875264 | 11187526 | 3 | Thrombosis prophylaxis |
| 111875264 | 11187526 | 4 | Thrombosis prophylaxis |
| 111875264 | 11187526 | 5 | Thrombosis |
| 111875264 | 11187526 | 6 | Thrombosis |
| 111875264 | 11187526 | 7 | Product used for unknown indication |
| 111875264 | 11187526 | 8 | Deep vein thrombosis |
| 111875264 | 11187526 | 9 | Deep vein thrombosis |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111875264 | 11187526 | LT |
| 111875264 | 11187526 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111875264 | 11187526 | Embolism venous | |
| 111875264 | 11187526 | Haematuria | |
| 111875264 | 11187526 | Internal haemorrhage | |
| 111875264 | 11187526 | Pulmonary embolism | |
| 111875264 | 11187526 | Rectal 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 |
|---|---|---|---|---|---|---|
| 111875264 | 11187526 | 1 | 20140702 | 20141112 | 0 | |
| 111875264 | 11187526 | 2 | 20140601 | 0 | ||
| 111875264 | 11187526 | 3 | 20140702 | 20141112 | 0 | |
| 111875264 | 11187526 | 4 | 20140601 | 0 | ||
| 111875264 | 11187526 | 5 | 20140601 | 0 | ||
| 111875264 | 11187526 | 6 | 20140702 | 20141112 | 0 | |
| 111875264 | 11187526 | 9 | 201411 | 201412 | 0 |