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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119595773 | 11959577 | 3 | F | 20160825 | 20160126 | 20160826 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-004787 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160826 | CN | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 119595773 | 11959577 | 1 | PS | ELIQUIS | APIXABAN | 1 | Unknown | U | 202155 | ||||||||||
| 119595773 | 11959577 | 2 | SS | WARFARIN SODIUM. | WARFARIN SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 3 | SS | NADOLOL. | NADOLOL | 1 | Unknown | 1 TAB, QD | 0 | 1 | DF | TABLET | QD | ||||||
| 119595773 | 11959577 | 4 | SS | ZOCOR | SIMVASTATIN | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 5 | SS | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 6 | SS | WELCHOL | COLESEVELAM HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 7 | SS | ZETIA | EZETIMIBE | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 8 | SS | PLAVIX | CLOPIDOGREL BISULFATE | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 9 | SS | ALENDRONATE | ALENDRONATE SODIUM | 1 | Unknown | U | 0 | ||||||||||
| 119595773 | 11959577 | 10 | C | CORGARD | NADOLOL | 1 | Unknown | 20 MG, UNK | U | 0 | 20 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 119595773 | 11959577 | 1 | Product used for unknown indication |
| 119595773 | 11959577 | 2 | Product used for unknown indication |
| 119595773 | 11959577 | 3 | Cardiac disorder |
| 119595773 | 11959577 | 4 | Product used for unknown indication |
| 119595773 | 11959577 | 5 | Product used for unknown indication |
| 119595773 | 11959577 | 6 | Product used for unknown indication |
| 119595773 | 11959577 | 7 | Product used for unknown indication |
| 119595773 | 11959577 | 8 | Product used for unknown indication |
| 119595773 | 11959577 | 9 | Product used for unknown indication |
| 119595773 | 11959577 | 10 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 119595773 | 11959577 | Contraindicated product administered | |
| 119595773 | 11959577 | Hypersensitivity |
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 |
|---|---|---|---|---|---|---|
| 119595773 | 11959577 | 3 | 1980 | 0 |