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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113366833 | 11336683 | 3 | F | 2008 | 20160708 | 20150804 | 20160713 | EXP | US-ALLERGAN-1514972US | ALLERGAN | 79.00 | YR | F | Y | 74.83000 | KG | 20160713 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 113366833 | 11336683 | 1 | PS | RESTASIS | CYCLOSPORINE | 1 | Ophthalmic | 2 GTT, BID | 86644 | 50790 | 2 | GTT | EYE DROPS | BID | |||||
| 113366833 | 11336683 | 2 | SS | SYSTANE (HYPROMELLOSE 2910 (4000 MPA.S)) | HYPROMELLOSE 2910 (4000 MPA.S) | 1 | Ophthalmic | IN BETWEEN USING RESTASIS | 0 | ||||||||||
| 113366833 | 11336683 | 3 | C | ZYRTEC | CETIRIZINE HYDROCHLORIDE | 1 | Oral | U | 0 | ||||||||||
| 113366833 | 11336683 | 4 | C | METOPROLOL. | METOPROLOL | 1 | Oral | UNK | U | 0 | |||||||||
| 113366833 | 11336683 | 5 | C | LIPITOR | ATORVASTATIN CALCIUM | 1 | Ophthalmic | UNK | U | 0 | |||||||||
| 113366833 | 11336683 | 6 | C | ZETIA | EZETIMIBE | 1 | Oral | UNK | U | 0 | |||||||||
| 113366833 | 11336683 | 7 | C | LISINOPRIL. | LISINOPRIL | 1 | Oral | UNK | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 113366833 | 11336683 | 1 | Dry eye |
| 113366833 | 11336683 | 2 | Dry eye |
| 113366833 | 11336683 | 3 | Seasonal allergy |
| 113366833 | 11336683 | 4 | Cardiac disorder |
| 113366833 | 11336683 | 5 | Cardiac disorder |
| 113366833 | 11336683 | 6 | Cardiac disorder |
| 113366833 | 11336683 | 7 | Cardiac disorder |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 113366833 | 11336683 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 113366833 | 11336683 | Aortic aneurysm | |
| 113366833 | 11336683 | Drug ineffective | |
| 113366833 | 11336683 | Eye 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 |
|---|---|---|---|---|---|---|
| 113366833 | 11336683 | 1 | 2008 | 0 |