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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118271312 | 11827131 | 2 | F | 20160902 | 20151211 | 20160912 | EXP | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2015-085320 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160912 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118271312 | 11827131 | 1 | PS | ABILIFY | ARIPIPRAZOLE | 1 | Unknown | 10 MG, QD | Y | 21436 | 10 | MG | TABLET | QD | |||||
| 118271312 | 11827131 | 2 | C | PROZAC | FLUOXETINE HYDROCHLORIDE | 1 | Unknown | 40 MG, UNK | U | 0 | 40 | MG | |||||||
| 118271312 | 11827131 | 3 | C | MIRTAZAPINE. | MIRTAZAPINE | 1 | Unknown | 30 MG, UNK | U | 0 | 30 | MG | |||||||
| 118271312 | 11827131 | 4 | C | VALIUM | DIAZEPAM | 1 | Unknown | 5 MG, PRN | U | 0 | 5 | MG | |||||||
| 118271312 | 11827131 | 5 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Unknown | 10 MG, TID | U | 0 | 10 | MG | TID | ||||||
| 118271312 | 11827131 | 6 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | 1 DF, Q6H | U | 0 | 1 | DF | QID | ||||||
| 118271312 | 11827131 | 7 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | U | 0 | |||||||||||
| 118271312 | 11827131 | 8 | C | NORCO | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | U | 0 | |||||||||||
| 118271312 | 11827131 | 9 | C | PREVACID | LANSOPRAZOLE | 1 | Unknown | 30 MG, UNK | U | 0 | 30 | MG | |||||||
| 118271312 | 11827131 | 10 | C | PHENERGAN | PROMETHAZINE HYDROCHLORIDE | 1 | Unknown | 25 MG, PRN | U | 0 | 25 | MG | |||||||
| 118271312 | 11827131 | 11 | C | ALBUTEROL /00139501/ | ALBUTEROL | 1 | Unknown | 1 DF, PRN | U | 0 | 1 | DF | |||||||
| 118271312 | 11827131 | 12 | C | MIRALAX | POLYETHYLENE GLYCOL 3350 | 1 | Unknown | 1 DF, QD | U | 0 | 1 | DF | QD | ||||||
| 118271312 | 11827131 | 13 | C | CYTRA-K | CITRIC ACID MONOHYDRATEPOTASSIUM CITRATE | 1 | Oral | UNK | U | 0 | |||||||||
| 118271312 | 11827131 | 14 | C | PREMARIN | ESTROGENS, CONJUGATED | 1 | Unknown | 0.625 MG, UNK | U | 0 | .625 | MG | |||||||
| 118271312 | 11827131 | 15 | C | FLONASE /00908302/ | MOMETASONE FUROATE | 1 | Unknown | 1 DF, QD | U | 0 | 1 | DF | QD | ||||||
| 118271312 | 11827131 | 16 | C | ADIPEX /00131701/ | 2 | Unknown | U | 0 | |||||||||||
| 118271312 | 11827131 | 17 | C | VITAMINS /00067501/ | VITAMINS | 1 | Unknown | U | 0 | ||||||||||
| 118271312 | 11827131 | 18 | C | HYDROCODONE | HYDROCODONE | 1 | Unknown | U | 0 | ||||||||||
| 118271312 | 11827131 | 19 | C | PHENTERMINE. | PHENTERMINE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118271312 | 11827131 | 1 | Bipolar disorder |
| 118271312 | 11827131 | 2 | Insomnia |
| 118271312 | 11827131 | 3 | Insomnia |
| 118271312 | 11827131 | 4 | Prophylaxis |
| 118271312 | 11827131 | 5 | Product used for unknown indication |
| 118271312 | 11827131 | 6 | Intervertebral disc degeneration |
| 118271312 | 11827131 | 7 | Bursitis |
| 118271312 | 11827131 | 8 | Arthritis |
| 118271312 | 11827131 | 9 | Product used for unknown indication |
| 118271312 | 11827131 | 10 | Gastrointestinal disorder |
| 118271312 | 11827131 | 11 | Asthma |
| 118271312 | 11827131 | 12 | Asthma |
| 118271312 | 11827131 | 13 | Nephrolithiasis |
| 118271312 | 11827131 | 14 | Nephrolithiasis |
| 118271312 | 11827131 | 15 | Product used for unknown indication |
| 118271312 | 11827131 | 16 | Weight decreased |
| 118271312 | 11827131 | 17 | Weight decreased |
| 118271312 | 11827131 | 18 | Product used for unknown indication |
| 118271312 | 11827131 | 19 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 118271312 | 11827131 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118271312 | 11827131 | Aggression | |
| 118271312 | 11827131 | Homicidal ideation | |
| 118271312 | 11827131 | Insomnia | |
| 118271312 | 11827131 | Medication error | |
| 118271312 | 11827131 | Psychogenic seizure | |
| 118271312 | 11827131 | Suicidal ideation |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |