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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122174882 | 12217488 | 2 | F | 20160923 | 20160329 | 20160929 | PER | US-BRISTOL-MYERS SQUIBB COMPANY-BMS-2016-023033 | BRISTOL MYERS SQUIBB | 0.00 | F | Y | 0.00000 | 20160929 | OT | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122174882 | 12217488 | 1 | PS | ABILIFY | ARIPIPRAZOLE | 1 | Unknown | UNK MG, UNK(1 MG DAILY) | 21436 | TABLET | |||||||||
| 122174882 | 12217488 | 2 | C | KLONOPIN | CLONAZEPAM | 1 | Unknown | 0.25 MG, QD | 0 | .25 | MG | QD | |||||||
| 122174882 | 12217488 | 3 | C | WELLBUTRIN | BUPROPION HYDROCHLORIDE | 1 | Unknown | 150 MG, UNK | U | 0 | 150 | MG | |||||||
| 122174882 | 12217488 | 4 | C | RANEXA | RANOLAZINE | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 5 | C | LASIX | FUROSEMIDE | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 6 | C | POTASSIUM | POTASSIUM | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 7 | C | CALCIUM | CALCIUM | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 8 | C | VITAMIN D3 | CHOLECALCIFEROL | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 9 | C | SPIRIVA | TIOTROPIUM BROMIDE MONOHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 10 | C | SYMBICORT | BUDESONIDEFORMOTEROL FUMARATE DIHYDRATE | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 11 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | 81 MG, UNK | U | 0 | 81 | MG | |||||||
| 122174882 | 12217488 | 12 | C | CARDIZEM CD | DILTIAZEM HYDROCHLORIDE | 1 | Unknown | U | 0 | ||||||||||
| 122174882 | 12217488 | 13 | C | IMDUR | ISOSORBIDE MONONITRATE | 1 | Unknown | UNK | U | 0 | |||||||||
| 122174882 | 12217488 | 14 | C | PRAVASTATIN SODIUM. | PRAVASTATIN SODIUM | 1 | Unknown | U | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122174882 | 12217488 | 1 | Major depression |
| 122174882 | 12217488 | 2 | Depression |
| 122174882 | 12217488 | 3 | Product used for unknown indication |
| 122174882 | 12217488 | 4 | Product used for unknown indication |
| 122174882 | 12217488 | 5 | Product used for unknown indication |
| 122174882 | 12217488 | 6 | Product used for unknown indication |
| 122174882 | 12217488 | 7 | Product used for unknown indication |
| 122174882 | 12217488 | 8 | Product used for unknown indication |
| 122174882 | 12217488 | 9 | Product used for unknown indication |
| 122174882 | 12217488 | 10 | Product used for unknown indication |
| 122174882 | 12217488 | 11 | Product used for unknown indication |
| 122174882 | 12217488 | 12 | Product used for unknown indication |
| 122174882 | 12217488 | 13 | Product used for unknown indication |
| 122174882 | 12217488 | 14 | Product used for unknown indication |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122174882 | 12217488 | Memory impairment | |
| 122174882 | 12217488 | Wrong technique in product usage process |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| no results found |