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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
115565035 | 11556503 | 5 | F | 20080703 | 20160827 | 20150925 | 20160904 | EXP | US-DSJP-DSU-2015-129601 | DAIICHI | 0.00 | Y | 0.00000 | 20160903 | 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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
115565035 | 11556503 | 1 | PS | BENICAR | OLMESARTAN MEDOXOMIL | 1 | Oral | 40 MG, QD | 21286 | 40 | MG | TABLET | QD | ||||||
115565035 | 11556503 | 2 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | 325 MG, QD | 0 | 325 | MG | QD |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
115565035 | 11556503 | 1 | Hypertension |
115565035 | 11556503 | 2 | Coagulopathy |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
115565035 | 11556503 | HO |
115565035 | 11556503 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
115565035 | 11556503 | Acute kidney injury | |
115565035 | 11556503 | Decreased appetite | |
115565035 | 11556503 | Depression | |
115565035 | 11556503 | Diarrhoea haemorrhagic | |
115565035 | 11556503 | Diverticulum intestinal | |
115565035 | 11556503 | Gastrointestinal wall thickening | |
115565035 | 11556503 | Hypotension | |
115565035 | 11556503 | Malabsorption | |
115565035 | 11556503 | Pyrexia | |
115565035 | 11556503 | Retching | |
115565035 | 11556503 | Surgery | |
115565035 | 11556503 | Umbilical hernia |
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 |
---|---|---|---|---|---|---|
115565035 | 11556503 | 1 | 200409 | 20150619 | 0 |