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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112039166 | 11203916 | 6 | F | 201603 | 20160830 | 20150619 | 20160901 | EXP | US-GLAXOSMITHKLINE-US2015GSK086196 | GLAXOSMITHKLINE | 58.40 | YR | F | Y | 0.00000 | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112039166 | 11203916 | 1 | PS | LAMICTAL XR | LAMOTRIGINE | 1 | Unknown | UNK, U | U | 22115 | 200 | MG | PROLONGED-RELEASE TABLET | ||||||
| 112039166 | 11203916 | 2 | SS | NARDIL | PHENELZINE SULFATE | 1 | UNK | U | 2364004 | 0 | |||||||||
| 112039166 | 11203916 | 3 | SS | NARDIL | PHENELZINE SULFATE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 112039166 | 11203916 | 1 | Seizure |
| 112039166 | 11203916 | 2 | Antidepressant therapy |
| 112039166 | 11203916 | 3 | Anxiety |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 112039166 | 11203916 | HO |
| 112039166 | 11203916 | DS |
| 112039166 | 11203916 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 112039166 | 11203916 | Adverse event | |
| 112039166 | 11203916 | Disability | |
| 112039166 | 11203916 | Drug dose omission | |
| 112039166 | 11203916 | Drug ineffective | |
| 112039166 | 11203916 | Hospitalisation | |
| 112039166 | 11203916 | Road traffic accident |
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 |
|---|---|---|---|---|---|---|
| 112039166 | 11203916 | 1 | 2007 | 0 | ||
| 112039166 | 11203916 | 2 | 201603 | 0 |