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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117948193 | 11794819 | 3 | F | 20160722 | 20151202 | 20160727 | PER | US-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2015-BI-66794BI | BOEHRINGER INGELHEIM | 0.00 | F | Y | 0.00000 | 20160727 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 117948193 | 11794819 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 300 MG | N | 22512 | 150 | MG | CAPSULE | BID | |||||
| 117948193 | 11794819 | 2 | SS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Unknown | N | 22512 | ||||||||||
| 117948193 | 11794819 | 3 | C | ASCORBIC ACID. | ASCORBIC ACID | 1 | Oral | 1000 MG | 0 | 1000 | MG | TABLET | QD | ||||||
| 117948193 | 11794819 | 4 | C | FLUOXETINE | FLUOXETINE HYDROCHLORIDE | 1 | Oral | 10 MG | 0 | 10 | MG | CAPSULE | QD | ||||||
| 117948193 | 11794819 | 5 | C | GLUCOSAMINE | GLUCOSAMINE | 1 | Oral | 1000 MG | 0 | 500 | MG | CAPSULE | BID | ||||||
| 117948193 | 11794819 | 6 | C | HYDROCHLOROTHIAZIDE. | HYDROCHLOROTHIAZIDE | 1 | Oral | 25 MG | 0 | 25 | MG | TABLET | QD | ||||||
| 117948193 | 11794819 | 7 | C | METOPROLOL. | METOPROLOL | 1 | Oral | 50 MG | 0 | 50 | MG | TABLET | QD | ||||||
| 117948193 | 11794819 | 8 | C | MULTIPLE VITAMIN | VITAMINS | 1 | Oral | TAKE 1 CAPSULES BY MOUTH DAILY | 0 | CAPSULE | |||||||||
| 117948193 | 11794819 | 9 | C | OMEGA-3 FATTY ACID | OMEGA-3 FATTY ACIDS | 1 | Oral | 1400 MG | 0 | 1400 | MG | QD | |||||||
| 117948193 | 11794819 | 10 | C | TOLTERODINE | TOLTERODINE | 1 | Oral | 4 MG | 0 | 4 | MG | CAPSULE | QD | ||||||
| 117948193 | 11794819 | 11 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | Unknown | 0 | 10 | MG | |||||||||
| 117948193 | 11794819 | 12 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 117948193 | 11794819 | 1 | Atrial fibrillation |
| 117948193 | 11794819 | 3 | Product used for unknown indication |
| 117948193 | 11794819 | 4 | Product used for unknown indication |
| 117948193 | 11794819 | 5 | Product used for unknown indication |
| 117948193 | 11794819 | 6 | Product used for unknown indication |
| 117948193 | 11794819 | 7 | Product used for unknown indication |
| 117948193 | 11794819 | 8 | Product used for unknown indication |
| 117948193 | 11794819 | 9 | Product used for unknown indication |
| 117948193 | 11794819 | 10 | Product used for unknown indication |
| 117948193 | 11794819 | 11 | Fatigue |
| 117948193 | 11794819 | 12 | Depressed mood |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 117948193 | 11794819 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 117948193 | 11794819 | Gastrointestinal haemorrhage | |
| 117948193 | 11794819 | Haemorrhagic anaemia |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |