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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118589103 | 11858910 | 3 | F | 20160825 | 20151222 | 20160901 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2015-088971 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 59.00000 | KG | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 118589103 | 11858910 | 1 | PS | ELIQUIS | APIXABAN | 1 | Oral | 2.5 MG, BID | U | 202155 | 2.5 | MG | FILM-COATED TABLET | BID | |||||
| 118589103 | 11858910 | 2 | SS | WARFARIN SODIUM. | WARFARIN SODIUM | 1 | Unknown | UNK | 0 | ||||||||||
| 118589103 | 11858910 | 3 | C | OXYCONTIN | OXYCODONE HYDROCHLORIDE | 1 | Unknown | 10 MG, BID | U | 0 | 10 | MG | BID | ||||||
| 118589103 | 11858910 | 4 | C | FLEXERIL | CYCLOBENZAPRINE HYDROCHLORIDE | 1 | Unknown | 5 MG, QHS | U | 0 | 5 | MG | QD | ||||||
| 118589103 | 11858910 | 5 | C | TRIAMTERENE AND HYDROCHLOROTHIAZID | HYDROCHLOROTHIAZIDETRIAMTERENE | 1 | Unknown | U | 0 | ||||||||||
| 118589103 | 11858910 | 6 | C | VICODIN | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Unknown | UNK, PRN | U | 0 | |||||||||
| 118589103 | 11858910 | 7 | C | TAZTIA XT | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | 120 MG, UNK | U | 0 | 120 | MG | |||||||
| 118589103 | 11858910 | 8 | C | CYMBALTA | DULOXETINE HYDROCHLORIDE | 1 | Unknown | 40 MG, UNK | U | 0 | 40 | MG | |||||||
| 118589103 | 11858910 | 9 | C | DULOXETINE HCL | DULOXETINE HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 118589103 | 11858910 | 10 | C | PREMPRO | ESTROGENS, CONJUGATEDMEDROXYPROGESTERONE ACETATE | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 118589103 | 11858910 | 1 | Cerebrovascular accident prophylaxis |
| 118589103 | 11858910 | 2 | Product used for unknown indication |
| 118589103 | 11858910 | 3 | Product used for unknown indication |
| 118589103 | 11858910 | 4 | Product used for unknown indication |
| 118589103 | 11858910 | 5 | Product used for unknown indication |
| 118589103 | 11858910 | 6 | Product used for unknown indication |
| 118589103 | 11858910 | 7 | Product used for unknown indication |
| 118589103 | 11858910 | 8 | Product used for unknown indication |
| 118589103 | 11858910 | 9 | Product used for unknown indication |
| 118589103 | 11858910 | 10 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 118589103 | 11858910 | Contraindicated product administered | |
| 118589103 | 11858910 | Rash erythematous | |
| 118589103 | 11858910 | Rash generalised | |
| 118589103 | 11858910 | Rash pruritic |
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 |
|---|---|---|---|---|---|---|
| 118589103 | 11858910 | 2 | 20151113 | 0 |