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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111940554 | 11194055 | 4 | F | 201111 | 20151017 | 20150616 | 20160720 | EXP | US-DSJP-DSU-2014-126514 | DAIICHI | 59.55 | YR | F | Y | 82.99000 | KG | 20160718 | MD | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111940554 | 11194055 | 1 | PS | BENICAR HCT | HYDROCHLOROTHIAZIDEOLMESARTAN MEDOXOMIL | 1 | UNK | Y | 21532 | FILM-COATED TABLET | |||||||||
| 111940554 | 11194055 | 2 | SS | BENICAR | OLMESARTAN MEDOXOMIL | 1 | UNK | Y | 0 | TABLET | |||||||||
| 111940554 | 11194055 | 3 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | 400 IU, QD | 0 | 400 | IU | QD | ||||||||
| 111940554 | 11194055 | 4 | C | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 5 | C | METRONIDAZOLE. | METRONIDAZOLE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 6 | C | SACCHAROMYCES BOULARDII | SACCHAROMYCES CEREVISIAE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 7 | C | ZOFRAN | ONDANSETRON HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 8 | C | BENEFIBER /00677201/ | ICODEXTRIN | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 9 | C | POTASSIUM CHLORIDE. | POTASSIUM CHLORIDE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 10 | C | FLAGYL | METRONIDAZOLEMETRONIDAZOLE HYDROCHLORIDE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 11 | C | ZOCOR | SIMVASTATIN | 1 | 40 MG, QD | 0 | 40 | MG | QD | ||||||||
| 111940554 | 11194055 | 12 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | 10 MG, QD | 0 | 10 | MG | QD | ||||||||
| 111940554 | 11194055 | 13 | C | OPTIVAR | AZELASTINE HYDROCHLORIDE | 1 | Ophthalmic | 1 GTT, BOTH EYES, BID, PRN | 0 | 1 | GTT | BID | |||||||
| 111940554 | 11194055 | 14 | C | OMNARIS | CICLESONIDE | 1 | 50 ?G, QD, 2 SPRAYS IN EACH NOSTRIL | 0 | 50 | UG | QD | ||||||||
| 111940554 | 11194055 | 15 | C | TOPROL XL | METOPROLOL SUCCINATE | 1 | 50 MG, QD | 0 | 50 | MG | QD | ||||||||
| 111940554 | 11194055 | 16 | C | PROTONIX | PANTOPRAZOLE SODIUM | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 17 | C | AMBIEN CR | ZOLPIDEM TARTRATE | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 18 | C | LORAZEPAM. | LORAZEPAM | 1 | UNK | 0 | |||||||||||
| 111940554 | 11194055 | 19 | C | GLUCOSAMINE + CHONDROITIN WITH MSM /05199601/ | 2 | UNK | 0 | ||||||||||||
| 111940554 | 11194055 | 20 | C | ERYTHROMYCIN. | ERYTHROMYCIN | 1 | Intradermal | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111940554 | 11194055 | 1 | Hypertension |
| 111940554 | 11194055 | 2 | Hypertension |
| 111940554 | 11194055 | 3 | Product used for unknown indication |
| 111940554 | 11194055 | 4 | Product used for unknown indication |
| 111940554 | 11194055 | 5 | Product used for unknown indication |
| 111940554 | 11194055 | 6 | Product used for unknown indication |
| 111940554 | 11194055 | 7 | Product used for unknown indication |
| 111940554 | 11194055 | 8 | Product used for unknown indication |
| 111940554 | 11194055 | 9 | Product used for unknown indication |
| 111940554 | 11194055 | 10 | Product used for unknown indication |
| 111940554 | 11194055 | 11 | Product used for unknown indication |
| 111940554 | 11194055 | 12 | Product used for unknown indication |
| 111940554 | 11194055 | 13 | Product used for unknown indication |
| 111940554 | 11194055 | 14 | Product used for unknown indication |
| 111940554 | 11194055 | 15 | Product used for unknown indication |
| 111940554 | 11194055 | 16 | Product used for unknown indication |
| 111940554 | 11194055 | 17 | Product used for unknown indication |
| 111940554 | 11194055 | 18 | Product used for unknown indication |
| 111940554 | 11194055 | 19 | Product used for unknown indication |
| 111940554 | 11194055 | 20 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111940554 | 11194055 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111940554 | 11194055 | Abdominal distension | |
| 111940554 | 11194055 | Acute kidney injury | |
| 111940554 | 11194055 | Emotional distress | |
| 111940554 | 11194055 | Impaired self-care | |
| 111940554 | 11194055 | Malabsorption | |
| 111940554 | 11194055 | Pain |
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 |
|---|---|---|---|---|---|---|
| 111940554 | 11194055 | 1 | 200901 | 201204 | 0 | |
| 111940554 | 11194055 | 2 | 200910 | 200911 | 0 | |
| 111940554 | 11194055 | 3 | 2011 | 0 | ||
| 111940554 | 11194055 | 11 | 2003 | 0 | ||
| 111940554 | 11194055 | 12 | 200508 | 0 | ||
| 111940554 | 11194055 | 13 | 2009 | 0 | ||
| 111940554 | 11194055 | 14 | 201004 | 0 | ||
| 111940554 | 11194055 | 15 | 200912 | 201204 | 0 | |
| 111940554 | 11194055 | 16 | 201111 | 0 | ||
| 111940554 | 11194055 | 17 | 200711 | 201405 | 0 | |
| 111940554 | 11194055 | 18 | 200611 | 201405 | 0 | |
| 111940554 | 11194055 | 19 | 2008 | 201406 | 0 | |
| 111940554 | 11194055 | 20 | 200211 | 201204 | 0 |