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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
117799955 | 11779995 | 5 | F | 20150907 | 20160711 | 20151125 | 20160721 | EXP | IT-TAKEDA-2015TJP022101 | TAKEDA | 61.00 | YR | M | Y | 0.00000 | 20160721 | MD | IT | IT |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
117799955 | 11779995 | 1 | PS | LANSOPRAZOLE. | LANSOPRAZOLE | 1 | Oral | UNK | U | 20406 | |||||||||
117799955 | 11779995 | 2 | SS | Bisoprolol | BISOPROLOL | 1 | Oral | 105 MG, UNK | U | 0 | 105 | MG | |||||||
117799955 | 11779995 | 3 | SS | DELTACORTENE | PREDNISONE | 1 | Oral | UNK | U | 0 | TABLET | ||||||||
117799955 | 11779995 | 4 | SS | VALIUM | DIAZEPAM | 1 | Oral | 20 ML, TOTAL | U | 0 | 20 | ML |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
117799955 | 11779995 | 1 | Drug abuse |
117799955 | 11779995 | 2 | Drug abuse |
117799955 | 11779995 | 3 | Drug abuse |
117799955 | 11779995 | 4 | Drug abuse |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
117799955 | 11779995 | HO |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
117799955 | 11779995 | Drug abuse | |
117799955 | 11779995 | Electrocardiogram ST segment abnormal | |
117799955 | 11779995 | Intentional self-injury | |
117799955 | 11779995 | Sopor |
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 |
---|---|---|---|---|---|---|
117799955 | 11779995 | 1 | 20150907 | 20150907 | 0 | |
117799955 | 11779995 | 2 | 20150907 | 20150907 | 0 | |
117799955 | 11779995 | 3 | 20150907 | 20150907 | 0 | |
117799955 | 11779995 | 4 | 20150907 | 20150907 | 0 |