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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112686404 | 11268640 | 4 | F | 20140813 | 20160720 | 20150714 | 20160801 | EXP | US-JNJFOC-20150704859 | JANSSEN | 62.93 | YR | A | F | Y | 90.27000 | KG | 20160801 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 112686404 | 11268640 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 112686404 | 11268640 | 2 | PS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 22406 | 10 | MG | TABLET | |||||
| 112686404 | 11268640 | 3 | SS | AGGRENOX | ASPIRINDIPYRIDAMOLE | 1 | U | 0 | |||||||||||
| 112686404 | 11268640 | 4 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 112686404 | 11268640 | 5 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | 0 | ||||||||||||
| 112686404 | 11268640 | 6 | C | PRILOSEC | OMEPRAZOLE MAGNESIUM | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 112686404 | 11268640 | 1 | Deep vein thrombosis |
| 112686404 | 11268640 | 2 | Deep vein thrombosis |
| 112686404 | 11268640 | 3 | Product used for unknown indication |
| 112686404 | 11268640 | 4 | Product used for unknown indication |
| 112686404 | 11268640 | 5 | Product used for unknown indication |
| 112686404 | 11268640 | 6 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 112686404 | 11268640 | HO |
| 112686404 | 11268640 | LT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 112686404 | 11268640 | Anaemia | |
| 112686404 | 11268640 | Lower gastrointestinal haemorrhage | |
| 112686404 | 11268640 | Shock haemorrhagic |
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 |
|---|---|---|---|---|---|---|
| 112686404 | 11268640 | 1 | 20140801 | 20141016 | 0 | |
| 112686404 | 11268640 | 2 | 20140715 | 20141002 | 0 |