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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
121369053 | 12136905 | 3 | F | 20160220 | 20160818 | 20160302 | 20160823 | EXP | DE-B.I. PHARMACEUTICALS,INC./RIDGEFIELD-2016-BI-12013DE | BOEHRINGER INGELHEIM | 74.82 | YR | M | Y | 80.00000 | KG | 20160823 | MD | DE | DE |
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
121369053 | 12136905 | 1 | PS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Oral | 300 MG | Y | 22512 | 150 | MG | CAPSULE, HARD | BID | |||||
121369053 | 12136905 | 2 | SS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Y | 22512 | |||||||||||
121369053 | 12136905 | 3 | SS | PRADAXA | DABIGATRAN ETEXILATE MESYLATE | 1 | Y | 22512 |
Indications of drugs used
Event ID | CASEID | INDI DRUG SEQ | INDI PT |
---|---|---|---|
121369053 | 12136905 | 1 | Atrial fibrillation |
121369053 | 12136905 | 2 | Thrombosis prophylaxis |
121369053 | 12136905 | 3 | Cerebrovascular accident prophylaxis |
Outcome of event
Event ID | CASEID | OUTC COD |
---|---|---|
121369053 | 12136905 | LT |
121369053 | 12136905 | HO |
121369053 | 12136905 | OT |
Reactions reported
Event ID | CASEID | DRUG REC ACT | PT |
---|---|---|---|
121369053 | 12136905 | Fall | |
121369053 | 12136905 | Haemorrhagic diathesis | |
121369053 | 12136905 | Paraplegia | |
121369053 | 12136905 | Quadriplegia | |
121369053 | 12136905 | Wound 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 |
---|---|---|---|---|---|---|
121369053 | 12136905 | 1 | 20160220 | 0 |