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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120369804 | 12036980 | 4 | F | 20160315 | 20160711 | 20160208 | 20160724 | EXP | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-006073 | BRISTOL MYERS SQUIBB | 43.00 | YR | F | Y | 0.00000 | 20160724 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 120369804 | 12036980 | 1 | PS | COUMADIN | WARFARIN SODIUM | 1 | Unknown | U | 00014802 | 9218 | |||||||||
| 120369804 | 12036980 | 2 | SS | LETAIRIS | AMBRISENTAN | 1 | Unknown | 10 MG, QD | SBFX | 0 | 10 | MG | TABLET | QD | |||||
| 120369804 | 12036980 | 3 | SS | REVATIO | SILDENAFIL CITRATE | 1 | Unknown | U | 0 | ||||||||||
| 120369804 | 12036980 | 4 | SS | REMODULIN | TREPROSTINIL | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 120369804 | 12036980 | 1 | Product used for unknown indication |
| 120369804 | 12036980 | 2 | Product used for unknown indication |
| 120369804 | 12036980 | 3 | Product used for unknown indication |
| 120369804 | 12036980 | 4 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 120369804 | 12036980 | HO |
| 120369804 | 12036980 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 120369804 | 12036980 | Cellulitis | |
| 120369804 | 12036980 | Diarrhoea | |
| 120369804 | 12036980 | Headache | |
| 120369804 | 12036980 | Infusion site cellulitis | |
| 120369804 | 12036980 | Syncope |
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 |
|---|---|---|---|---|---|---|
| 120369804 | 12036980 | 2 | 20150902 | 0 |