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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121710354 | 12171035 | 4 | F | 20160629 | 20160311 | 20160719 | PER | US-ELI_LILLY_AND_COMPANY-US201602004478 | ELI LILLY AND CO | 86.00 | YR | F | Y | 59.00000 | KG | 20160719 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 121710354 | 12171035 | 1 | PS | ADCIRCA | TADALAFIL | 1 | Unknown | UNK, UNKNOWN | U | U | 21368 | TABLET | |||||||
| 121710354 | 12171035 | 2 | SS | COUMADIN | WARFARIN SODIUM | 1 | Unknown | UNK, UNKNOWN | U | U | 0 | ||||||||
| 121710354 | 12171035 | 3 | SS | AMBRISENTAN | AMBRISENTAN | 1 | Unknown | 5 MG, QD | U | U | SBFP | 0 | 5 | MG | TABLET | QD | |||
| 121710354 | 12171035 | 4 | C | CEFUROXIME. | CEFUROXIME | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 5 | C | LASIX | FUROSEMIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 6 | C | METOLAZONE. | METOLAZONE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 7 | C | KCL | POTASSIUM CHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 8 | C | SPIRONOLACTONE. | SPIRONOLACTONE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 9 | C | ACETAMINOPHEN. | ACETAMINOPHEN | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 10 | C | ASCORBIC ACID. | ASCORBIC ACID | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 11 | C | ATORVASTATIN | ATORVASTATIN | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 12 | C | AZELASTINE | AZELASTINE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 13 | C | CALCIUM CARBONATE AND VITAMIN D | 2 | Unknown | UNK, UNKNOWN | U | 0 | ||||||||||
| 121710354 | 12171035 | 14 | C | CETIRIZINE | CETIRIZINE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 15 | C | COMBIVENT | ALBUTEROL SULFATEIPRATROPIUM BROMIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 16 | C | GLUCOSAMINE + CHONDROITIN /01430901/ | 2 | 0 | |||||||||||||
| 121710354 | 12171035 | 17 | C | IPRATROPIUM | IPRATROPIUM | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 18 | C | BLISTEX /00530701/ | 2 | Unknown | UNK, UNKNOWN | U | 0 | ||||||||||
| 121710354 | 12171035 | 19 | C | LORAZEPAM. | LORAZEPAM | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 20 | C | METOPROLOL. | METOPROLOL | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 21 | C | EMETROL /00327401/ | 2 | Unknown | UNK, UNKNOWN | U | 0 | ||||||||||
| 121710354 | 12171035 | 22 | C | IMODIUM | LOPERAMIDE HYDROCHLORIDE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 23 | C | MUPIROCIN. | MUPIROCIN | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 24 | C | LOVAZA | OMEGA-3-ACID ETHYL ESTERS | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 25 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 26 | C | FEBUXOSTAT. | FEBUXOSTAT | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 27 | C | ONDANSETRON | ONDANSETRON | 1 | Unknown | UNK, UNKNOWN | U | 0 | |||||||||
| 121710354 | 12171035 | 28 | C | COLCHICINE. | COLCHICINE | 1 | Unknown | UNK, UNKNOWN | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 121710354 | 12171035 | 1 | Product used for unknown indication |
| 121710354 | 12171035 | 2 | Product used for unknown indication |
| 121710354 | 12171035 | 3 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 121710354 | 12171035 | Fluid retention | |
| 121710354 | 12171035 | Joint swelling | |
| 121710354 | 12171035 | Liver function test increased | |
| 121710354 | 12171035 | Malaise | |
| 121710354 | 12171035 | Nasal dryness | |
| 121710354 | 12171035 | Productive cough | |
| 121710354 | 12171035 | Sinusitis | |
| 121710354 | 12171035 | Swelling face | |
| 121710354 | 12171035 | Weight increased |
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 |
|---|---|---|---|---|---|---|
| 121710354 | 12171035 | 3 | 20131206 | 0 |