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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122456002 | 12245600 | 2 | F | 20150828 | 20160407 | 20160708 | PER | US-ACTAVIS-2015-18542 | WATSON | 69.00 | YR | M | Y | 0.00000 | 20160708 | OT | COUNTRY NOT SPECIFIED | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122456002 | 12245600 | 1 | PS | Lisinopril (Watson Laboratories) | LISINOPRIL | 1 | 40 MG, UNKNOWN | N | U | UNKNOWN | 76059 | 40 | MG | TABLET | |||||
| 122456002 | 12245600 | 2 | SS | Hydrocortisone (AMALLC) | HYDROCORTISONE | 1 | Unknown | U | U | UNKNOWN | 0 | CREAM | |||||||
| 122456002 | 12245600 | 3 | SS | PROTONIX | PANTOPRAZOLE SODIUM | 1 | Unknown | 40 MG, UNKNOWN | N | U | UNKNOWN | 0 | 40 | MG | |||||
| 122456002 | 12245600 | 4 | SS | AMLACTIN | AMMONIUM LACTATE | 1 | Unknown | UNK, UNKNOWN | UNKNOWN | 0 | |||||||||
| 122456002 | 12245600 | 5 | C | CLONIDINE. | CLONIDINE | 1 | Unknown | U | UNKNOWN | 0 | |||||||||
| 122456002 | 12245600 | 6 | C | OMEPRAZOLE. | OMEPRAZOLE | 1 | Unknown | U | UNKNOWN | 0 | |||||||||
| 122456002 | 12245600 | 7 | C | PERCOCET /00446701/ | ACETAMINOPHENOXYCODONE HYDROCHLORIDEOXYCODONE TEREPHTHALATE | 1 | Unknown | UNK, UNKNOWN | U | UNKNOWN | 0 | ||||||||
| 122456002 | 12245600 | 8 | C | ASPIRIN. | ASPIRIN | 1 | Unknown | UNK, UNKNOWN | U | UNKNOWN | 0 | ||||||||
| 122456002 | 12245600 | 9 | C | NIFEDIPINE. | NIFEDIPINE | 1 | Unknown | 30 MG, UNKNOWN | U | UNKNOWN | 0 | 30 | MG | ||||||
| 122456002 | 12245600 | 10 | C | VITAMIN B12 | CYANOCOBALAMIN | 1 | Unknown | UNK, UNKNOWN | U | UNKNOWN | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122456002 | 12245600 | 1 | Hypertension |
| 122456002 | 12245600 | 2 | Urticaria |
| 122456002 | 12245600 | 3 | Gastrooesophageal reflux disease |
| 122456002 | 12245600 | 4 | Dry skin prophylaxis |
| 122456002 | 12245600 | 5 | Product used for unknown indication |
| 122456002 | 12245600 | 6 | Product used for unknown indication |
| 122456002 | 12245600 | 7 | Product used for unknown indication |
| 122456002 | 12245600 | 8 | Product used for unknown indication |
| 122456002 | 12245600 | 9 | Blood pressure measurement |
| 122456002 | 12245600 | 10 | Heart rate decreased |
Outcome of event
| no results found |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122456002 | 12245600 | Chest pain | |
| 122456002 | 12245600 | Drug ineffective | |
| 122456002 | 12245600 | Heart rate decreased | |
| 122456002 | 12245600 | Hypertension | |
| 122456002 | 12245600 | Rash | |
| 122456002 | 12245600 | Tremor | |
| 122456002 | 12245600 | Urticaria | |
| 122456002 | 12245600 | Weight decreased |
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 |
|---|---|---|---|---|---|---|
| 122456002 | 12245600 | 1 | 2007 | 0 |