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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122007232 | 12200723 | 2 | F | 20160628 | 20160322 | 20160705 | EXP | US-GLAXOSMITHKLINE-US2016GSK036147 | GLAXOSMITHKLINE | 0.00 | F | Y | 68.27000 | KG | 20160705 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122007232 | 12200723 | 1 | PS | Sumatriptan Solution for injection in pre-filled pen | SUMATRIPTAN | 1 | Intravenous (not otherwise specified) | UNK, PRN | C742019 | 20080 | SOLUTION FOR INJECTION IN PRE-FILLED PEN | ||||||||
| 122007232 | 12200723 | 2 | SS | Sumatriptan Solution for injection in pre-filled pen | SUMATRIPTAN | 1 | 20080 | SOLUTION FOR INJECTION IN PRE-FILLED PEN | |||||||||||
| 122007232 | 12200723 | 3 | SS | EFFEXOR | VENLAFAXINE HYDROCHLORIDE | 1 | N | 0 | |||||||||||
| 122007232 | 12200723 | 4 | SS | CIPRO | CIPROFLOXACIN HYDROCHLORIDE | 1 | U | 0 | |||||||||||
| 122007232 | 12200723 | 5 | C | CLONAZEPAM. | CLONAZEPAM | 1 | UNK | 0 | |||||||||||
| 122007232 | 12200723 | 6 | C | TRAZODONE | TRAZODONE HYDROCHLORIDE | 1 | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122007232 | 12200723 | 1 | Migraine |
| 122007232 | 12200723 | 2 | Headache |
| 122007232 | 12200723 | 3 | Product used for unknown indication |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122007232 | 12200723 | HO |
| 122007232 | 12200723 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122007232 | 12200723 | Drug hypersensitivity | |
| 122007232 | 12200723 | Drug ineffective | |
| 122007232 | 12200723 | Migraine | |
| 122007232 | 12200723 | Myocardial infarction | |
| 122007232 | 12200723 | Product quality issue |
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 |
|---|---|---|---|---|---|---|
| 122007232 | 12200723 | 1 | 201603 | 0 |