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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114233892 | 11423389 | 2 | F | 20150907 | 20150827 | 20160823 | PER | US-MYLANLABS-2015M1021422 | MYLAN | 0.00 | M | Y | 82.54000 | KG | 20160823 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 114233892 | 11423389 | 1 | PS | CLONIDINE TRANSDERMAL SYSTEM | CLONIDINE | 1 | Transdermal | 0.2 MG, QD, CHANGED QW | N | 614027 | 76166 | .2 | MG | TRANSDERMAL PATCH | QD | ||||
| 114233892 | 11423389 | 2 | SS | CLONIDINE. | CLONIDINE | 1 | UNK | N | 76166 | CUTANEOUS PATCH | |||||||||
| 114233892 | 11423389 | 3 | C | QVAR | BECLOMETHASONE DIPROPIONATE | 1 | UNK | 0 | |||||||||||
| 114233892 | 11423389 | 4 | C | DILTIAZEM. | DILTIAZEM | 1 | UNK | 0 | |||||||||||
| 114233892 | 11423389 | 5 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | UNK | 0 | |||||||||||
| 114233892 | 11423389 | 6 | C | MULTIVITAMIN /00097801/ | VITAMINS | 1 | UNK | 0 | |||||||||||
| 114233892 | 11423389 | 7 | C | VENTOLIN | ALBUTEROL SULFATE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 114233892 | 11423389 | 1 | Hypertension |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 114233892 | 11423389 | Application site rash |
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 |
|---|---|---|---|---|---|---|
| 114233892 | 11423389 | 1 | 20150401 | 20150610 | 0 | |
| 114233892 | 11423389 | 2 | 20150401 | 20150610 | 0 |