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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111876765 | 11187676 | 5 | F | 20141103 | 20160616 | 20150615 | 20160912 | PER | US-JNJFOC-20150519196 | JANSSEN | 58.16 | YR | A | M | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111876765 | 11187676 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 111876765 | 11187676 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 3 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 4 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 5 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 6 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 111876765 | 11187676 | 7 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 8 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 9 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 111876765 | 11187676 | 10 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 11 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 111876765 | 11187676 | 12 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 13 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 111876765 | 11187676 | 14 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 111876765 | 11187676 | 15 | PS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 22406 | TABLET | |||||||
| 111876765 | 11187676 | 16 | SS | COUMADIN | WARFARIN SODIUM | 1 | Unknown | DOSE: 5-7.5 MG | U | 0 | UNSPECIFIED | ||||||||
| 111876765 | 11187676 | 17 | C | DILTIAZEM. | DILTIAZEM | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 111876765 | 11187676 | 18 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111876765 | 11187676 | 1 | Thrombosis prophylaxis |
| 111876765 | 11187676 | 2 | Thrombosis prophylaxis |
| 111876765 | 11187676 | 3 | Thrombosis prophylaxis |
| 111876765 | 11187676 | 4 | Deep vein thrombosis |
| 111876765 | 11187676 | 5 | Deep vein thrombosis |
| 111876765 | 11187676 | 6 | Deep vein thrombosis |
| 111876765 | 11187676 | 7 | Pulmonary embolism |
| 111876765 | 11187676 | 8 | Pulmonary embolism |
| 111876765 | 11187676 | 9 | Pulmonary embolism |
| 111876765 | 11187676 | 10 | Cerebrovascular accident prophylaxis |
| 111876765 | 11187676 | 11 | Cerebrovascular accident prophylaxis |
| 111876765 | 11187676 | 12 | Cerebrovascular accident prophylaxis |
| 111876765 | 11187676 | 13 | Atrial fibrillation |
| 111876765 | 11187676 | 14 | Atrial fibrillation |
| 111876765 | 11187676 | 15 | Atrial fibrillation |
| 111876765 | 11187676 | 16 | Atrial fibrillation |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111876765 | 11187676 | HO |
| 111876765 | 11187676 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111876765 | 11187676 | Gastrointestinal haemorrhage | |
| 111876765 | 11187676 | 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 |
|---|---|---|---|---|---|---|
| 111876765 | 11187676 | 1 | 20141004 | 20141103 | 0 | |
| 111876765 | 11187676 | 2 | 201408 | 0 | ||
| 111876765 | 11187676 | 5 | 201408 | 0 | ||
| 111876765 | 11187676 | 6 | 20141004 | 20141103 | 0 | |
| 111876765 | 11187676 | 7 | 201408 | 0 | ||
| 111876765 | 11187676 | 9 | 20141004 | 20141103 | 0 | |
| 111876765 | 11187676 | 11 | 20141004 | 20141103 | 0 | |
| 111876765 | 11187676 | 12 | 201408 | 0 | ||
| 111876765 | 11187676 | 14 | 20141004 | 20141103 | 0 | |
| 111876765 | 11187676 | 15 | 201408 | 0 | ||
| 111876765 | 11187676 | 16 | 20130608 | 0 | ||
| 111876765 | 11187676 | 17 | 20090203 | 0 | ||
| 111876765 | 11187676 | 18 | 20090203 | 0 |