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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116136893 | 11613689 | 3 | F | 20160721 | 20151008 | 20160802 | PER | US-BAYER-2015-434036 | BAYER | 0.00 | M | Y | 82.54000 | KG | 20160802 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 116136893 | 11613689 | 1 | PS | AVELOX | MOXIFLOXACIN HYDROCHLORIDE | 1 | UNK | 21085 | FILM-COATED TABLET | ||||||||||
| 116136893 | 11613689 | 2 | SS | CIPRO | CIPROFLOXACIN HYDROCHLORIDE | 1 | 400 MG, UNK | 0 | 400 | MG | TABLET | ||||||||
| 116136893 | 11613689 | 3 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | UNK | 0 | |||||||||||
| 116136893 | 11613689 | 4 | C | TORADOL | KETOROLAC TROMETHAMINE | 1 | UNK | 0 | |||||||||||
| 116136893 | 11613689 | 5 | C | DOXYCYCLINE. | DOXYCYCLINE | 1 | 0 | ||||||||||||
| 116136893 | 11613689 | 6 | C | ELAVIL | AMITRIPTYLINE HYDROCHLORIDE | 1 | 0 | ||||||||||||
| 116136893 | 11613689 | 7 | C | TRAMADOL. | TRAMADOL | 1 | 0 | ||||||||||||
| 116136893 | 11613689 | 8 | C | LORTAB | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | 0 | ||||||||||||
| 116136893 | 11613689 | 9 | C | MEDROL | METHYLPREDNISOLONE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 116136893 | 11613689 | 1 | Appendicitis |
| 116136893 | 11613689 | 2 | Appendicitis |
| 116136893 | 11613689 | 4 | Pain |
| 116136893 | 11613689 | 5 | Micturition disorder |
| 116136893 | 11613689 | 6 | Arthralgia |
| 116136893 | 11613689 | 7 | Pain |
| 116136893 | 11613689 | 8 | Back pain |
| 116136893 | 11613689 | 9 | Pain |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 116136893 | 11613689 | Cardiovascular disorder | |
| 116136893 | 11613689 | Emotional distress | |
| 116136893 | 11613689 | Injury | |
| 116136893 | 11613689 | Mental disorder | |
| 116136893 | 11613689 | Musculoskeletal injury | |
| 116136893 | 11613689 | Musculoskeletal pain | |
| 116136893 | 11613689 | Nervous system disorder | |
| 116136893 | 11613689 | Neuropathy peripheral | |
| 116136893 | 11613689 | Pain | |
| 116136893 | 11613689 | Skin injury |
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 |
|---|---|---|---|---|---|---|
| 116136893 | 11613689 | 1 | 20111025 | 201111 | 0 | |
| 116136893 | 11613689 | 2 | 20111022 | 20111025 | 0 | |
| 116136893 | 11613689 | 3 | 2012 | 0 | ||
| 116136893 | 11613689 | 4 | 201110 | 0 |