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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121326625 | 12132662 | 5 | F | 20150826 | 20160706 | 20160301 | 20160718 | EXP | US-ACTELION-A-NJ2015-124200 | ACTELION | 64.00 | YR | A | F | Y | 0.00000 | 20160718 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121326625 | 12132662 | 1 | PS | TRACLEER | BOSENTAN | 1 | Oral | 125 MG, UNK | Y | NP013P0402 | 21290 | 125 | MG | TABLET | |||||
| 121326625 | 12132662 | 2 | SS | TRACLEER | BOSENTAN | 1 | Oral | 62.5 MG, BID | Y | NP013P0402 | 21290 | 62.5 | MG | TABLET | BID | ||||
| 121326625 | 12132662 | 3 | C | IMDUR | ISOSORBIDE MONONITRATE | 1 | Y | U | 0 | ||||||||||
| 121326625 | 12132662 | 4 | C | ASA | ASPIRIN | 1 | U | 0 | |||||||||||
| 121326625 | 12132662 | 5 | C | PLAVIX | CLOPIDOGREL BISULFATE | 1 | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121326625 | 12132662 | 1 | Pulmonary arterial hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121326625 | 12132662 | HO |
| 121326625 | 12132662 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121326625 | 12132662 | Abdominal pain upper | |
| 121326625 | 12132662 | Back pain | |
| 121326625 | 12132662 | Blood pressure decreased | |
| 121326625 | 12132662 | Chest pain | |
| 121326625 | 12132662 | Condition aggravated | |
| 121326625 | 12132662 | Dialysis | |
| 121326625 | 12132662 | Fluid retention | |
| 121326625 | 12132662 | Flushing | |
| 121326625 | 12132662 | Gastrooesophageal reflux disease | |
| 121326625 | 12132662 | Headache | |
| 121326625 | 12132662 | Renal transplant | |
| 121326625 | 12132662 | Underdose |
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 |
|---|---|---|---|---|---|---|
| 121326625 | 12132662 | 1 | 20150515 | 0 | ||
| 121326625 | 12132662 | 2 | 20160219 | 0 |