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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122577203 | 12257720 | 3 | F | 20151204 | 20160517 | 20160412 | 20160725 | EXP | JP-DSJP-DSJ-2015-140189 | DAIICHI | 82.78 | YR | M | Y | 52.00000 | KG | 20160725 | MD | JP | JP |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 122577203 | 12257720 | 1 | PS | LIXIANA TABLETS 30mg | EDOXABAN TOSILATE MONOHYDRATE | 1 | Oral | 30 MG, QD | 206316 | 30 | MG | TABLET | QD | ||||||
| 122577203 | 12257720 | 2 | SS | LIXIANA TABLETS 30mg | EDOXABAN TOSILATE MONOHYDRATE | 1 | 206316 | TABLET | |||||||||||
| 122577203 | 12257720 | 3 | SS | LIXIANA TABLETS 30mg | EDOXABAN TOSILATE MONOHYDRATE | 1 | 206316 | TABLET | |||||||||||
| 122577203 | 12257720 | 4 | SS | NEXIUM | ESOMEPRAZOLE MAGNESIUM | 1 | Oral | 20 MG, QD | 0 | 20 | UG | CAPSULE | QD | ||||||
| 122577203 | 12257720 | 5 | SS | MICARDIS | TELMISARTAN | 1 | Oral | 40 MG, QD | 0 | 40 | MG | TABLET | QD | ||||||
| 122577203 | 12257720 | 6 | SS | AMLODIPINE /00972402/ | AMLODIPINE BESYLATE | 1 | Oral | 5 MG, QD | 0 | 5 | MG | ORODISPERSIBLE TABLET | QD | ||||||
| 122577203 | 12257720 | 7 | SS | PNEUMOCOCCAL VACCINE POLYVALENT | PNEUMOCOCCAL VACCINE POLYVALENT | 1 | Unknown | UNK | 0 |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 122577203 | 12257720 | 1 | Deep vein thrombosis |
| 122577203 | 12257720 | 2 | Pulmonary embolism |
| 122577203 | 12257720 | 3 | Pulmonary artery thrombosis |
| 122577203 | 12257720 | 4 | Gastric ulcer |
| 122577203 | 12257720 | 5 | Hypertension |
| 122577203 | 12257720 | 6 | Hypertension |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 122577203 | 12257720 | OT |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 122577203 | 12257720 | Interstitial lung disease |
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 |
|---|---|---|---|---|---|---|
| 122577203 | 12257720 | 1 | 20151001 | 0 | ||
| 122577203 | 12257720 | 4 | 20150928 | 0 | ||
| 122577203 | 12257720 | 5 | 20150926 | 0 | ||
| 122577203 | 12257720 | 6 | 20150927 | 0 | ||
| 122577203 | 12257720 | 7 | 201511 | 0 |