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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119194903 | 11919490 | 3 | F | 20140101 | 20160808 | 20160115 | 20160912 | PER | US-JNJFOC-20160101318 | JANSSEN | 66.55 | YR | E | M | Y | 0.00000 | 20160912 | CN | GB | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119194903 | 11919490 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 119194903 | 11919490 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 15 | MG | TABLET | |||||
| 119194903 | 11919490 | 3 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 119194903 | 11919490 | 4 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 119194903 | 11919490 | 5 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 15 | MG | TABLET | |||||
| 119194903 | 11919490 | 6 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 20 | MG | TABLET | |||||
| 119194903 | 11919490 | 7 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | TABLET | |||||||
| 119194903 | 11919490 | 8 | SS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 0 | 15 | MG | TABLET | |||||
| 119194903 | 11919490 | 9 | PS | XARELTO | RIVAROXABAN | 1 | Oral | U | U | UNKNOWN | 202439 | 20 | MG | TABLET | |||||
| 119194903 | 11919490 | 10 | SS | COUMADIN | WARFARIN SODIUM | 1 | Oral | U | 0 | 5 | MG | TABLET | |||||||
| 119194903 | 11919490 | 11 | SS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | U | 0 | 150 | MG | CAPSULE | |||||||
| 119194903 | 11919490 | 12 | C | CARVEDILOL. | CARVEDILOL | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 13 | C | PACERONE | AMIODARONE HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 14 | C | GABAPENTIN. | GABAPENTIN | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 15 | C | TRAMADOL. | TRAMADOL | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 16 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 17 | C | DICYCLOMINE HCL | DICYCLOMINE HYDROCHLORIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 18 | C | GLIPIZIDE. | GLIPIZIDE | 1 | Unknown | 0 | UNSPECIFIED | ||||||||||
| 119194903 | 11919490 | 19 | C | IRBESARTAN. | IRBESARTAN | 1 | Unknown | 0 | UNSPECIFIED |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119194903 | 11919490 | 1 | Cerebrovascular accident prophylaxis |
| 119194903 | 11919490 | 2 | Cerebrovascular accident prophylaxis |
| 119194903 | 11919490 | 3 | Cerebrovascular accident prophylaxis |
| 119194903 | 11919490 | 4 | Thrombosis prophylaxis |
| 119194903 | 11919490 | 5 | Thrombosis prophylaxis |
| 119194903 | 11919490 | 6 | Thrombosis prophylaxis |
| 119194903 | 11919490 | 7 | Atrial fibrillation |
| 119194903 | 11919490 | 8 | Atrial fibrillation |
| 119194903 | 11919490 | 9 | Atrial fibrillation |
| 119194903 | 11919490 | 10 | Product used for unknown indication |
| 119194903 | 11919490 | 11 | Product used for unknown indication |
| 119194903 | 11919490 | 12 | Product used for unknown indication |
| 119194903 | 11919490 | 13 | Product used for unknown indication |
| 119194903 | 11919490 | 14 | Product used for unknown indication |
| 119194903 | 11919490 | 15 | Product used for unknown indication |
| 119194903 | 11919490 | 16 | Product used for unknown indication |
| 119194903 | 11919490 | 17 | Product used for unknown indication |
| 119194903 | 11919490 | 18 | Product used for unknown indication |
| 119194903 | 11919490 | 19 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 119194903 | 11919490 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119194903 | 11919490 | Gastrointestinal haemorrhage |
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 |
|---|---|---|---|---|---|---|
| 119194903 | 11919490 | 1 | 20130307 | 20130427 | 0 | |
| 119194903 | 11919490 | 2 | 20141105 | 201411 | 0 | |
| 119194903 | 11919490 | 3 | 201401 | 0 | ||
| 119194903 | 11919490 | 4 | 201401 | 0 | ||
| 119194903 | 11919490 | 5 | 20141105 | 201411 | 0 | |
| 119194903 | 11919490 | 6 | 20130307 | 20130427 | 0 | |
| 119194903 | 11919490 | 7 | 201401 | 0 | ||
| 119194903 | 11919490 | 8 | 20141105 | 201411 | 0 | |
| 119194903 | 11919490 | 9 | 20130307 | 20130427 | 0 | |
| 119194903 | 11919490 | 10 | 201309 | 2014 | 0 | |
| 119194903 | 11919490 | 11 | 201304 | 0 |