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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121609643 | 12160964 | 3 | F | 20160125 | 20160801 | 20160308 | 20160812 | EXP | BX20160322 | FR-VALIDUS PHARMACEUTICALS LLC-FR-2016VAL000373 | VALIDUS | 64.00 | YR | M | Y | 0.00000 | 20160812 | OT | FR | FR |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121609643 | 12160964 | 1 | PS | FUROSEMIDE. | FUROSEMIDE | 1 | Unknown | UNK | U | UNK | 16273 | ||||||||
| 121609643 | 12160964 | 2 | SS | XATRAL | ALFUZOSIN | 1 | Unknown | UNK | U | UNK | 0 | ||||||||
| 121609643 | 12160964 | 3 | SS | ERY /00020901/ | ERYTHROMYCIN | 1 | Oral | UNK | Y | UNK | 0 | ||||||||
| 121609643 | 12160964 | 4 | SS | LEXOMIL | BROMAZEPAM | 1 | Unknown | UNK | U | UNK | 0 | ||||||||
| 121609643 | 12160964 | 5 | SS | PHOSPHONEUROS | CALCIUM PHOSPHATE, DIBASIC, ANHYDROUSMAGNESIUM GLYCEROPHOSPHATEPHOSPHORIC ACIDSODIUM PHOSPHATE, DIBASIC | 1 | Unknown | UNK | U | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121609643 | 12160964 | 1 | Product used for unknown indication |
| 121609643 | 12160964 | 2 | Product used for unknown indication |
| 121609643 | 12160964 | 3 | Gastrointestinal disorder |
| 121609643 | 12160964 | 4 | Product used for unknown indication |
| 121609643 | 12160964 | 5 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 121609643 | 12160964 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121609643 | 12160964 | Aplasia |
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 |
|---|---|---|---|---|---|---|
| 121609643 | 12160964 | 1 | 20160119 | 0 | ||
| 121609643 | 12160964 | 2 | 20160122 | 0 | ||
| 121609643 | 12160964 | 3 | 20160115 | 20160119 | 0 | |
| 121609643 | 12160964 | 4 | 20160119 | 0 | ||
| 121609643 | 12160964 | 5 | 20160123 | 0 |