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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121341613 | 12134161 | 3 | F | 20160224 | 20160705 | 20160301 | 20160718 | EXP | US-GLAXOSMITHKLINE-US2016027145 | GLAXOSMITHKLINE | 67.36 | YR | F | Y | 74.00000 | KG | 20160718 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121341613 | 12134161 | 1 | PS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | Subcutaneous | 6 MG, U | U | SV150809 | 20080 | 6 | MG | SOLUTION FOR INJECTION IN PRE-FILLED PEN | |||||
| 121341613 | 12134161 | 2 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | UNK | U | SV141919 | 20080 | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||||
| 121341613 | 12134161 | 3 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | UNK | U | C717939 | 20080 | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||||
| 121341613 | 12134161 | 4 | SS | IMITREX | SUMATRIPTAN SUCCINATE | 1 | UNK, U | U | C716202 | 20080 | SOLUTION FOR INJECTION IN PRE-FILLED PEN |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121341613 | 12134161 | 1 | Migraine with aura |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121341613 | 12134161 | Injection site reaction | |
| 121341613 | 12134161 | Product quality issue | |
| 121341613 | 12134161 | Syringe issue |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |