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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121675522 | 12167552 | 2 | F | 201510 | 20160816 | 20160310 | 20160901 | PER | US-GLAXOSMITHKLINE-US2016GSK034272 | GLAXOSMITHKLINE | 33.93 | YR | F | Y | 72.56000 | KG | 20160901 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121675522 | 12167552 | 1 | PS | WELLBUTRIN XL | BUPROPION HYDROCHLORIDE | 1 | Oral | 300 MG, 1D | U | 15J078P | 18644 | 300 | MG | TABLET | QD | ||||
| 121675522 | 12167552 | 2 | C | KLONOPIN | CLONAZEPAM | 1 | Oral | UNK UNK, PRN | 0 | ||||||||||
| 121675522 | 12167552 | 3 | C | VICODIN HP | ACETAMINOPHENHYDROCODONE BITARTRATE | 1 | Oral | UNK, PRN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121675522 | 12167552 | 1 | Depression |
| 121675522 | 12167552 | 2 | Anxiety |
| 121675522 | 12167552 | 3 | Back disorder |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121675522 | 12167552 | Abdominal distension | |
| 121675522 | 12167552 | Abdominal pain | |
| 121675522 | 12167552 | Depression | |
| 121675522 | 12167552 | Hypertension | |
| 121675522 | 12167552 | Nausea | |
| 121675522 | 12167552 | Product quality issue | |
| 121675522 | 12167552 | Vomiting |
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 |
|---|---|---|---|---|---|---|
| 121675522 | 12167552 | 1 | 201510 | 0 | ||
| 121675522 | 12167552 | 2 | 2014 | 0 | ||
| 121675522 | 12167552 | 3 | 2014 | 0 |