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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121204173 | 12120417 | 3 | F | 20141024 | 20160720 | 20160226 | 20160726 | EXP | US-BAYER-2016-002037 | BAYER | 80.00 | YR | E | F | Y | 0.00000 | 20160726 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121204173 | 12120417 | 1 | SS | XARELTO | RIVAROXABAN | 1 | Oral | 15 MG, UNK | Y | N | UNKNOWN;UNKNOWN | 0 | 15 | MG | FILM-COATED TABLET | ||||
| 121204173 | 12120417 | 2 | SS | XARELTO | RIVAROXABAN | 1 | Y | N | 0 | FILM-COATED TABLET | |||||||||
| 121204173 | 12120417 | 3 | SS | XARELTO | RIVAROXABAN | 1 | Y | N | 0 | FILM-COATED TABLET | |||||||||
| 121204173 | 12120417 | 4 | SS | XARELTO | RIVAROXABAN | 1 | Y | N | 0 | FILM-COATED TABLET | |||||||||
| 121204173 | 12120417 | 5 | PS | ACETYLSALICYLIC ACID({=100 mg) | ASPIRIN | 1 | Unknown | 81 MG, UNK | Y | 999999 | 81 | MG | |||||||
| 121204173 | 12120417 | 6 | SS | TYLENOL | ACETAMINOPHEN | 1 | Oral | 650 MG, UNK | UNKNOWN | 0 | 650 | MG | |||||||
| 121204173 | 12120417 | 7 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 8 | C | DILTIAZEM. | DILTIAZEM | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 9 | C | ZITHROMAX | AZITHROMYCIN DIHYDRATE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 10 | C | ETHAMBUTOL | ETHAMBUTOL HYDROCHLORIDE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 11 | C | SOTALOL. | SOTALOL | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 12 | C | AMITRIPTYLINE | AMITRIPTYLINE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 13 | C | FENOFIBRATE. | FENOFIBRATE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 14 | C | CRESTOR | ROSUVASTATIN CALCIUM | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 15 | C | FLONASE | FLUTICASONE PROPIONATE | 1 | Unknown | UNK | 0 | ||||||||||
| 121204173 | 12120417 | 16 | C | XANAX | ALPRAZOLAM | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121204173 | 12120417 | 1 | Thrombosis prophylaxis |
| 121204173 | 12120417 | 2 | Cerebrovascular accident prophylaxis |
| 121204173 | 12120417 | 3 | Atrial fibrillation |
| 121204173 | 12120417 | 4 | Atrial fibrillation |
| 121204173 | 12120417 | 5 | Product used for unknown indication |
| 121204173 | 12120417 | 6 | Pain |
| 121204173 | 12120417 | 7 | Product used for unknown indication |
| 121204173 | 12120417 | 8 | Product used for unknown indication |
| 121204173 | 12120417 | 9 | Product used for unknown indication |
| 121204173 | 12120417 | 10 | Product used for unknown indication |
| 121204173 | 12120417 | 11 | Product used for unknown indication |
| 121204173 | 12120417 | 12 | Product used for unknown indication |
| 121204173 | 12120417 | 13 | Product used for unknown indication |
| 121204173 | 12120417 | 14 | Product used for unknown indication |
| 121204173 | 12120417 | 15 | Product used for unknown indication |
| 121204173 | 12120417 | 16 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121204173 | 12120417 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121204173 | 12120417 | Gastric ulcer haemorrhage | |
| 121204173 | 12120417 | 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 |
|---|---|---|---|---|---|---|
| 121204173 | 12120417 | 1 | 20120608 | 20150214 | 0 |